Poster session on Sexuality and reproductive health (1)

Dynamic panel data model of infant deaths, birth spacing and contraception are estimated incorporating causal effects of birth spacing on subsequent mortality and of mortality on the use of contraceptives and the length of next birth interval. Data come from the renowned demographic field Health and Demographic Surveillance System in the icddr,b treatment area in Matlab, Bangladesh, on 31,968 children of 13,232 mothers, with complete prospective records of fertility, child mortality, contraceptive use, and socio-economic variables from 1982 until 2005.

Infant mortality is determined by the preceding birth interval and other covariates (such as socio-economic status). The decisions about using contraceptives after each birth are driven by similar covariates, survival status of the previous child, and the family’s gender composition. Birth spacing is driven by contraceptive use and other factors.

Our main finding is that complete contraceptive use could reduce infant mortality of birth order two and higher with about 7.9% (while complete non-use would lead to an increase of infant mortality by 10.6%). The net effect of complete contraceptive use on the total infant mortality rate is small (2.9%) since the favourable effect on higher order births is partly offset by the rise in the proportion of high-risk first births.

This study aims to investigate reasons and conditions of women' options about where/how/healthcare for pregnancy and laber management, such of selection process, the connection of these and pregnant women' right to enable or disable to use pregnant, childbirth-related skills. More specifically, this study is possible to answer and analyze about how to configure the path for pregnancy, birth place of any prior knowledge, how to do management of antenatal care actually, what it means of women with pregnacy, childbirth-related stability.
Researchers to study the contents of such in-depth interviewed with women and midwives.
Women having a birth with a midwife avoided preferably medical and technical interventions and believed that women' subjective experience of the body and active birth way. On the other hand, they also considered necessary to ensure stability for some pregnancy, childbirth for the scientific and technical management. Therefore, in order to secure stability they came and went constantly between midwives and the hospital.
It is not impossible to determine that women who had a birth in a hospital simply choose manual. However, this result is important to find that women' experiences and choose for worries about delivery way and method a little more clearly.