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This landlocked, southeast Asian country with a population of 6.52 million, was a French colony until it gained independence in 1949. It has a birth rate of 35.5 per 1,000 population, and an infant mortality rate of 83.3 per 1,000 live births.

Many traditional beliefs and customs are still followed by Laotians. When a woman is found to be pregnant, she does not involve herself in any ceremonies that involve spirits—even though Laos is predominantly Buddhist, animist beliefs remain especially high in village societies. Women continue working right up to giving birth, with some babies reported to have been delivered in rice fields. If a woman dies in childbirth, the family often pays for costly ceremonies to placate the spirits. Curiously, although birth is regarded as good luck, the birth of twins is not as highly regarded.

Throughout history in Laos society, few women and even fewer mothers were in the paid labor force—most were involved in homemaking, looking after children, and preparing food. This was also the case with many of the hill tribes—the most populated of these, the Hmong, were patrilineal. Hmong women were also the mainstay of the workforce on family-owned farms, and also made textiles and carried water. In 1888, the French Governor-General of Indochina wrote that “in Laos, women work at least three times as hard as their husbands.” Currently, divorce in Laos is available on a number of grounds, including adultery, abandonment, and incompatibility. Men cannot divorce a woman during pregnancy or during the first year of a child's life.

Health Care

Under French colonial rule, there were little efforts made to provide health care outside the major cities of Vientiane, Luang Prabang, and Champassac, and even there, medical services were heavily restricted to the European population and the elite. After independence there were initial attempts to improve health care, both in cities and in the country, by providing clinics and midwives. However, with fighting going on in much of the country in the late 1950s and early 1960s, the government restricted its efforts to cities and towns. The situation changed again with the emergence of communism in 1975. Communist rule regulated health services throughout the country, making it possible to establish clinics in towns and villages, with visiting midwives becoming available in remote settlements.

Since 1975, most Laotians use their government-run health care facilities, and hospitals now exists in 15 of the 16 provinces in the country. However, many people from minority ethnic groups tend to rely more on traditional treatments and cures than on maternal health services than ethnic Laotians. In recent years, mothers have faced health challenges, including the increasing prevalence of human immunodeficiency virus (HIV) and acquired immunodeficiency syndrome (AIDS) leading to the deaths of many mothers and children. There are 24 doctors and 108 nurses per 100,000 people in the country, compared to 37 doctors and 282 nurses per 100,000 people in neighboring Thailand. Abortion is illegal except to save the mother's life, and illegal abortion is punishable by two to five years of imprisonment.

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