In the year 2002 at the central hospital of Obstetrics and Gynecoligy. The number of newborn babies of > 4000g accounted for 2,6% of all obstetric cases, among them the male number was 1,9 fold higher than the female and the multiparum delivering cases was 1,7 folds higher than the monoparum. In delivering heavy babies > 4000g, Caesarian section was the method of large choice (78,5%) but in normal delivery, complication is the most common (70,6%) and hypoglycemia is the complication of highest frequency (78,3%)
Pregnancy ; Diagnosis ; Fetal Weight

The laparoscopic surgery including laparoscopic diagnosis, laparoscopic surgery, abdominal laparoscopy and cervical laparoscopy. The Institute implemented 6058 operations comprising gynecological and obstetrical surgery in which there were 1003 patients receiving the laparoscopic surgery (16,56%) in 2000. The rate of the laparoscopic surgery / gynecological surgery was 1003/2791 = 35,94%. The common indication of endoscopy were infertility (41,48%), ectopic pregnancy (29,21%) cystic ovary (11,37%). 20 patients with the ectopic pregnancy changed from laparoscopic surgery to the traditional surgery. 2 cases in the abdominal endoscopy suffered complication. There was no complication in 82 cases of the cervical endoscopy. That indicated that the endoscopy is the safe surgery with the low complication
Cholecystectomy, Laparoscopic ; Laparoscopy ; surgery

Fetal biparietal diameter measured with linear- array, real-time ultrasound scanner in 114 uncomplicated gravid patients from 30 to 42 weeks gestation. The date were analyzed by means of the of least-squares linear regression. The results of this analysis generated the following equation: y= 1.59x+ 30.54 (r= 0.08), (y= biparietal diameter, x= gestational age). The growth rate of the biparietal diameter has also been calculated (1.59mm/wk). With the use of this date, the error in estimation of gestational age given biparietal diameter in the interval 30 to 42 weeks gestation is +/- 14 days. Biparietal measurements provide the first reproductive determination of length of the fetus to be mesured by ultrasound throughout pregnancy.
Fetus ; Ultrasonography

Fetal femur length and biparietal diameter measured with a linear array, realtime ultrasound scanner in 114 normal gravid patients of 31 to 41 weeks gestation. The growth rate of the femur length has also been calculated (1.63 mm/wk), and that of the biparietal diameter was 1.59 mm/wk. With the use of these data, the error in estimation of gestational age given by femur length is 11 days, and by biparietal diameter one is 14 days. Fetal femur length should be measured rather than biparietal diameter in ultrasound diagnosis of gestation age.
Fetus ; Ultrasonography

A study on 392 cases of ectopic pregnancy in the Institute of Mother and Newborn Protection has shown that there were many cases of ectopic pregnancy including valvitis, vaginitis, induced abortion, unsafe delivery and sexual transmitted disease. In Vietnam, the rate of induced abortion was high and many case can occurred the complication
Pregnancy, Ectopic ; Sexually Transmitted Diseases

A restrospective study on 6058 patients in which 2791 patients with obstetric surgeries, 668 patients with the ectopic pregnancy (23,93%) and 342 patients with the cystic ovary (12,25%) in the Institute of mother and infant protection and care was carried out. The results have shown that the application of endo surgery for patients with the ectopic pregnancy: 43,9%; for patients with the cystic ovary: 33,33%. The cystic seperation and conservation of the healthy ovary tube for the cystic ovary: 51,07%
Pregnancy, Ectopic ; therapeutics

The study included 71 pregnant women underwent cesarean section in the National Hospital of Gynecology and Obstetrics between January and May 2004. Results: average duration of a cesarean section is 31 minutes and 1 second, the mean time of transversal laparotomy is 28 minutes and 15 seconds. In cases of transversall incision, the duration is 37 minutes and 9 seconds. The mean time required for newborn extraction is 5 minutes and 10 seconds. In cases of transversal incision, this duration is 4 minutes and 36 seconds. If the incision was made in white line below navel, the duration is 6 minutes and 29 seconds
Cesarean Section ; Pregnant Women

Hinh-Minh’s incision is a modified technique based on Pfannestiel’s incision (1900) and Cohen’s incision (1977), and could be applied in obstetric and gynecological surgeries (including Cesarean section). It has the advantages of two old techniques for gynecological operations. Hinh-Minh’s incision had taken full advantages and limited shortcomings of both techniques of Pfannenstiel’s incision and Joel Cohen’s incision. It secured aesthetics as Pfannestiel technique but reduced operation time and limited harmfully blood-vessels and nerves as well as Joel Cohen technique. At the same time, this technique was applied firstly in the situation of Vietnam on 49 patients underwent gynecological operations from June 2000 to December 2001. Operative time and recovery time were reduced, the rate of fever, wound infection and incision dehiscence were low.
Gynecologic Surgical Procedures ; Surgery

Study on 88 cases of cesarean section at Obstetric Department, Bach Mai Hospital between January and October, 1992. There was no complication in procedures of single-layer uterine suture using catgut thread made in Vietnam. This procedure has more advantages than 2-layer uterine suture, including such shorten operation time, better preservation of the lower uterine
Cesarean Section ; Sutures

Randomized study of 251 patients experienced cesarean section in Institute of Protection of Mother and Newborn in October 1995. Result: 79.9% cases of cesarean section had unruptured amnia or had ruptured amnia less than 6 hours, only 1.6% of cases had ruptured amnia over 24hours. 35 cases of cesarean had old cesarean scar (13.9%). Among 151 cases of cesarean, 19 cases (7.6%) were infection. The most common infection was postoperative fever and the least common was abdominal infection. 95% of patients were treated by 2 types of antibiotic combination after operative
Cesarean Section ; Infection