Friday, March 27, 2009

Postpartum Care -- Part 1

Usually after my preggo yoga class, we all slowly float out of the health center, high on endorphin. Yesterday was unusual 'cause a few classmates were still sitting around the coffee table by the shoe cabinet; their torsos leaned forward and their heads met in the center of the coffee table. They were actively engaged in a discussion. The few words that managed to escape out of the circle of heads were birth, occasional numbers and names of food.

I was high on endorphin as usual, and I was too curious not to eavesdrop.

Suddenly a head emerged as if the owner needed to come up for air. I took the opportunity to ask what they were talking about. Then the rest of the heads parted like flower petals, revealing the fan of soft-colored pamphlets that were laid out on the coffee table.

The pamphlets featured different "professional" postpartum care centers in the Greater Taipei area. The reason I put quotation marks around the word professional is that, in the current market, there is yet a clear or credible definition of a "professional postpartum care center". Some care centers define professionalism by the quality of food mothers receive, while others define it by emphasizing the presence of a 24-hour on-site medical team. While my classmates continued their enthusiastic discussion, I sat passively listening to the discussion while mindlessly leafing through a few of these pamphlets.

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I have to give you some background information before we come back to talking about these postpartum care centers.

The Chinese.... okay, more specifically East-Asian ethnic groups... believe that a woman goes through three "golden periods" in which she is given a chance to be reborn. These 3 golden periods are: when menstruation starts, after giving birth, and during menopause. Among them, the month after giving birth has received the most attention since ancient times. In the old days, when a daughter-in-law's job was solely to reproduce, only those who produced a male heir would receive postpartum care. A woman who gave birth to a daughter would simply be ignored.

The length of postpartum care ranges from 30 to 100 days, depending on the local customs. Like pregnancy, there's also a list of "Dos and Don'ts" that comes with the traditional Chinese concept of postpartum care. For instance, a new mother is not allowed to wash her hair and/or body, she's not allowed to go up and down stairs, she's not allowed to read books (or, in modern days, watch TV), and she's not allowed to cry or go outside. While staying indoors, a new mother must cover herself from head to toe. In some fishing villages, a new mother is only allowed to wear black.

There are certain foods a new mother should eat, most of which involve pig organs (such as livers and spleens) or pig knuckles cooked with herbal medicine. Chicken is also a great source of protein. A new mother should have black sesame oil chicken soup (a whole chicken including organs simmered with ginger and a thick layer of black sesame oil on top).

Traditionally, it was the woman's mother or mother-in-law who took care of her postpartum care. Nowadays, many couples choose to go to postpartum care centers because they don't want to trouble their mothers or mother-in-laws or because they don't have anyone who can take care of them. In other words, postpartum care centers are products of the 21st century to meet the needs (and ease the fears) of city-dwelling new parents.

Like other things in life, convenience usually comes in a high price. These postpartum care centers provide rooms that resemble hotel suites (rooms with windows are obviously more expensive), 5 or 6 meals a day (the ones that are specially designed by nutritionists cost extra), and 24-hour infant care (baby live-cam an extra charge). The average price is NT$5,000 (approx. US$167) a day. If a new mother chooses to spend a month there, the minimum cost is NT$150,000 (about US$5,000), more than an average Joe's monthly salary.
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While I was doing all the calculations in my head, a classmate told me that she'd already booked a room in one of these care centers for the end of August. When she heard that I haven't even looked into it, the pitch of her voice went up one octave, "Well, hurry!! You have to book at least 6 months ahead. I was late, but I was lucky to get a room. Otherwise,..." she panicked, "what are you gonna do?"

"I'll be home with the baby," I said plainly.

Almost instantaneously all the heads propped up from the coffee table and every single mouth started moving all at the same time. All four of my classmates were telling me how incompetent I'm going to be as a new mom and how scared and depressed I will be.

My endorphin high was gone.

One classmate's voice rose on top of everyone else's, "Do you know how to give a newborn a bath?" All of a sudden, everyone quieted down and all eyes were on me.

I smiled, "Not right this moment, but I can learn."

They were obviously unhappy with my answer 'cause, for the next minute or so, they started shooting all kinds of questions, some of which were merely ridiculous:

"Do you know how to change diapers Do you know how to breastfeed How are you going to sleep when your baby is with you 24/7 Do you know how to tell if your baby is sick Do you know what to do when your baby doesn't stop crying How are you going to pay enough attention to your husband so he won't cheat on you while you take care of the baby How are you going to have time to wrap up your belly so you can regain your shape faster if you have to take care of the baby all the time ?"

I sneaked out while they talked about the importance of belly-wrapping and the necessity of ordering custom-made corsets and push-up bras. As the elevator doors were closing, I heard one of them talking about a book she bought, written by a female celebrity on how she went back to her pre-pregnancy weight in 3 months by constricting her body with various garments.

-- to be continued --

8 comments:

billiam said...

No worries babe. We'll buy a dishwasher and replace the uncomfortable plastic rack with a piece of waterproof rubber. Voila - Baby Washer.

Shellee said...

Wow. It's like another world! I'm sitting here thinking....I WISH I could be over there....to help with the dirty looks at THOSE incompetent/insecure BAD MOMS!! Oh, and to help you out. It's hard, but gimme a break.....babies are easy, as long as they're gaining weight and you pay attention to them they're fine!! Every baby is different, and you do things the way YOU want to, sure the books and "professionals" can give you advice, but Peanut is YOURS! So, stick your tongue out at them for me next time!! ;-p~

Shellee said...

Oh, and Billy, you're funny......I think YOU'LL become the dishwasher from now on! ;-p~

Pop said...

Gee, what did we old folks do in the olden days?

Oh yeah, we did what we had to do, what came naturally and what trusted relatives and friends suggested...

And don't forget, even half a world away, you have 24 / 7 access to six professional, experienced full time moms who collectively are / have raised / are raising about twenty odd little screaming, starving, soiled, cute and cuddly little centers of the universe!

Shellee said...

Cute Daddy.

Anonymous said...

Kate, I don't know why, but I HATE bathing newborns. I didn't give Natalie more than a handful of baths by the time she was a couple of months old and I'm sorry to say baby Maggie has fared no better! All I know is, when she poops, she gets a clean diaper.. When she's hungry, I feed her.. When she cries, I comfort her.. When she smiles, I play with her, and then I melt.. The first few weeks with baby number 1, you feel like you're all thumbs. You might wonder how in God's name that hospital allowed you to take that perfectly helpless thing home without ensuring you were licensed and certified to do so!! But it will come. Your little Peanut will call and you and his/her daddy will answer.
Shellee's right. It does read like you are in another world. The cultures are so different. I wish we could all show up on your doorstep in a few months! (You're lucky we can't. We'd only drive you crazy!... Ok, just Shellee would.)
The two main things I have found to be of the utmost help the first few weeks postpartum is a husband who will do the dishes, and friends and family who will bring you a meal either every night, or every other night for those first two weeks. And trust me! They don't mind! It's an excuse to see the baby!
Hmmm... Ok. Too much. Sorry if I sound like a "know-it-all". I really do wish we were all closer to you and Billy. Cheers!

nuage said...

Thank you, everyone.

We DO live in another world. Though it is my native country, so many times I find it so foreign and the culture hard to understand.

However, frustrating as it can be, one good thing about experiencing cultural clashes is that it reminds me of who I truly am and strengthens the values I hold. For instance, Having been bombarded by my classmates' questions solidified my suspicion of what seems to be the problems with the modern Taiwanese society: detached and selfish parents. My ideas of the kind of parent I (don't) want to be are thus reinforced.

And like dad said, women have been doing this for centuries. What's the big deal, really?!

Nonetheless, while I'm capable of holding my own ground, it would've been nice to have Shellee as backup (especially when it comes to giving nasty looks or tongue-sticking). It's good to know that I have you support in spirit, Shellee. :)

Juli, you don't have to ever worry about sounding like a "know-it-all" 'cause when it comes to parenting, you do know a lot. I look up to all of you Martin ladies, for you are all amazing women and fantastic mothers. So far I've merely been learning the mechanics (aka the easy part) of parenting. Don't worry! I'm on the Mommy ride and am never getting off. There are more adventure (and confusion) yet to come. (Kate's mental image: Clint Eastwood with a cigarette between his teeth, "Bring it on!")

We'll be back in no time. Then we might be the ones that drive everyone crazy... all 3 of us.

Anonymous said...

Ha Ha! I LOVE the Clint Eastwood mental image!! I can totally see it, but the face keeps flashing back and forth between Dirty Harry and Kate! Good one!