During July 2002 to December 2003, there were 1618 eligible pregnant women attending to delivery at National Hospital for Obstetric and Gynecology recruited for the study. The rate of CS was 32.4% (16.5% elective CS and 15.8% emergency CS). There is an increase in the rate of having minor wound infection and higher in emergency CS (9.4%). The rate of maternal death was also higher in the group of emergency CS of 3.9/1000, while those rates in elective CS and vaginal were zero. No significant difference of neonatal complications was found among three groups (p>0.08). Medical cost occupied a large part of total bill spent for a delivery (78.1%)
Delivery, Obstetric

An application of total quality management increased the rate of Thai and H'mong mother who using the clean delivery package from 23.18% to 87.86%. This study analyzed data to find the root causes such as finding of many other subjects who participated to the support for delivering, the method of total quality management showed effectively and practically to manage the difficult problem
Delivery, Obstetric ; Mothers

Cesarean section rate has a tendency to get higher. Premature rupture membranes has high prevalence, low percentage of vaginal deliveries in breech presentation, anterior cesarean section contribute to rise the cesarean section rate. We focus on the premature rupture membranes to reduce this rate in the coming years.
Delivery, Obstetric ; Cesarean Section

62 cases of argumentation of labour were analyzed. The two main indications including rupture of the membranes and hypocontraction - cesarean section were in only 20% of cases. A parography will be a useful tool for monitoring progress of labour
Delivery, Obstetric ; Rupture

Recording the number or breech presentation delivery at NIPMN in the 1995-1996 year period, authors noted that: The rate of breech presentation comprises 3.95% (591 cases/14938) of 130 (22%) complete and 380 (64.3%) uncompleted breech presentation. 73.3% of cases required a surgical intervention and 24.3% required a perfusion of oxytocine. A high risk of fatality for the newborn was also noted, especially in the case of premature delivery.
Delivery, Obstetric ; diagnosis

The Rhythm of the Normal and Abnormal Deliveries of the Mongolian Womens Normal deliveries of mongolian women have orderly rhythmic oscillations which can be characterized by 24 hours, months, seasons and years. In the complicated deliveries the phases of biorhythms have been shifted and resulted in desynchronosis. Climatic and geliogeophizic factors had also effect on the frequency of complicated deliveries. Among common complications of the delivery and childbirth, preeclampsia, prolonged labor or dystocia due to insufficient labor and delivery forces, obstetric hemorrhage show seasonal and multi-year rhythms' characteristic to geographical regions and climatic conditions.
Delivery ; Obstetric ; Uterine Contraction

Background: Obstetric complications always are the risk factors which impact on pregnant women, especially no having care and treatment on time. Objectives: (1) To determine the rate of obstetric complications in some communes of Hoai Duc district, Ha Tay province. (2) To identify some factors which may have impact obstetric complications in the community. Subjects and method: Conducting a cross \ufffd?sectional survey with 363 women randomly chosen for sampling from the list of 1.530 women of reproductive age having terminated their pregnancy dressed for a six \ufffd?month period (from 1 October 2004 to 31 March 2005) in 10 communes of Hoai Duc district, Ha Tay province. Results: The obstetric complications rate was 9.9%. Obstetric complications recorded under the research often had the following forms: hemorrhage (94.4%), infection and pre \ufffd?eclampsia/eclampsia, each of them (2.8%). obstetric complications regularly happened with women of over 40 years old (20%). Those complications were closely linked to vaginal bleeding symptom during pregnant period with p<0.05. Conclusion: Obstetric complication rate was 9.9%, mostly hemorrhage. There was close relation between obstetric complication with vaginal bleeding symptom during pregnant period.
Obstetric Labor Complications ; Residence Characteristics ;

Fetal femur length/biparietal diamater ratio (FL/BPD) assessement with the use of ultrasonic fetal biometry on 875 selected normally gravids from 14 to 30 weeks in a carefully designed cross sectional study have given the results: A good correlation between this ratio and gestational age, with correlation coefficient r = 0.87, was found. The fitted correlation function: y = 0.0454 x + 0.2992, where y = FL/BPD x = gestational age. The mean and centile 5, 10, 50, 90, 95 values of FL/BPD obtained in this study should be considered as a based prediction for normal, and abnormal development of the fetus
Fetus ; Femur ; Diagnosis ; Delivery, Obstetric

A clinical trial was performed to evaluate the tocolytic possibility of nifedipin and to propose a treatment regimen for preterm labor in the National Hospital of Gynecol-Obstet from July 2003 to December 2003. There were 40 cases of preterm labor with gestational age 31 weeks and 3 uterine contractions per minute on average. Patients received a 10 mg sublingual loading dose every 20 minutes (maximum dose 40mg), and followed by 20 mg oral dose every 6- 8 hours. Result: the effectiveness in tocolysis of nifedipin is very fast. It took 60-80 minutes to arrest uterine contraction (70- 80%) (including contractions of high frequency and intensity), especially in urgent tocolysis. The lower the frequency and intensity is, the higher and sooner the effectiveness is. 92.5% of delivery were delayed for 48 hours. 82.85% were postponed until 36 weeks, and the mean time of prolonged pregnacy was 39 days. Side-effects were mild and transient and in normotensive pregnant women blood pressure was almost unaffected. This treatment regimen of nifedipin showed the effectiveness in preterm labor. In brief, nifedipin is an effective, safe, convenient and economic tocolytic agent. It may well represent the best suitable tocolytic alternative currently available and can be used widely in Viet Nam.
Obstetric Labor, Premature, Nifedipine, Tocolysis

This paper summarized the general situation of the women' mortality that related with the pregnancy and delivery. The study also analysed the direct and indirect obstetrical causes for this and recommended some solutions to reduced the pregnancy and obstetric related complications such as pregnancy care, social and health policies
mortality ; Pregnancy ; women ; Delivery, Obstetric