Description:
Submitted in total fulfilment
of the requirements of the degree of
Doctor of Philosophy...Faculty of Medicine, Dentistry and Health Sciences,
School of Population Health,
Key Centre for Womenâ�â¢s Health in Society
The University of Melbourne...This thesis, describes how women who are forced to migrate from Burma into
Thailand manage their fertility, unwanted pregnancy and pregnancy loss. Unsafe
abortion is a common problem and much time and resources are taken with the care of
women suffering haemorrhage, infection and pain after self-induced abortion in both
Thai and Burmese-led health facilities.
The thesis examines the characteristics of 43 Burmese women admitted to health
facilities with post-abortion complications and their chosen methods of self-induced
abortion. There is no commonly agreed definition of abortion between formal,
informal health workers or women. Most people considered it morally proscribed and
in some cases knew it was illegal, but still felt it was necessary. Some aspects of
post-abortion care are performed better by informally than formally trained health
workers. Post-abortion family planning was poorly performed by Thai health
workers. Lay midwives play a central role in fertility management and some are
abortionists. Burmese womenâ�â¢s partners are not well informed about fertility
management and frequently decline vasectomy. Within a relm of limited traditional
and modern reproductive choices, women manage their fertility outcomes.
The Burmese women in this study are generally married with children. Considered
illegal migrants, they are employed and work in Thailand without work permits.
Many women have a history of escaping human rights abuses and entrenched poverty
in Burma. At least a third of women admitted into care with post-abortion
complications have induced their abortion with oral herbal preparations, pummelling
manipulations or stick abortions. Most of the abortion services are provided by
Burmese lay midwives. Reasons for terminating the pregnancy include: poverty,
gender-based violence and the local illness of �weaknessâ�â¢. In addition, incomplete
sexual health knowledge, and difficult access to reproductive health services play a
part in mistimed pregnancy.
I argue that a lack of rights increases womenâ�â¢s risk of unsafe abortion. The rights
to work and earn a fair wage and to move without fear influence reproductive health choices and access to health services. A lack of sexual health information for men
and women and the ability to safely control fertility causes unwanted pregnancies.
Furthermore, violence perpetrated at the individual and state level contributes to
unsafe abortion. Burmese womenâ�â¢s mortality and morbidity associated with unsafe
abortion in Thailand is largely unrecorded and unknown to the Burmese military
government.
Unwanted and mistimed pregnancy can be avoided through reproductive
technologies, education programmes, and access to modern contraceptives. To safely
terminate unwanted pregnancies and to treat the complications of pregnancy loss is a
womanâ�â¢s right. Burma and Thailand are signatories to Convention on the Elimination
of all Forms of Descrimination Against Women, yet Burmese women continue to
suffer, become sterile, socially vilified, unemployed or repatriated to Burma due to
their reproductive status. Their sickness and deaths are secondary to the economic
imperatives of Burma and Thailand.
Date of Publication:
2005-05-00
Date of entry:
2005-12-23
Grouping:
- Individual Documents
Category:
Language:
English
Local URL:
Format:
pdf
Size:
3.84 MB