‘Mothering’ the mother: Postpartum care informed by Ancient Traditions
By Dr Sunila Prasad, MBBS, BSc (Hons) in Reproductive Medicine, MRCPCH, Lic Ac
The postpartum period, also known as the fourth trimester, varies greatly depending on numerous factors, such as when labour begins, how the delivery goes, any physical complications for you or your baby, hormonal changes, and your family and financial situation. Cultural dynamics also play a significant role during this critical time. While Western cultures often focus on the baby during the postpartum period, Eastern cultures emphasise “mothering” the mother.
In Eastern medical traditions like Traditional Chinese Medicine (TCM) and Ayurvedic Medicine, the practice of postpartum care for the mother is deeply rooted in holistic philosophies. In TCM, this period is known as “the sitting month” or “Zuo Yue Zi,” and in Ayurveda, it’s referred to as “Sutika Paricharya.” The length can vary from 30-100 days. Both philosophies recognise the profound significance of matrescence—the emotional, mental, and physical transition into motherhood—and aim to support this time as holistically as possible.
Historically, these practices were designed for the upper classes, but they have since evolved into widely adopted principles across these cultures. As mentioned, while many factors influence the postpartum period, the following tips from Ayurveda and TCM might help guide your recovery.
Rest
Traditionally, Eastern cultures emphasise physical rest during the postpartum period, often supported by multi-generational households or close-knit communities. The concept of the “sitting month”, where physical rest is prioritised, highlights the importance of rest for long-term recovery. Planning ahead, such as batch cooking and preparing your home during the third trimester, can be immensely helpful. If a support system isn’t readily available, don’t hesitate to ask trusted friends or family members for help. As vulnerable as it may feel, this is not a weakness and will allow you the opportunity to recalibrate your well-being.
Environment
Creating a calm environment at home can be challenging with a newborn, especially if you have other children. However, both Ayurveda and TCM stress the importance of protecting your home’s internal energy from external negativity. Don’t feel guilty about postponing external visitors if it helps maintain your peace and sanity (although dropping off a meal might be welcome!).
Keeping your actual environment warm is another fundamental principle in both traditions. Ayurvedic practices include nourishing massages with warm herbal oils, while TCM uses a technique called Moxibustion, where a Chinese herb called moxa is burned and wafted over the lower abdomen, gently warming the area. Warmth encourages adequate blood flow which promotes overall healing. Movement through gentle yoga or treatments like Acupuncture help to encourage healthy blood flow too. Whether through these practices or simply staying warm and wrapped up, prioritising warmth is key.
Diet
In both Ayurveda and TCM, food is seen as nourishment, not just fuel. Warm, cooked foods are preferred over cold, raw meals, as they help the body extract maximum nutrition without depleting energy reserves. Protein is essential, particularly if there was blood loss during delivery. This can come in the form of bone broth, a staple in TCM, or vegetarian sources like daal in Ayurveda. Herbal teas, including nettle and goji berry tea, are a triple threat, offering hydration, warmth and the nutritional value of the infused herb or fruit. Superfoods like jujube dates and moringa, for example, are known for their blood-building qualities, but if these ingredients aren’t accessible, just focus on simple, nourishing foods.
These principles aim to nurture the mother as much as possible during this time. It’s important to remember that talking therapies and/or medication may be necessary for some, and feeling empowered to seek help from a healthcare professional to support your mental or physical health is crucial.
However, when adapted to your own circumstances, the Eastern philosophies discussed above can provide a comforting safety net- helping you navigate one of the most significant transitions your mind and body will ever experience.
By Dr Sunila Prasad, MBBS, BSc (Hons) in Reproductive Medicine, MRCPCH, Lic Ac