Description of gastro-intestinal effects of neonates being readmitted during the neonatal period after exposure to traditional substances

Abstract

Abstract Introduction: Traditional substances use and practices are common in rural communities and are believed to be effective. Mothers are using traditional substances in the early stages of life as part of cultural initiation or to treat conditions like inyoni, ibala and other illnesses. It was observed that often the mothers visit the health institutions after using traditional substances in their neonates when they are not well, especially with gastro-intestinal effects. The exact gastro-intestinal effects caused by the use of traditional substances and performing of cultural practices during the neonatal period were unknown, but neonates were often readmitted in two hospitals in Mpumalanga province with a history of being exposed to traditional substances.

Aim: The aim of the study was to determine the gastro-intestinal effects of neonates who had been readmitted during the neonatal period after exposure to traditional substances.

Research methods: A retrospective quantitative review method was used in the study to collect data from patient files of neonates who were readmitted to the two selected hospitals after exposure to traditional substances. The data was analysed using descriptive and inferential statistics.

Results: A total of 32 files were used for capturing the data and a link was determined between the use of traditional substances and gastro-intestinal signs and symptoms. The neonates presented with either diarrhoea, vomiting, abdominal pains or dehydration.

Recommendations: It is recommended for health training institutions to incorporate a module educating students about the cultural beliefs, practices and activities occurring in the communities with which they live. Healthcare workers should acquire enhanced understanding of history taking. A collaboration between the healthcare sector and traditional sector can be of assistance in adopting a mutual understanding between the two sectors regarding the use of medications and traditional substances.