الفهرس 
AcknowledgementOnly 14 pages are availabe for public view
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Abstract
Aim of the work: To prove or disprove the following hypotheses: A woman with child loss will have higher fertility behavior and attitude than a woman without child loss, and the higher the child loss, the greater will be the difference. 2 The birt~ interval following a surviving infant is longer than the one following infant death. 3 The effect of child loss on fertility behavior and attitudes is more evident in the rural than in the urban are. strategy: Through cross sectional comparative study in urban and rural areas. The tool used was the interviewing questionnaire to women who had the following criteria: 1- Married fertile women who had been living with their husbands. 2 Parity of at least 3 live births. - Each sample was classified into 2 groups: a Women who had experienced child loss of at least one among the first 3 live births. Women without child loss as a control group. b - A pilot study was undertaken to estimate the relevan cy of the tool to the objective. - The research was performed in 2 sites: ) . , 1 Urban Site: Moharam Bey MCR Center. 2 Rural Site: Abbis 11 Village through home visits. - The sample was a random sample, included 600 women.... 300 from the urban site and 300 from the rural site. The Results showed that: 1- The percent of women with child loss was significantly ~igher in the rural than in the urban sample being 46 percent and 35 percent respectively. 2- Within each sample there was no significant difference in the mean actual age at marriage between women without child loss and those with child loss. 3- In both samples at age 40+ the mean gravidity and parity increased significantly with child loss, while the mean FS. slightly decreased with child loss in the rural sample and slightly increased in the urban sample. The effects of child loss on mean gravidity, parity, and FS. were higher in the urhan than in the rural sample. ~ 1 ! 4- In both samples the mean birth interval following the infant death was significantly shorter than that following a child who ~urvived the first year of life. The j effect of infant death on the mean birth interval was higher in the urban than in the rural sample. 5- Within each sample there was no significant difference in the mean birth interval subsequent to infant loss between early and late birth orders. 6- The desire of replacement was significantly higher for early than for late birth orders in the rural sample. whereas in the urban sample there was no significant difference in the desire of replacement between early and late birth orders. 7- In both samples the percent contraception following the was significantly higher for orders. of women who had not used death of their children early than for late birth 8- Within each sample the high fertility motives was predominated for women with child loss and was diminished for women without child loss. 9- In both samples the percent of women who had RFM. increased significantly with increasing child loss. The increase in RFM. by child loss was higher in the urban than in the rural sample. 10- Child loss affects all ideals Qf reproduction and the effect was higher in the urban than in the rural sample. 11- Within each sample the mean ideal FS. was significantly less than the mean actual FS. among women without child loss, while among women with child loss there was no 12 13 significant difference between the mean ideal and mean actual FS. In both samples, the mean additional children desired increased slightly with child loss. In both samples the highest percent of women without child loss had no sex preference, while biase towards sex was clearly established for women with child loss as: the female preference slightly increased with child loss and the male preference increased with increasing child loss. The increase in male preference by child loss was higher in the urban than in the rural sample. 14 In both samples the percent of women approve, ever use, and current use of birth control decreased with child loss. The reduction in the ever use and current use by child loss was higher in the urban than in the rural sample. 15 In both samples the percent of women who were concious of declining child mortality decreased with increasing child loss. 16 In both samples the percent of women who prefered to produce large number of children for fear of child loss increased with increasing child loss. 17 In both samples the percent of health motives ”children often diel! was higher among women with child 1055 than among those without child loss. 18 In both samples the percent of fear of death of children as a cause of never or stop use of birth control was higher among women with child loss than among those without child loss. The above mentioned results were submitted to critical discussion refering to previous studies. The results obtained indicate that Fp. alone is not sufficient to reduce birth rate because it is essential to eliminate first the psychological barrier that stand in the way of wide spread acceptance and practice of birth control and that leads to over reproduction to replace the lost children and to assure against possible loss. The following recommendations were suggested: 1 Reducing birth rate should go hand in hand with reduction of child mortality through combined nreventive and curative approach. 11 The Ministry of Health should be concerned and interested in: 1 Solving the paediatric administrative health problems. 2 Improvement of maternal and child health care services. 3 Environmental sanitation. 4 Improvement of socioeconomic condition.