Background: Lang Son is a north mountianous province in Vietnam with population 727.081. It\u2019s residents belong to 8 ethnic minorities. Because their living conditions and education level is still low, they have limited access to new techniques to improve their living conditions, especially their health. In addtion, some districts in the province have to confront drug evil and HIV/AIDS epidemic. Objective: To define the current situation of maternal and child health care, reproductive health, HIV/AIDS and sexual transmissiondiseases prevention and offer interventional measures. Subjects and method: A cross-sectional, retrospective study was conducted in health workers and patients at the 4 commune health stations in Huu Lung and Chi Lang district on October/2004.Results and Conclusion: Termination of water and sanitation cause some diseases of mothers and children. Knowledge of people about pregnancy care as well as maternal and child health care are limited (32.2/12.6% pregnancy at labors in both districts has not been supported by trained attendance. In whole province, 32.6% children under 5 year older have malnutrition). Knowledge and practice of people on safe sex are limited so they might expose to HIV/AIDS, unwanted pregnancy and sexual transmission diseases.
Child Welfare/ psychology ; Maternal Welfare/ psychology ; Reproductive Medicine/ manpower ; methods ; HIV

PURPOSE: Mothers' postpartum depression is a worldwide health concern that produces compromising effects on their infants. This study was conducted to compare the infants' temperament and health problems according to the presence of maternal postpartum depression. METHODS: Data were collected from May to October in 2009. The sample was 137 mothers at one month postpartum. The Edinburgh Postpartum Depression Scale (EPDS) was used to assess depressive symptoms. RESULTS: At one month postpartum, 22.6% of mothers were classified as having postpartum depression. Infants of depressed mothers were more frequently classified as difficult temperament infants. They showed lower scores on the amenability, rhythmicity and persistency and higher scores on activity in temperament. Also, infants of depressed mothers reported more infant health problems at one months. Maternal depression showed significant negative correlations with family functioning, social support and marital satisfaction. CONCLUSION: Study findings show that postpartum maternal depression is associated with infants' temperament and health, and thus screening and early interventions for postpartum depression would promote the health of both the mother and infant.
Adult ; Depression, Postpartum/diagnosis/*psychology ; Family Relations ; Female ; Humans ; Infant ; Infant Behavior/*psychology ; Infant Welfare ; Male ; Maternal Behavior/psychology ; Mother-Child Relations ; Mothers/*psychology ; Postpartum Period ; Psychiatric Status Rating Scales ; Questionnaires ; Social Support ; *Temperament ; Time Factors

Pregnant women are prioritized to receive influenza vaccination. However, the maternal influenza vaccination rate has been low in Korea. To identify potential barriers for the vaccination of pregnant women against influenza, a survey using a questionnaire on the perceptions and attitudes about maternal influenza vaccination was applied to Korean obstetricians between May and August of 2014. A total of 473 respondents participated in the survey. Most respondents (94.8%, 442/466) recognized that influenza vaccination was required for pregnant women. In addition, 92.8% (410/442) respondents knew that the incidence of adverse events following influenza vaccination is not different between pregnant and non-pregnant women. However, 26.5% (124/468) obstetricians strongly recommended influenza vaccination to pregnant women. The concern about adverse events following influenza vaccination was considered as a major barrier for the promotion of maternal influenza vaccination by healthcare providers. Providing professional information and education about maternal influenza vaccination will enhance the perception of obstetricians about influenza vaccination to pregnant women and will be helpful to improve maternal influenza vaccination coverage in Korea.
Asian Continental Ancestry Group ; Cross-Sectional Studies ; Female ; *Health Knowledge, Attitudes, Practice ; Humans ; Influenza Vaccines/*immunology ; Influenza, Human/*prevention & control ; Maternal Welfare ; *Perception ; Physicians/*psychology ; Pregnancy ; Pregnant Women ; Republic of Korea ; Surveys and Questionnaires ; Vaccination

In medicine, it is the physician's obligation to promote and protect the patient's interest. In obstetrics, the ethical principles of beneficence and autonomy provide the fundamental framework which guides the management of all pregnant patients. As there is the need for consideration of the fetus, autonomy can become a complex issue giving rise to what is sometimes called "maternal-fetal conflict." In this paper, we aim to discuss some scenarios we encounter in our day-to-day obstetric practice such as pre-eclampsia, fetal growth restriction and labour induction when the best interests of the mother and fetus may be conflicted. We hope to illustrate that logical consideration for maternal and fetal best interests is only possible when there is adequate knowledge to support clinical practice. Certainly, with the rapid availability of newer knowledge and technology, it is the duty of the physician to be educated continuously so as to protect the patient from harm.
Beneficence ; Clinical Competence ; Conflict (Psychology) ; Ethics, Medical ; Female ; Fetal Growth Retardation ; Fetus ; Health Knowledge, Attitudes, Practice ; Humans ; Maternal Welfare ; Maternal-Fetal Relations ; Obstetrics ; ethics ; methods ; Patient Care ; ethics ; Patient Rights ; Personal Autonomy ; Physician-Patient Relations ; ethics ; Pregnancy ; Pregnancy Complications ; Prenatal Diagnosis