Postpartum confinement
Postpartum confinement is a traditional practice following childbirth. Those who follow these customs typically begin immediately after the birth, and the seclusion or special treatment lasts for a culturally variable length: typically for one month or 30 days, 26 days, up to 40 days, two months, or 100 days. This postnatal recuperation can include care practices in regards of "traditional health beliefs, taboos, rituals, and proscriptions." The practice used to be known as "lying-in", which, as the term suggests, centres on bed rest. In some cultures, it may be connected to taboos concerning impurity after childbirth.
Overview
Postpartum confinement refers both to the mother and the baby. Human newborns are so underdeveloped that pediatricians such as Harvey Karp refer to the first three months as the "fourth trimester". The weeks of rest while the mother heals also protect the infant as it adjusts to the world, and both learn the skills of breastfeeding.Almost all countries have some form of maternity leave. Many countries encourage men to take some paternal leave, but even those that mandate that some of the shared parental leave must be used by the father acknowledge that the mother needs time off work to recover from the childbirth and deal with the postpartum physiological changes.
A 2016 American book describes the difficulties of documenting those "global grandmotherly customs" but asserts that "like a golden rope connecting women from one generation to the next, the protocol of caring for the new mother by unburdening her of responsibilities and ensuring she rests and eats shows up in wildly diverse places". These customs have been documented in dozens of academic studies, and commonly include support for the new mother, rest, special foods to eat, specific hygiene practices, and ways of caring for the newborn.
Martha Wolfenstein and Margaret Mead wrote in 1955 that the postpartum period meant a "woman can be cherished and pampered without feeling inadequate or shamed". The 2016 review that quoted them cites customs from around the world, from Biblical times to modern Greece:
Health effects
One meta-review of studies concluded, "There is little consistent evidence that confinement practices reduce postpartum depression."By region
Asia
China
Postpartum confinement is well-documented in China, where the tradition is known as "Sitting the month": 坐月子 "Zuò yuè zi" in Mandarin or 坐月 "Co5 Jyut2" in Cantonese. The earliest record of the Chinese custom of postpartum confinement dates back over 2,000 years ago in the Book of Rites, where it was known as yuè nèi. Postpartum confinement is based on traditional Chinese medicine, with a special focus on eating foods considered to be nourishing for the body and helping with the production of breastmilk. Women are advised to stay indoors for recovery from the trauma of birth and for feeding the newborn baby.The diets and traditions involved with postpartum confinement greatly vary across different Chinese cultural regions. The length of Chinese postpartum confinement ranges anywhere between 28 and 100 days. Medical opinion in China today generally recommends a confinement period of at least 42 days. In ancient China, the confinement period lasted for 100 days. This custom is still observed in parts of northern China, such as Shanxi province. After 100 days, the Hundred Days Banquet is held to celebrate the baby reaching 100 days old. In southern China, the confinement period is significantly shorter, and usually lasts 30 days.
Because Chinese society is patrilocal, women observing postpartum confinement are traditionally cared for by their mother-in-law. In contemporary times, it is also possible for the woman to be cared for her by her own mother or a hired female worker known as a "confinement nanny". In Hong Kong, the mother and baby sometimes spend the month in special postpartum confinement clinics rather than at home.
In ancient China, women of certain ethnic groups in the South would resume work right after birth, and allow the men to practice postpartum confinement instead..
Everyday habits and personal hygiene practices
Traditionally in China, the mother and child were kept separate from the rest of the household. The mother was not permitted to bathe, wash her hair, or weep, because these activities were believed to put the mother at risk of falling ill by catching cold and affect the quality of her breast milk.Nowadays, however, new mothers may wash their hair or take a bath or shower infrequently during the postpartum period, but it is claimed to be important to dry their body immediately afterwards with a clean towel and their hair properly using a hair dryer. It is also claimed to be important for women to wrap up warm and minimize the amount of skin exposed, as it was believed that they may catch a cold during this vulnerable time. In Dalian, some women even take to wrapping themselves in plastic to avoid the wind.
Special foods
The custom of confinement advises new mothers to choose energy and protein-rich foods to recover energy levels, help shrink the uterus, and for the perineum to heal. This is also important for the production of breastmilk. Among the traditionally recommended galactogogues were rich porridge, fish soup, and hard-boiled eggs. Sometimes, new mothers only begin to consume special herbal foods after all the lochia is discharged.In Guangdong, a common dish is pork knuckles with ginger and black vinegar as pork knuckles are believed to help replenish calcium levels in women. Ginger is featured in many dishes, as it is believed that it can remove the 'wind' accumulated in the body during pregnancy. Meat-based soup broths are also commonly consumed to provide hydration and added nutrients.
In Shanxi, new mothers consume high-quality millet porridge and soup made from chickens at specific ages.
In Singapore, confinement dishes are thoughtfully crafted to support postpartum recovery. Sesame Oil Chicken helps replenish blood and keep the body warm, while Green Papaya Soup is known to boost breast milk supply. Red Dates Tea restores vitality and maintains warmth, and Black Vinegar Pig Trotters provide calcium and collagen to strengthen bones and joints.
Rituals
In Guangdong province, new mothers are barred from visitors until the baby is 12 days old, marked by a celebration called 'Twelve mornings'. From this day onwards, Cantonese families with a new baby usually share their joy through giving away food gifts, while some families mark the occasion by paying tribute to their ancestors. When the "month is fulfilled" after 30 days, the mother receives relatives and friends who bring special foods such as Chinese red eggs.Indian subcontinent
In parts of India it is called jaappa ; in North India and Pakistan, sawa mahina.Most traditional Indians follow the 40-day confinement and recuperation period also known as the jaappa. A special diet to facilitate milk production and increase hemoglobin levels is followed. Sex is not allowed during this time. In Hindu culture, this time after childbirth was traditionally considered a period of relative impurity, and a period of confinement of 10–40 days was recommended for the mother and the baby. During this period, she was exempted from usual household chores and religious rites. The father was purified by a ritual bath before visiting the mother in confinement.
In the event of a stillbirth, the period of impurity for both parents was 24 hours.
Many Indian subcultures have their own traditions after birth. This birth period is called Virdi, which lasts for 10 days after birth and includes complete abstinence from puja or temple visits.
In Pakistan, postpartum tradition is known as sawa mahina.
Iran
In Persian culture it is called chilla, i.e. "forty days".Korea
Korean women spend samchil-il in confinement, receiving sanhujori. In the past, during the samchil-il period, geumjul made with saekki and various symbolic objects, such as chili peppers and coal, was hung over the gate to denote the childbirth and restrict visitor access.Taiwan
Postpartum confinement is widely practiced in Taiwan, where it is commonly known as tl=tsò-gue̍h-lāi. While the practice shares historical roots with broader East Asian postpartum traditions, postpartum confinement in Taiwan has developed its own distinct forms shaped by local medical culture, social structures, and modern healthcare systems. In Taiwan, postpartum confinement is understood as a period of structured recovery for both the mother and newborn, combining traditional beliefs with contemporary medical advice.Unlike in China, postpartum confinement in Taiwan is strongly integrated into the modern healthcare system. Since the late 20th century, Taiwan has seen the rapid growth of specialized postpartum care centers, which are licensed medical facilities regulated by the Ministry of Health and Welfare. These centers provide professional nursing care, lactation support, neonatal monitoring, and nutritionally planned confinement meals, allowing new mothers to observe confinement outside the home. This institutionalized model has become a defining feature of Taiwanese postpartum confinement and is far less common in China.
The typical confinement period in Taiwan lasts approximately 30 to 40 days, aligning closely with medical recommendations for postpartum recovery. While some families may extend the period based on personal or familial beliefs, extended confinements of 100 days—historically documented in parts of China—are uncommon in contemporary Taiwanese practice. Taiwanese medical professionals generally emphasize flexibility, maternal comfort, and evidence-based care over strict ritual observance.
Caregivers and living arrangements
Traditionally, postpartum women in Taiwan were cared for by female relatives, particularly their mothers or mothers-in-law. However, changing family structures, lower fertility rates, and increased urbanization have led to a decline in multigenerational households. As a result, many families now rely on professional confinement nannies or postpartum care centers rather than extended family members. This shift has reduced the hierarchical dynamics historically associated with patrilocal caregiving and reflects broader social changes in Taiwanese society.Everyday practices and hygiene
Traditional Taiwanese confinement customs emphasized keeping the mother warm and limiting exposure to wind, echoing humoral concepts shared across East Asia. In earlier generations, bathing and hair washing were discouraged. In modern Taiwan, however, these restrictions have largely been relaxed. Mothers are generally permitted to shower and wash their hair during confinement, provided that they maintain warmth and dry thoroughly afterward. These adaptations reflect Taiwan's strong emphasis on preventive medicine, hygiene, and maternal mental well-being.Diet and confinement foods
Diet plays a central role in Taiwanese postpartum confinement, with an emphasis on warmth, nourishment, and recovery rather than strict prohibitions. A defining feature of Taiwanese confinement cuisine is the extensive use of sesame oil, rice wine, and ginger. One of the most iconic dishes is sesame oil chicken, sio-tsiú-ke and ginger duck, which is commonly consumed throughout the confinement period. Other frequently served foods include liver dishes, fish soup, herbal broths, and rice wine-based meals, which are believed to support blood replenishment and uterine recovery.Unlike in China, Taiwanese confinement diets are often carefully calibrated by dietitians, especially in postpartum care centers, to balance traditional principles with modern nutritional science. Alcohol content in rice wine-based dishes is frequently reduced or cooked off, particularly for breastfeeding mothers.
Contemporary perspectives
In Taiwan today, postpartum confinement is generally framed as a form of maternal care rather than a rigid cultural obligation. Public discourse increasingly emphasizes maternal autonomy, mental health, and informed choice. While many Taiwanese families continue to value confinement as an important recovery period, adherence to specific rules varies widely based on personal preference, medical advice, and socioeconomic factors. Taiwanese postpartum confinement thus represents a localized and evolving tradition—distinct from practices in China—characterized by medical institutionalization, dietary specialization, and a hybrid approach that integrates tradition with modern healthcare norms.Thailand
New mothers used to be encouraged to lie in a warm bed near the fire for 30 days, a practice known as yu fai. This has been adapted into a form of Thai massage. Kao krachome is a type of herbal medicine in which the steam from the boiled plants is inhaled. Ya dong involves herbal medicine taken internally. Thai immigrants to Sweden report using the steam bath to heal after childbirth, although the correct ingredients are not easy to find. Thai Australians who had had caesarian sections felt that they did not need to – in fact, ought not to – undergo these rituals.Europe
The term used in English, now old-fashioned or archaic, was once used to name maternity hospitals, for example the General Lying-In Hospital in London. A 1932 Canadian publication refers to lying-in as ranging from two weeks to two months. These weeks ended with the re-introduction of the mother to the community in the Christian ceremony of the churching of women.Lying-in features in Christian art, notably Birth of Jesus paintings. One of the gifts presented to the new mother in Renaissance Florence was a desco da parto, a special form of painted tray. Equivalent presents in contemporary culture include baby showers and push presents.
Special foods included caudle, a restorative drink. "Taking caudle" was a metonym for postpartum social visits.