Working Our Way Back Home - Fertility and pregancy loss on the Thai-Burmese border

Description: 

Findings:- Key findings from the research show that: While unplanned pregnancy and abortion are a large problem, they can be prevented. * Post abortion care at Thai and Burmese health facilities takes large amounts of health resources. * At least a third of women with post abortion complications have self-induced abortions. * Men and women have low levels of knowledge about modern methods of contraception. * Temporary contraceptive information or methods are not offered to women during post abortion care in the Mae Sot Hospital but are offered 6 weeks after discharge. Many women are affected by unplanned pregnancies ~ * The vast majority of women are married and two thirds have children. * A third of women have five or more pregnancies, which is a health risk in itself. The way the pregnancy ends can negatively affect women?s health and wellbeing ~ * Unqualified abortionists and home remedies are the only recourse women have to end an unwanted pregnancy. * Women know of and use a wide variety of methods to end their pregnancy including self-medication with multinational and Burmese medicines, drinking ginger and whisky, vigorous pelvic pummelling and insertion of objects into the sex organs. * Post abortion treatment in hospital can be expensive if a woman does not have a work permit or is not referred by Mae Tao Clinic and can leave her with debts. Women are pressured by social and political circumstances to end their pregnancies~ * Women are often pressured by employers, husbands and the fear of unemployment to end their pregnancies. * Some women report domestic violence as influencing their decision to abort. Women were attempting to limit their fertility in many different ways ~ * Most women and lay midwives classified menstrual regulation and abortion as traditional methods of fertility control. * Most women accepted a diverse range of temporary and permanent contraceptive methods from the Mae Tao Clinic staff while they were still in-patients. The nature of forced displacement and lack of human rights directly effects reproductive health ~ * Having a work permit does not necessarily offer protection to women, as there is scrutiny to ensure a woman is not pregnant when a permit is issued.  As workers without work permits can be arrested and deported by Thai police, women are reluctant to travel to any type of health service and often wait until they are very unwell.  Burmese women as non-citizens are not included in Thai death statistics at a national level so the deaths of Burmese women go unnoticed, by both Thai and Union of Myanmar authorities.

Creator/author: 

Cynthia Maung, Suzanne Belton

Source/publisher: 

Mao Tao Clinic

Date of Publication: 

2005-12-00

Date of entry: 

2005-12-23

Grouping: 

  • Individual Documents

Category: 

Language: 

English

Local URL: 

Format: 

pdf

Size: 

2.25 MB