Changes in pregnancy and childbirth practices in remote areas in Lao PDR within two generations of women: implications for maternity services

摘要: Abstract This paper sheds light on the inter-generational changes in pregnancy and childbirth practices remote areas of Lao PDR over a period 30 years. The study consisted focus group discussions with pregnant women aged 14–30, mothers fathers small children, older 40+ six rural communities two districts. Childbirth were gradually evolving changing – most dramatically illustrated by transition from forest-based to home-based delivery, few health facility-based deliveries when complications occurred. Today’s generation did not recommend all their mothers, but saw need adapt due social medical risks they had experienced, especially high rates neonatal death. Their daughters are doing same. increase should be regarded as significant progress this setting Laos. Understanding how young interpret options incorporating that knowledge experience successful local outreach programmes into system policy practice for maternity care, e.g. strengthening skills community-based workers, could contribute improving maternal survival reducing inequalities.