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In page Hmong women and childbirth practices:

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The patrilineal and patriarchal family system has changed little since for those Hmong who emigrated to the Global North. Decisions about any family member of either gender are still passed down through the husband's family elders. Women contribute greatly to their families, but in different ways. Women tend to have somewhat more freedom in choosing a husband, but the families of the bride and groom still have the final say in the match. The woman does not live outside the home before she is married to protect her reputation.[citation needed]