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BACKGROUND The postpartum period continues to be an important part of the tradition and culture among Indian women. But frequently the health of the postnatal women is neglected. So, the present study aimed to explore the beliefs and practices in the postpartum period regarding diet, rest, hygiene and confinement and assess association between cultural practices and socio demographic characteristics. METHODS A combined quantitative and qualitative study was carried out in the rural areas of Udupi district in Karnataka. Participants for the quantitative study were 110 women who had given birth in the past three months. This was followed by one focus group discussion (FGD) among twelve consenting mothers at one of the rural health centers. RESULTS Among the 110 women, over 80% of women had increased their diet intake postpartum. Vegetables such as brinjal and fruits like papaya were avoided by 65.5% and 73.6% women respectively. Among the mothers 10.9% consumed less than 500 ml of water every day and 10% did not drink milk at all. Majority 94 (85%) were aware of vulval and perineal hygiene. Household work was avoided by 56% of the women while 86.3% avoided going outdoors. Many women took home remedies for faster recuperation. These practices were influenced by the socioeconomic status and the woman’s educational status. CONCLUSION Traditional postpartum practices are still popular among women in rural Karnataka. It is critical to identify the harmful practices and reinforce the positive healthy practices to make postpartum period a healthy and joyful period for the mother.