Cultural Beliefs of Zulu Women During Pregnancy, Labour, and Postnatal Infant Care in the KwaZulu-Natal Province of South Africa
DOI:
https://doi.org/10.25159/2520-5293/20683Keywords:
cultural practices, taboos, spiritual beliefs, Zulu women, childbirthAbstract
Numerous ongoing cultural beliefs begin at birth and continue throughout various stages of life. Women continue to observe these beliefs not only because they are traditions, but also because they hold meaning for them. This study explores the cultural beliefs and practices of Zulu women during childbirth. One hundred and forty women living in northern Maputaland were purposively selected and interviewed. Descriptive statistics were used to analyse data. The results indicated that all participants in this study were aware of and observed behavioural taboos during childbearing. Furthermore, 63% of the participants observed practices based on spiritual belief. The most widely observed behaviour taboo during pregnancy is that pregnant women are not allowed to attend funerals, while the most cited spiritual ritual is tying a string, given by the church or traditional healer, around the waist as a form of protection for pregnant women. The most practised ritual is that pregnant women burn a herbal plant (impepho) while in labour. After delivery, the most widely performed ritual is tying a goat’s skin (isiphandla) around the newborn baby’s hand. While cultural practices related to pregnancy, labour, and postnatal infant care continue to be observed in Zulu society, it is essential to identify and promote good practices while discouraging harmful ones. Understanding the beliefs and practices of rural Zulu women from a cultural perspective will enable healthcare workers to provide culturally sensitive care and support, thereby improving maternal and child health.
References
Agus, Y., S. Horiuch, and S. Porter. 2012. "Rural Indonesian Women's Traditional Beliefs About Antenatal Care." BMC Res Notes 5 (589). http://www.biomedcentral.com/1756-0500/5/589 DOI: https://doi.org/10.1186/1756-0500-5-589
Altuntug K., Y. Anik, and E. Ege. 2018. "Traditional Practices of Mothers in the Postpartum Period: Evidence from Turkey." African Journal of Reproductive Health 22 (1):94-102.
Al-Youzbaki, D. B., N. Hachim, and A. Al-Jawadi. 2007. "Popular Health Beliefs: Old Wives' Tales about Pregnancy and its Outcome in Mosul City." Annals of the College of Medicine 33 (1 and 2):42-50.
https://doi.org/10.33899/mmed.2007.8836 DOI: https://doi.org/10.33899/mmed.2007.8836
Ansong, J., E. Asampong, and P. B. Adongo. 2022. "Socio-cultural Beliefs and Practices during Pregnancy, Childbirth, and Postnatal Period: A Qualitative Study in Southern Ghana." Cogent Public Health 9:2046908. DOI: https://doi.org/10.1080/27707571.2022.2046908
Arzoaquoi, S. K., E. E. Essuman, F. Y. Gbagbo, E. Y. Tenkorang, I. Soyiri, and A. K. Laar. 2015. "Motivations for Food Prohibitions during Pregnancy and their Enforcement Mechanisms in a Rural Ghanaian District." Journal of Ethnobiology and Ethnomedicine 11:59. doi: 10.1186/513002-015-0044-0 DOI: https://doi.org/10.1186/s13002-015-0044-0
August, E. M., H. M. Salihu, B. J. Biroscak, S. Rahman, K. Bruder, and V. E. Whiteman. 2013. "Systematic Review on Sleep Disorders and Obstetric Outcomes: Scope of Current Knowledge." American Journal of Perinatology 30:323-334.
https://doi.org/10.1055/s-0032-1324703 DOI: https://doi.org/10.1055/s-0032-1324703
Aziato, L., P.N.A. Odai, and C.N. Omenyo. 2016. "Religious Beliefs and Practices in Pregnancy and Labour: An Inductive Qualitative Study among Post-partum Women in Ghana." BMC Pregnancy and Childbirth 16(138).
https://doi.org/10.1186/s12884-016-0920-1 DOI: https://doi.org/10.1186/s12884-016-0920-1
Bas, N. G., G. Karatag, D. Arikan, and K. Bas. 2019. "Intergenerational Transmission of Traditional Practices at Newborn Care: An Explorative Study Newborn Care." Indian Journal of Traditional Knowledge 18(1):114-121.
Beinempaka, F., B. Tibanyendara, F. Atwine, T. Kyomuhangi, J. Kabakyenga, and N. E. MacDonald. 2015. "Traditional Rituals and Customs for Pregnant Women in Selected Villages in Southwest Uganda." Journal of Obstetrics and Gynaecology Canada 37 (10):899-900.
https://doi.org/10.1016/S1701-2163(16)30026-3 DOI: https://doi.org/10.1016/S1701-2163(16)30026-3
Buser, J. M., C. A. Moyer, C. J. Boyd, D. Zulu, A. Ngoma-Hazemba, J. T. Mtenje, A. D. Jones, and J. R. Lori. 2020. "Cultural Beliefs and Health-seeing Practices: Rural Zambians' Views on Maternal-newborn Care." Midwifery 85 (102686). doi.org/10.1016/j.midw.2020.102686 DOI: https://doi.org/10.1016/j.midw.2020.102686
Callister, L. C., and I. Khalaf. 2010. "Spirituality in Childbearing Women." The Journal of Perinatal Education 19(2):16-24.
https://doi.org/10.1624/105812410X495514 DOI: https://doi.org/10.1624/105812410X495514
Chakona, G., and C. Shackleton. 2019. "Food Taboos and Cultural Beliefs Influence Food Choice and Dietary Preferences among Pregnant Women in the Eastern Cape, South Africa." Nutrition 11 (11):2668. doi: 10.3390/nu11112668 DOI: https://doi.org/10.3390/nu11112668
Chang, J. J., G. W. Pien, S. P. Duntley, and G. A. Macones. 2010. "Sleep Deprivation during Pregnancy and Maternal and Fetal Outcomes: Is there a Relationship?" Sleep Medicine Review 14 (2):107-114.
https://doi.org/10.1016/j.smrv.2009.05.001 DOI: https://doi.org/10.1016/j.smrv.2009.05.001
Chen, L. Y., and C. Ho. 2016. "Incense Burning during Pregnancy and Birth Weight and Head Circumference among Term Births: The Taiwan Birth Cohort Study." Environmental Health Perspectives 124:1487-1492.
https://doi.org/10.1289/ehp.1509922 DOI: https://doi.org/10.1289/ehp.1509922
Choudbry, U. 1997. "Traditional Practices of Women from India: Pregnancy, Childbirth, and Newborn Care." Journal of Obstetric Gynecologic and Neonatal 26 (5):533-539.
https://doi.org/10.1111/j.1552-6909.1997.tb02156.x DOI: https://doi.org/10.1111/j.1552-6909.1997.tb02156.x
De Villiers, F. P. R., and M. J. P. Ledwaba. 2003. "Traditional Healers and Pediatric Care." South African Medical Journal 93 (9):664-665.
Djandar, M. 2003. "Rituals of Birth among the Adyghes." Iran and the Caucasus 12 (2):253-274.
https://doi.org/10.1163/157338408X406038 DOI: https://doi.org/10.1163/157338408X406038
Dlisani, P. B., and R. B. Bhat. 1999. "Traditional Health Practices in Transkei with Special Emphasis on Maternal and Child Health." Pharmaceutical Biology 37 (1):32-36. DOI: https://doi.org/10.1076/phbi.37.1.32.6316
Drigo, L., L. Makhado, R. T. Lebese, and M. J. Chueng. 2021. "Influence of Cultural and Religious Practices on the Management of Pregnancy at Mbombela Municipality, South Africa: An Explorative Study." The Open Nursing Journal 15:130-135.
https://doi.org/10.2174/1874434602115010130 DOI: https://doi.org/10.2174/1874434602115010130
Hobongwana-Duley, H. L. 2014. "Exploring Indigenous Knowledge Practices Concerning Health and Well-being: A Case Study of isiXhosa-speaking Women in the Rural Eastern Cape." PhD Thesis, University of Cape Town.
Howard, K. 2016. "'Born-free' Narratives: Life Stories and Identity Construction of South African Township Youth." PhD Thesis, University of Witwatersrand.
Lang-Baldé, R., and R. Amerson. 2018. "Culture and Birth Outcomes in sub-Saharan Africa: A Review of Literature." Journal of Transcultural Nursing 29(5):465-472. doi: 10.1177/1043659617750260 DOI: https://doi.org/10.1177/1043659617750260
Lee, K. A., and C. L. Gay. 2004. "Sleep in Late Pregnancy Predicts Length of Labour and Type of Delivery." American Journal of Obstetrics and Gynaecology 191:2041-2046. https://doi.org/10.1016/j.ajog.2004.05.086 DOI: https://doi.org/10.1016/j.ajog.2004.05.086
Liamputtong, P, S. Yimyam, S. Parisunyakul, C. Baosoung, and N. Sansiriphun. 2005. "Traditional Beliefs about Pregnancy and Childbirth among Women from Chiang Mai, Northern Thailand." Midwifery 21:139-153.
https://doi.org/10.1016/j.midw.2004.05.002 DOI: https://doi.org/10.1016/j.midw.2004.05.002
Lori J. R., and J. S. Boyle. 2011. "Cultural Childbirth Practices, Beliefs and Traditions in Post-conflict Liberia." Health Care Women International 32 (6):454-473. Doi: 10.1080/07399332.555831 DOI: https://doi.org/10.1080/07399332.2011.555831
Maimbolwa, M., Y. Ahmed, V. Diwan, and A. B. V. Arvidson. 2003. "Safe Motherhood Perspectives and Social Support for Primgravidae Women in Lusaka Zambia." African Journal of Reproductive Health 7 (3):29-40. https://doi.org/10.2307/3583286 DOI: https://doi.org/10.2307/3583286
Marabele, P. M., M. S. Maputle, D. U. Ramathuba, and L. Netshikweta. 2020. "Cultural Factors Contributing to Maternal Mortality Rate in Rural Villages of Limpopo Province, South Africa." International Journal of Women's Health 12:691-699.
https://doi.org/10.2147/IJWH.S231514 DOI: https://doi.org/10.2147/IJWH.S231514
Mnguni, M. E. 2006. "An Investigation into Commercial and the Zulu Traditional Modes of Slaughtering, Butchering, Culinary Properties and Service with Special Reference to Socio-cultural Ritual Behaviors in KwaZulu-Natal." Master's dissertation, Durban University of Technology.
Mofokeng, M. A. 2009. "Beliefs and Practices of Sotho Antenatal Women." Master's dissertation, University of South Africa.
Mogawane, M. A., T. M. Mothiba, and R. N. Malema. 2015. "Indigenous Practices of Pregnant Women at Dilokong Hospital in Limpopo Province, South Africa." Curationis 38 (2). http://dx.doi.org/10.4102/curationis.v38i2.1553 DOI: https://doi.org/10.4102/curationis.v38i2.1553
Moujahid, C., J. E. Turman, and L. Amahdar. "Common Traditions, Practices, and Beliefs Related to Safe Motherhood and Newborn Health in Morocco." Healthcare 11(769). https://doi.org/10.3390/healthcare11050769 DOI: https://doi.org/10.3390/healthcare11050769
Mtumane, Z. 2014. "The Significance of Ancestors as a Cultural Component in M. Mbambo's Amakroza." South African Journal for Folklore Studies 24 (1):22-39. https://doi.org/10.25159/1016-8427/1670 DOI: https://doi.org/10.25159/1016-8427/1670
Mulenga, E., S. A. David, and L. N. Pinehas. 2018. "Taboos, Traditional Practices and Beliefs Affecting Pregnancy and Childbirth in Ohangwena, Oshana and Oshikoto Region: University of Namibia Fourth Year Nursing Students' Rural Placement Experience of 2016, Oshakati Campus, Namibia." International Journal of Advanced Nursing Studies 7 (1):68-71. https://doi.org/10.14419/ijans.v7i1.12165 DOI: https://doi.org/10.14419/ijans.v7i1.12165
Naidu, M., and K. Nqila. 2013. "Indigenous Mothers: An Ethnographic Study of Using the Environment during Pregnancy." Ethno-Medicine 7 (2):127-135. https://doi.org/10.1080/09735070.2013.11886453 DOI: https://doi.org/10.1080/09735070.2013.11886453
Nel, M. J. 2007. "The Ancestors and Zulu Family Transitions: A Bowen Theory and Practical Theological Interpretation." PhD Thesis, University of South Africa.
Ngcongo, T. T. 1996. "Orality and Transformation in Some Zulu Ceremonies: Tradition in Transition." Master's dissertation, University of Natal.
Ngomane, S. B, and F. M. Mulaudzi. 2010. "Indigenous Beliefs and Practices that Influence the Delayed Attendance of Antenatal Clinics by Women in the Bohlabelo District in Limpopo, South Africa." Midwifery 28 (1):30-38. https://doi.org/10.1016/j.midw.2010.11.002 DOI: https://doi.org/10.1016/j.midw.2010.11.002
Oyama, M. A. 2016. "Preliminary Study of Intergenerational Difference in Masxha Regarding Practice and Attitudes towards Zulu Traditions during Pregnancy and Birth." Independent Study Project (ISP) Collection 2434. https://digitalcollections.sit.edu/isp_collection/2434. Accessed 10 January 2025.
Pramanik, R. 2008. "Rituals Associated with the Newborn and its Mother in a Tribal Community of Southern Orissa." https:www.researchgate.net/publication/322696431. Accessed 10 January 2025.
Rachmayanti, R. D., R. Diana, F. Answar, A. Khomsan, H. Riyadi, D. F. Christianti, R. Kusuma, P. Siswantara, M. Muthmainnah, F. Q. A. Bayumi, and A. A. Riswari. 2023. "Culture, Traditional Beliefs and Practices during Pregnancy among the Madurese Tribe in Indonesia." British Journal of Midwifery 3(3):2052-4307. https://doi.org/10.12968/bjom.2023.31.3.148 DOI: https://doi.org/10.12968/bjom.2023.31.3.148
Rajagopal, A., and N. L. Sigua. 2018. "Patient Education Information Series." American Journal of Respiratory and Critical Care Medicine 197:19-20. https://doi.org/10.1164/rccm.19711P19 DOI: https://doi.org/10.1164/rccm.19711P19
Raman, S., R. Nicholls, J. Ritchie, H. Razee, and S. Shafiee. 2016. "How Natural is the Supernatural? Synthesis of the Qualitative Literature from Low- and Middle-Income Countries on Cultural Practices and Traditional Beliefs Influencing the Perinatal Period." Midwifery 39:87-97. https://doi.org/10.1016/j.midw.2016.05.005 DOI: https://doi.org/10.1016/j.midw.2016.05.005
Sacks, E., T. B. Masvawure, L. M. Atuyambe, S. Neema, M. Macwagi, J. Simbaya, and M. Kruk. 2017. "Postnatal Care Experiences and Barriers to Care Utilization for Home-and Facility-delivered Newborns in Uganda and Zambia." Matern Child Health Journal 21 (3):599-606. doi: 10.1007/s10995-016-2144-4 DOI: https://doi.org/10.1007/s10995-016-2144-4
Sahin, E., and N. H. Sahin. 2018. "Cultural Practices before and during Pregnancy: Example of Turkey." New Trends and Issues Proceedings on Advances in Pure and Applied Science 10: 97-103.
https://doi.org/10.18844/gjpaas.v0i10.3749 DOI: https://doi.org/10.18844/gjpaas.v0i10.3749
Song, L., L. Shen, H. Li, B. Liu, X. Zheng, X. Zhang, S. Xu, and Y. Wang. 2018. "Afternoon Napping during Pregnancy and Low Birth Weight: The Healthy Baby Cohort Study." Sleep Medicine 48:35-41. https://doi.org/10.1016/j.sleep.2018.03.029 DOI: https://doi.org/10.1016/j.sleep.2018.03.029
Stiles, D. A., E. Alaraudanjoki, L. R. Wilkinson, K. L. Ritchie, and K. A. Brown. 2019. "Researching the Effectiveness of the Tree of Life: An Imbeleko Approach to Counselling Refugee Youth." Journal of Child and Adolescent Trauma 14(1):123-139.
https://doi.org/10.1007/s40653-019-00286-w DOI: https://doi.org/10.1007/s40653-019-00286-w
Sychareum, V., V. Somphet, K. Chaleunvong, V. Hansana, A. Phengsavanh, S. Xayavong, and R. Popenoe. 2016. "Perceptions and Understandings of Pregnant, Antenatal Care and Postpartum Care among Rural Lao Women and their Families." BMC Pregnancy and Childbirth 16 (245). doi 10.1186/S12884-016-1031-8 DOI: https://doi.org/10.1186/s12884-016-1031-8
Takehara, K., S. Kato, A. Sasaki, S. C. Jwa, N. Kakee, H. Sago, Y. Noguchi, T. Aoki, E. Inoue, C. Nitta, and Y. Ishii. 2015. "Efficacy of Advice from Healthcare Professionals to Pregnant Women on Avoiding Constrictive Clothing around the Trunk: A Study Protocol for a Randomized Controlled Trial." BMJ Open 5:e008252. doi:10.1136/bmjopen-2015-008252 DOI: https://doi.org/10.1136/bmjopen-2015-008252
Umhlabuyalingana Municipality. 2023. Annual Report 2021/2022 Umhlabuyalingana.gov.za/wp-content/upload/2023/02/2021-2022-ANNUAL REPORT.pdf." Accessed 20 May 2025.
Wang, I. J., C. H. Tsai, C. H. Chen, K. Y. Tung, and Y. L. Lee. 2011. "Glutathione S-Transferase, Incense Burning and Asthma in Children." European Respiratory Journal 37:1371-1377. doi: 10.1183/09031936.00137210 DOI: https://doi.org/10.1183/09031936.00137210
Wei, C. F., M. H. Chen, C. C. Lin, S. J. Guo, W. S. Hsieh, and P. C. Chen. 2018. "Household Incense Burning and Infant Gross Motor Development: Results from Taiwan Birth Cohort Study." Environmental International 115:110-116. doi: 10.1016/j.envint.2018.03.005 DOI: https://doi.org/10.1016/j.envint.2018.03.005
Zungu, E. B. 2016. ""Ungethuki yimina" Naming Process in Light of Africa's Community-based Identity in the Zulu Anthroponomic System." African Journal of Indigenous Knowledge Systems 15 (3): 269-284.
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2026 The Author(s)

This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.
Accepted 2026-01-28
Published 2026-09-02