'Zuoyuezi' after caesarean in China: an interview survey

While studying caesarean decision-making in China, the increasing popularity of 'zuoyuezi' emerged. This paper addresses this development, the reasons and implications. We tape-recorded semi-structured interviews in three industrial cities in China. The three groups of informants comprised women in the first-week after caesarean, women eight months after caesarean and health-workers/others. Mandarin or local dialects were used. The data were transcribed and analysed in Chinese and then selected quotes were translated into English. We found that the re-emergence and social modification of zuoyuezi is closely associated with the rising caesarean rate. This custom has been regarded as a crucial rite-of-passage for the woman's recovery and transition to motherhood after childbirth. Its particular importance after caesarean became apparent in this study. Conclusions are drawn about the place of ritual and tradition in 21st century China. (c) 2005 Elsevier Ltd. All rights reserved.