Health problems and factors associated with traditional Thai medicine preferences among postpartum mothers: a cross-sectional analytical study in northeastern Thailand
DOI:
https://doi.org/10.47197/retos.v79.118645Keywords:
Postpartum care, traditional thai medicine, physical activity, maternal adaptation, associated factors, northeastern ThailandAbstract
Introduction: Traditional Thai medicine (TTM) postpartum care is a cultural therapeutic physical activity designed to restore bodily heat and four-element balance through eleven structured practices. While these methods-including thermal therapies and manual physical interventions—are integral to maternal recovery, academic evidence regarding maternal preferences and their adaptive significance remains limited.
Objective: This study assessed postpartum health problem levels, examined maternal preferences for eleven TTM methods, and determined associated factors among postpartum mothers in northeastern Thailand, framed within Rubin’s Postpartum Adaptation Theory.
Methodology: A cross-sectional analytical study was conducted with 480 postpartum mothers in Ubon Ratchathani Province, recruited via multi-stage probabilistic sampling. Data were collected using validated instruments (Cronbach’s alpha = 0.82) and analyzed using descriptive statistics and correlation analysis to identify associated factors.
Results: Mothers reported moderate levels of health problems, with adaptation-related issues and functional dependency being most prominent. Preference for TTM was high, particularly for heat-based and physical therapy modalities. Educational attainment, prior birthing experience, and socioeconomic interpersonal risks were found to be significantly associated with TTM preferences (p < 0.05).
Conclusions: The findings suggest that TTM preferences are closely related to the maternal transition and the need for functional recovery. Integration of these culturally grounded physical activities into contemporary maternal care could enhance postpartum adaptation.
References
Afriana, I., Yusnaini, Y., Kartinazahri, K., & Gustiana, G. (2023). The relationship parity and family sup-port with psychological adaptation of the postpartum period at the Jawiriyah Midwife Materni-ty Clinic in Banda Aceh City. Midwifery and Nursing Research, 5(1), 56–63. https://doi.org/10.31983/manr.v5i1.9619
Aghebatbekheir, A., Mahmoodi, Z., Rahimzadeh, M., Zandifar, A., & Saeieh, S. (2025). Midwife-led psychosocial counseling with family support on postpartum depression and maternal functio-ning: A randomized controlled trial. BMC Pregnancy and Childbirth, 26, Article 89. https://doi.org/10.1186/s12884-025-08523-x
Alfayumi-Zeadna, S., Schmitt, A., Agina, R., Schmidt, I., & Cwikel, J. (2025). Cultural adaptation and one-year follow-up of the Mom-to-Mom program among minority Arab Bedouin women: Addres-sing postpartum depression. Journal of Clinical Medicine, 14(20), Article 7167. https://doi.org/10.3390/jcm14207167
Arias-García, T., Urrutia-Gutiérrez, A., & Sánchez-Molina, J. (2022). Cultural therapeutic physical activi-ty and postpartum recovery: A systematic review of non-pharmacological interventions. Jour-nal of Health and Social Sciences, 15(3), 210–225. https://doi.org/10.1002/ijgo.15453
Ariani, N., Darmayanti, P., & Santhi, W. (2022). Dukungan suami dengan proses adaptasi psikologi pada ibu nifas RSAD Denpasar Bali. Care: Jurnal Ilmiah Ilmu Kesehatan, 10(3), 493–502. https://doi.org/10.33366/jc.v10i3.3050
Arnida, A., Nilnawati, N., Nurlely, N., & Sutomo, S. (2022). An ethnomedicine approach to aromatic plant use in Batimung tradition of North Banjarmasin Subdistrict Banjarmasin, Indonesia. Tropical Journal of Natural Product Research, 6(7), 1067–1073. https://doi.org/10.26538/tjnpr/v6i7.5
Ayubi, N., Padmasari, D. F., Komaini, A., Putri, D. R. S., Syafawi, A., Mario, D. T., Gemaini, A., Ridwan, M., Daulay, D. A. A., Ming, J. W., & Budi Prihanto, J. (2024). The efficacy of pelvic floor muscle trai-ning in reducing urinary incontinence in pregnant or postpartum women: A systematic review. Retos, 59, 1–15. https://doi.org/10.47197/retos.v59.105313.
Bawafi, N., Rahmawati, R., & Wijayanti, L. (2024). Family support and psychological adaptation (let-ting-go) in primipara post-partum. Jurnal Kesehatan, 15(1), 78–86. https://doi.org/10.26630/jk.v15i1.4200
Bell, A. F., Carter, C. S., Davis, J. M., Golding, J., Adejumo, O., Pyra, M., Connelly, J. J., & Rubin, L. H. (2016). Childbirth and symptoms of postpartum depression and anxiety: A prospective birth cohort study. Archives of Women’s Mental Health, 19(2), 219–227. https://doi.org/10.1007/s00737-015-0555-7
Candia Henríquez, A. A., Valladares-Ide, D., Monsalves-Álvarez, M., Krause, B. J., & Jannas-Vela, S. (2023). Actividad física, ejercicio y condición física durante la gestación y la situación actual de Chile: Una revisión narrativa. Retos, 48, 1060–1069. https://doi.org/10.47197/retos.v48.96864
Castro, B., Sousa, S., Ramos, L., Silva, M. R., Mota, J., & Santos-Rocha, R. (2024). Benefits of physical exer-cise during pregnancy on maternal physical fitness – Systematic review. Retos, 59, 286–304. https://doi.org/10.47197/retos.v59.105313
Cho, H., Lee, K., Choi, E., Cho, H., Park, B., Suh, M., Rhee, Y., & Choi, K. (2021). Association between social support and postpartum depression. Scientific Reports, 12, Article 7248. https://doi.org/10.1038/s41598-022-07248-7
Curren, L., Borba, C., Henderson, D., & Tompson, M. (2022). “Making room”: A thematic analysis study of the process of postpartum maternal adjustment. Maternal and Child Health Journal, 26(5), 1142–1152. https://doi.org/10.1007/s10995-022-03393-7
Dennaoui N, Guagliano JM, Kolt GS, Jammal M, George ES. A systematic review of culturally adapted physical activity interventions for culturally and linguistically diverse children and adolescents. Preventive Medicine. 2024;183:107979. https:// doi.org/10.1016/j.ypmed.2024.107979
Dennis, C. L., Fung, K., Grigoriadis, S., Robinson, G. E., Romans, S., & Ross, L. (2007). Traditional postpar-tum practices and rituals: A qualitative systematic review. Women’s Health, 3(4), 487–502. https://doi.org/10.2217/17455057.3.4.487.
Dhippayom, T., Kongkaew, C., Chaiyakunapruk, N., Dilokthornsakul, P., Sruamsiri, R., Saokaew, S., & Chuthaputti, A. (2015). Clinical effects of Thai herbal compress: A systematic review and meta-analysis. Evidence-Based Complementary and Alternative Medicine, 2015, Article 942378. https://doi.org/10.1155/2015/942378
Ekpenyong, M., & Munshitha, M. (2023). The impact of social support on postpartum depression in Asia: A systematic literature review. Mental Health & Prevention, 32, Article 200262. https://doi.org/10.1016/j.mhp.2023.200262
Fisher, J., Cabral de Mello, M., Patel, V., Rahman, A., Tran, T., Holton, S., & Holmes, W. (2012). Prevalence and determinants of common perinatal mental disorders in women in low- and lower-middle-income countries: A systematic review. Bulletin of the World Health Organization, 90(2), 139g–149g. https://doi.org/10.2471/BLT.11.091850
García-Hermoso, A., Izquierdo, M., & Ramírez-Vélez, R. (2022). Tracking of physical fitness levels from childhood and adolescence to adulthood: A systematic review and meta-analysis. Translational Pediatrics, 11(4), 474-486. https://doi.org/10.21037/tp-21-507
Gebrekristos, L., Ajayi, A., Groves, A., & Kabiru, C. (2025). Examining the associations between social support and postpartum depression symptoms among adolescent mothers in Nairobi, Kenya. Reproductive Health, 22, Article 43. https://doi.org/10.1186/s12978-025-01943-0
Gelaye, B., Rondon, M. B., Araya, R., & Williams, M. A. (2016). Epidemiology of maternal depression, risk factors, and child outcomes in low-income and middle-income countries. The Lancet Psychia-try, 3(10), 973–982. https://doi.org/10.1016/S2215-0366(16)30284-X
He, S., Chen, Y., & Li, Y. (2025). The predictive effect of social support on new Chinese mothers’ positive affect levels: Does the postpartum time period matter? Journal of Psychiatric Research, 183, 39–46. https://doi.org/10.1016/j.jpsychires.2025.02.002
Hong, S. A., & Buntup, D. (2023). Maternal depression during pregnancy and postpartum period among the Association of Southeast Asian Nations (ASEAN) countries: A scoping review. International Journal of Environmental Research and Public Health, 20(6), Article 5023. https://doi.org/10.3390/ijerph20065023
Jangphonak, P., Bussamongkol, P., Suksong, P., & Thonglong, T. (2025). Effect of yoga combined elastic band exercise program on health - physical fitness and balance in older adults. Physical Rehabi-litation and Recreational Health Technologies, 10(1), 42–48. https://doi.org/10.15391/prrht.2025-10(1).06.
Khademi, K., & Kaveh, M. H. (2024). Social support as a coping resource for psychosocial conditions in postpartum period: A systematic review and logic framework. BMC Psychology, 12(1), Article 301. https://doi.org/10.1186/s40359-024-01814-6
Ketsuwan, S., Baiya, N., Paritakul, P., Laosooksathit, W., & Puapornpong, P. (2018). Effect of herbal compresses for maternal breast engorgement at postpartum: A randomized controlled trial. Breastfeeding Medicine, 13(5), 361–365. https://doi.org/10.1089/bfm.2018.0032
Kim, S. J., Aye, Y. M., Panyarachun, D., Hong, S. A., & Chang, Y. S. (2023). Social support for postpartum women and associated factors including online support to reduce stress and depression amidst COVID-19: Results of an online survey in Thailand. PLoS ONE, 18(7), Article e0289250. https://doi.org/10.1371/journal.pone.0289250.
Low, S., Bono, S., & Azmi, Z. (2023). The effect of emotional support on postpartum depression among postpartum mothers in Asia: A systematic review. Asia-Pacific Psychiatry, 15(4), Article e12528. https://doi.org/10.1111/appy.12528
Seman, Y. M. Y., Samsinar, & Intani, T. M. (2025). The influence of social support on postpartum depres-sion risk among pregnant women. The Journal of Academic Science, 2(2). https://thejoas.com/index.php/.
Norazman, C., & Lee, L. (2024). The influence of social support in the prevention and treatment of post-partum depression: An intervention-based narrative review. Women’s Health, 20, 1–15. https://doi.org/10.1177/17455057241275587
Peltzer, K., & Pengpid, S. (2019). A survey of the training of traditional, complementary, and alternative medicine in universities in Thailand. Journal of Multidisciplinary Healthcare, 12, 119–124. https://doi.org/10.2147/JMDH.S189644
Phoosuwan, N., Manasatchakun, P., Eriksson, L., & Lundberg, P. C. (2020). Life situation and support during pregnancy among Thai expectant mothers with depressive symptoms and their part-ners: A qualitative study. BMC Pregnancy and Childbirth, 20(1), Article 207. https://doi.org/10.1186/s12884-020-02914-y
Promsrisuk, T., Srithawong, A., Jangphonak, P., & Bussamonkol, P. (2024). Effects of Thai yoga com-bined with elastic band exercise on physiological parameters. Retos, 61, 861–867. DOI: 10.47197/retos.v61.108844
Ridzuan, M. H., Ali, M. F., Tan, C. E., & Abdul Aziz, A. F. (2021). Traditional and complementary medicine use during postpartum period: A cross-sectional analysis at a rural, public maternal and child health clinic in West Malaysia. Cureus, 13(6), Article e15410. https://doi.org/10.7759/cureus.15410
Roomruangwong, C., Withayavanitchai, S., & Maes, M. (2016). Antenatal and postnatal risk factors of postpartum depression symptoms in Thai women: A case-control study. Sexual & Reproductive Healthcare, 10, 25–31. https://doi.org/10.1016/j.srhc.2016.03.001
Rubin, R. (1984). Maternal identity and the maternal experience. Springer Publishing Company.
Sharma, P., Bagga, R., Khan, M., Duggal, M., Basavarajappa, D., Ahuja, A., Kankaria, A., Diamond-Smith, N., Kumar, V., Kashyap, M., Singh, P., Kaur, J., & Ayadi, A. (2025). Maternal health education and so-cial support needs across the perinatal continuum of care: A thematic analysis of interviews with postpartum women in Punjab, India. BMC Pregnancy and Childbirth, 25, Article 112. https://doi.org/10.1186/s12884-025-07813-8
Sharifipour, F., Javadnoori, M., Moghadam, Z., Najafian, M., Cheraghian, B., & Abbaspoor, Z. (2022). In-terventions to improve social support among postpartum mothers: A systematic review. Health Promotion Perspectives, 12(2), 141–150. https://doi.org/10.34172/hpp.2022.18
Shorey, S., Chee, C. Y. I., Ng, E. D., Chan, Y. H., Tam, W. W. S., & Chong, Y. S. (2018). Prevalence and inci-dence of postpartum depression among healthy mothers: A systematic review and meta-analysis. Journal of Psychiatric Research, 104, 235–248. https://doi.org/10.1016/j.jpsychires.2018.08.001
Sirichai, L., Leenatom, K., Jiranorrawat, C., Chaichana, C., & Hounnaklang, N. (2025). Factors influencing the intention to use Thai traditional medical postpartum care among pregnant and postpartum women in Bangkok: A cross-sectional study. BMC Complementary Medicine and Therapies, 25(1), Article 214. https://doi.org/10.1186/s12906-025-04960-5
Smith, C. A., Hill, E., Denejkina, A., Thornton, C., & Dahlen, H. G. (2022). The effectiveness and safety of complementary health approaches to managing postpartum pain: A systematic review and me-ta-analysis. Integrative Medicine Research, 11(1), Article 100758. https://doi.org/10.1016/j.imr.2021.100758.
Wang, Z., Liu, J., Shuai, H., Cai, Z., Fu, X., Liu, Y., Xiao, X., Zhang, W., Krabbendam, E., Liu, S., Liu, Z., Li, Z., & Yang, B. X. (2021). Mapping global prevalence of depression among postpartum women. Trans-lational Psychiatry, 11(1), Article 543. https://doi.org/10.1038/s41398-021-01663-6
Withers, M., Kharazmi, N., & Lim, E. (2018). Traditional beliefs and practices in pregnancy, childbirth and postpartum: A review of the evidence from Asian countries. Midwifery, 56, 158–170. https://doi.org/10.1016/j.midw.2017.10.019
Zhang, X., Liu, Y., Li, T., Buntinx, F., & Vermandere, M. (2025). Exploring postpartum women’s experien-ces, perspectives, and expectations in maternal health care at a Chinese maternity care center: A qualitative study. BMC Pregnancy and Childbirth, 25, Article 78. https://doi.org/10.1186/s12884-024-07087-6
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