Arrish J, Yeatman H, Williamson M. Midwives' role in providing nutrition advice during pregnancy: meeting the challenges? A qualitative study. Nursing Research and Practice. 2017; 1-11

Bhatia M, Kaur J. Pica a culture bound syndrome. Delhi Psychiatry Journal. 2014; 17:(1)

Braun V, Clarke V. Using thematic analysis in psychology. Qual Res Psychol. 2006; 3:(2)77-101

Bundey S, Alam H, Kaur A, Mir S, Lancashire R. Why do UK-born Pakistani babies have high perinatal and neonatal mortality rates?. Paediatr Perinat Epidemiol. 1991; 5:(1)101-114

Chakona G, Shackleton C. Food taboos and cultural beliefs influence food choice and dietary preferences among pregnant women in the Eastern Cape, South Africa. Nutrients. 2019; 11:1-18

Christmas CN, Barker GG. The immigrant experience: differences in acculturation, intercultural sensitivity, and cognitive flexibility between the first and second generation of Latino immigrants. Journal of International and Intercultural Communication. 2014; 7:(3)238-257

Cousik R, Gail Hickey M. Pregnancy and childbirth practices among immigrant women from India: ‘have a healthy baby’. The Qualitative Report. 2016; 21:(4)727-743

Coutinho E, de C, Silva AL, Lopes CSMS, Parreira VBC, Duarte JC, Nelas PAB, Chaves CMB, Amaral MO. Becoming a mother in a strange land: what cultural care immigrant women experience in Portugal?. Journal Frontiers in Environmental Science. 2014; 3:(3)

D'Souza L, Jayaweera H, Pickett KE. Pregnancy diets, migration, and birth outcomes. Health Care for Women International. 2016; 37:(9)964-978

Davey C, Vallianatos H. Postpartum food traditions of Bhutanese refugee women: a qualitative study. J Int Migr Integr. 2018; 19:(3)541-553

Forbes LE, Graham JE. Dietary change during pregnancy and women's reasons for change. 2018; 1-10

Ghilzai SA, Kanwal A. Research issues in social sciences semiotic analysis of evil eye beliefs among Pakistani cultures and their predetermined behavior. 2016; 47-67

Goodwin L, Hunter B, Jones A. The midwife–woman relationship in a South Wales community: experiences of midwives and migrant Pakistani women in early pregnancy. Health Expectations. 2018; 21:(1)347-357

Hayes I, Enohumah K, McCaul C. Care of the migrant obstetric population. International Journal of Obstetric Anesthesia. 2011; 20:(4)321-329

Heisler JM, Ellis JB. Motherhood and the construction of ‘mommy identity’: Messages about motherhood and face negotiation. International Journal of Phytoremediation. 2008; 56:(4)445-467

Higginbottom GMA, Evans C, Morgan M, Bharj KK, Eldridge J, Hussain B. Experience of and access to maternity care in the UK by immigrant women: a narrative synthesis systematic review. BMJ Open. 2019; 9:(12)7-9

Higginbottom GMA, Vallianatos H, Forgeron J, Gibbons D, Mamede F, Barolia R. Food choices and practices during pregnancy of immigrant women with high-risk pregnancies in Canada: a pilot study. BMC Pregnancy Childbirth. 2014; 14:(1)1-13

James-McAlpine JM, Vincze LJ, Vanderlelie JJ, Perkins A V. Influence of dietary intake and decision-making during pregnancy on birth outcomes. Nutrition and Dietetics. 2020; 77:(3)323-330

Khadduri R, Marsh DR, Rasmussen B, Bari A, Nazir R, Darmstadt GL. Household knowledge and practices of newborn and maternal health in Haripur district, Pakistan. Journal of Perinatology. 2008; 28:(3)182-187

Khoushabi F, Ahmadi P, Shadan MR, Heydari A, Miri A, Jamnejad M. Pica practices among pregnant women are associated with lower hemoglobin levels and pregnancy outcome. Open Journal of Obstetrics and Gynecology. 2014; 4:(11)646-652

Leung S, Arthur DG, Martinson I. Stress in women with postpartum depression: a phenomenological study. Journal of Advanced Nursing. 2005; 51:(4)353-360

Mellin-Olsen T, Wandel M. Changes in food habits among Pakistani immigrant women in Oslo, Norway. Ethnicity and Health. 2005; 10:(4)311-339

Murphy E. ‘Breast is best’: infant feeding decisions and maternal deviance. Sociology of Health and Illness. 1999; 21:(2)187-208

Murphy E. Risk, responsibility, and rhetoric in infant feeding. Journal of Contemporary Ethnography. 2000; 29:(3)

Nursing and Midwifery Council. Standards of proficiency for midwives. 2019. (accessed 28 November 2020)

Office of National Statistics. 2011 census: detailed characteristics for England and Wales. 2011. (accessed 28 November 2020)

Page RL. Positive pregnancy outcomes in Mexican immigrants: what can we learn?. JOGNN. 2004; 33:(6)783-790

Popovic-Lipovac A, Strasser B. A Review on changes in food habits among immigrant women and implications for health. Journal of Immigrant and Minority Health. 2015; 17:(2)582-590

Puthussery S, Twamley K, Harding S, Mirsky J, Baron M, Macfarlane A. ‘They're more like ordinary stroppy British women’: attitudes and expectations of maternity care professionals to UK-born ethnic minority women. Journal of Health Services Research and Policy. 2008; 13:(4)195-202

Puthussery S, Twamley K, Macfarlane A, Harding S, Baron M. ‘You need that loving tender care’: maternity care experiences and expectations of ethnic minority women born in the United Kingdom. Journal of Health Services Research and Policy. 2010; 15:(3)156-162

Qureshi R, Pacquiao DF. Ethnographic study of experiences of Pakistani women immigrants with pregnancy, birthing, and postpartum care in the United States and Pakistan. Journal of Transcultural Nursing. 2013; 24:(4)355-362

Qureshi RI, Pacquiao DF, Diegmann E. Cultural practices of Pakistani Immigrant women during pregnancy and childbirth. OJCCNH. 2016; 6:(1)83-93

Simpson E, Mull JD, Longley E, East J. Pica during pregnancy in low-income women born in Mexico. Western Journal of Medicine. 2000; 173:(1)20-24

Terragni L, Garnweidner LM, Pettersen KS, Mosdøl A. Migration as a turning point in food habits: the early phase of dietary acculturation among women from South Asian, African, and Middle Eastern countries living in Norway. Ecology of Food and Nutrition. 2014; 53:(3)273-291

Vallianatos H, Raine K. Consuming food and constructing identities among Arabic and South Asian immigrant women. Food, Culture and Society. 2008; 11:(3)355-373

Withers M, Kharazmi N, Lim E. Traditional beliefs and practices in pregnancy, childbirth and postpartum: a review of the evidence from Asian countries. Midwifery. 2018; 56:158-170

Yeasmin SF, Regmi K. A Qualitative Study on the food habits and related beliefs of pregnant British Bangladeshis. Health Care for Women International. 2013; 34:(5)395-415

Zakar MZ. Coexistence of indigenous and cosmopolitan medical systems in Pakistan.: Jacobs; 1998

Pregnancy related cultural food practices among Pakistani women in the UK: a qualitative study

02 July 2021
Volume 29 · Issue 7



Food practices are influenced by cultural traditions which continue to be important among immigrant groups in their new homeland, especially during significant life events, such as marriage, pregnancy and funerals, as well as for religious ceremonies and festivities.


This study aims to explore pregnancy related food practices among first generation Pakistani women living in the UK.


A total of 10 first-generation immigrant women were recruited through a voluntary organisation following a convenience sampling technique and were interviewed.


The data revealed that the women attached different symbolic meanings to their food practices, particularly relating to pregnancy. These findings were based on 1) their understanding of the changes their body experienced during pregnancy and 2) responding to these changes through the consumption and/or avoidance of certain foods.


Understanding the cultural contexts of Pakistani women in the UK is important in order to promote healthy food patterns for that cohort during pregnancy.

Migrant communities preserve ethnic food patterns in order to maintain their cultural identities, especially in crucial times like pregnancy (Vallianatos and Raine, 2008; Terragni et al, 2014; Popovic-Lipovac and Strasser, 2015). Women's consciousness about their diet during pregnancy, out of concern for the baby's health as well as naturally occurring cravings for particular foods (Forbes and Graham, 2018), has developed globally. Cultural food habits significantly influence women's food choices during pregnancy (D'Souza et al, 2016). For example, South Asian women continue to follow their traditional food habits during pregnancy (Withers et al, 2018). The South-Asian diaspora around the world, such as in Canada (Higginbottom et al, 2014; Davey and Vallianatos, 2018), the US (Cousik and Gail Hickey, 2016), Portugal (Coutinho et al, 2014), the UK (Yeasmin and Regmi, 2013) and Norway (Mellin-Olsen and Wandel, 2005) replicate this trend of sticking to tradition.

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