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Beliefs, taboos, practices and behaviors around birth in L…

Beliefs, taboos, practices and behaviors around birth in L…

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Published by: EDOSOA on Jul 24, 2009
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1February 2003
Presented to
World Health Organization 
BByy SStteeeevveeDDAAVVIIAAUU
 
Beliefs, taboos, practices andbehaviors around birth in LaoPDR
 
2
Content
Content..........................................................................................................................2
 Survey Background.....................................................................................................5Methodology...............................................................................................................5Limitations of previous works.....................................................................................6Ethnographic Literature Review..................................................................................8Findings......................................................................................................................9Areas needing further investigations..........................................................................10Proposed methodology for the survey........................................................................11Demographical figures..............................................................................................11MMR........................................................................................................................11Maternity Waiting Home...........................................................................................12
Obstetrics: current trend and alternatives.................................................................12
 Childbearing practices...............................................................................................12Feminist literature and modern obstetrics..................................................................13Development of Western thought and medicine.........................................................13Authoritative knowledge...........................................................................................13Beliefs Systems.........................................................................................................15WHO-UNICEF: the Alma-Ata Declaration (1978)....................................................15
Ethnicity......................................................................................................................15
 Cultural change.........................................................................................................16Changes in practices..................................................................................................17
Socio-economic and political Factors influencing women’s health...........................18
 Poverty......................................................................................................................19Women and the Environment....................................................................................19Women and Food Security........................................................................................20Environmental degradation and the status of women.................................................20
Beliefs, Cultural Attitudes and Practices regarding Pregnancy................................21
 Cultural construction of the Body and health.............................................................21Beliefs and Knowledge about Conception.................................................................22Health problems during pregnancy............................................................................25Food taboo/nutrition/ Dietetic restrictions during pregnancy......................................25Restricted places.......................................................................................................26Traditional medicine during pregnancy.....................................................................26Proscribed activities..................................................................................................27Miscarriage: Hmong’s Falling of the Baby................................................................27Antenatal care...........................................................................................................29
Delivery........................................................................................................................30
 Location....................................................................................................................30Assistance during delivery.........................................................................................33Payment of the delivery assistant...............................................................................34Delivery process........................................................................................................34Position.....................................................................................................................35
 
3Cutting the cord.........................................................................................................35Difficult delivery.......................................................................................................36Health seeking behavior............................................................................................36Delivery characteristics.............................................................................................38Placenta.....................................................................................................................39Recognition of the newborn.......................................................................................40Newborn care............................................................................................................42Abnormal birth..........................................................................................................42Stillbirth and death of the mother..............................................................................43Hygiene.....................................................................................................................44
Postpartum..................................................................................................................45
 Yu kham (nang fie, yu fai).........................................................................................45End of yu kham (
vang yu kham
)................................................................................48Health staff and postpartum practices........................................................................48Postnatal dietetic restriction, food intake and taboos..................................................49Sexual abstinence......................................................................................................51Resettlement, housing and loss of natural birth control mechanism............................52Back to work.............................................................................................................52
Breast Feeding.............................................................................................................54
 Colostrum.................................................................................................................54BF <1 hour after birth................................................................................................55No liquid or fluid given to the baby...........................................................................56Exclusive Breastfeeding up to 4-6 months.................................................................56BF up to 2 years........................................................................................................56Introduction of first food at 6 months........................................................................56Food with a thick consistency....................................................................................57Give food with nutrients............................................................................................57Supplementary feeding..............................................................................................58Nutritional practices..................................................................................................58
Child Health................................................................................................................58
 Common health problems..........................................................................................58Recognizing the signs of a ill child............................................................................58Care of a sick child....................................................................................................59Prevention of illness..................................................................................................59Abortion....................................................................................................................59Postnatal care: Health seeking behavior.....................................................................59
Utilization of health facility ........................................................................................61
 Experiences with public health services.....................................................................62Use of community based health providers.................................................................63Postnatal care............................................................................................................65Decision making process...........................................................................................65Language..................................................................................................................66Communications.......................................................................................................66Alternative healing....................................................................................................67Recommendation for Safe Motherhood.....................................................................67
Research calendar.......................................................................................................71
 

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