Date of Defense

4-17-2013

Date of Graduation

4-2013

Department

Nursing

First Advisor

Dr. Ruth Zielinski

Second Advisor

Dr. Mary Lagerwey

Third Advisor

Dr. Mary Stark

Abstract

OBJECTIVE: To explore prevalence of pregnancy related folklore beliefs by conducting a survey of CM/CNMs in the United States. Research questions included: What folklore beliefs are most commonly encountered by nurse-midwives? Does the prevalence of folklore beliefs differ by geography? Does the type of folklore beliefs differ by the ethnicity and culture of the nurse-midwifery clientele?

METHODS: After IRB and ACNM approval, a geographically diverse sample of 1,000 active CM/CNM members was sent an invitation email. The survey was developed following a literature review to include 12 pregnancy beliefs. Responders were asked to rate how frequently they heard each (never-I, seldom-2, occasionally-3, frequently-4), and whether that particular belief was more common among a certain ethnic/racial group. Participants were asked to provide years and location of midwifery practice. Space was provided for comments.

RESULTS: Response rate was 20% (n=CM/CNMs) Mean years of midwifery practice was 15.8 and response rates were distributed across the four US regions (22.8% NE, 21.8% MW, 29.7% South and 24.8% West). Prevalence of beliefs did not differ by region. Six beliefs were more prevalent on preliminary analysis: how you are carrying predicts the sex of the baby, fetal heart rate predicts sex of the baby, a full moon will start labor, "mother had a long/quick labor so I will too", and heart burn = full head of hair. Participants reported hearing most pregnancy beliefs from clients of a variety of races/ethnicities.

CONCLUSIONS: Non-judgmental acceptance of patient and family and the importance of valuing tradition and culture in "modern;" healthcare are 'central to the values of holistic healthcare. Findings provide insigl1t' into common pregnancy beliefs and how providers can educate their clients in regard to these beliefs.

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Honors thesis contains three video files from the presentation.

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Honors Thesis-Open Access

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