Studying 8055 laparoscopy cases in National Hospital for Gynecology and Obstetrics from December 1995 to December 2004, the researcher found: the rate of laparoscopy among gynecologic surgery is increasing. The most common indication of laparoscopy is infertility (44.8%), then ectopic pregnancy (38.4%). The laparoscopy’s indications have been diversifying as fibromectomy, torsion ovarian cyst, and ovarian cyst during pregnancy. The laparoscopy’s techniques have been complicating: laparoscopy assisted vaginal hysterectomy, anastomosis of Fallopian tube. There were no severe complications during the technique. The results indicated that laparoscopy surgery had a high safety and aestheticism, helped patients to rapidly recover after surgery
Laparoscopy ; Epidemiology

In this study, operative details and the postoperative courses of 42 patients who underwent cesarean section during Jan 2003-Dec 2004 at the Central Mothers’ Hospital were reported. The surgery used lower segment transverse incision technique with nonclosure of the visceral and parietal peritoneum. The Hinh Minh incision is performed. The uterine incision was closed in one layer with continuous, non-locking sutures, using a polyglactin no. 1 (Vicryl). Visceral and parietal peritoneum were left opened. The muscles were not approximated. The fascia was closed with a continuous non-locking suture of no. 1 Vicryl. The skin was closed with a continuous non-locking intradermic suture of no 2/0 nylon. Prophylactic antibiotic intravenous was used just after clamping the cord. Mean duration of intervention was 19.8  2.8 minutes. Nonclosure of the visceral and parietal peritoneum reduced operation time, and bowel function recovered more quickly
Cesarean Section ; Peritoneum ; Branchial Region

A study was conducted in 251 cases with cesarean section at Institute of Protection of Mother and Newborn during October 1995. 79.7% of cases with cesarean section non-amniorrhexis or amniorrhexis less than 6 hours, only 1.6% cases amniorrhexis over 24 hours. 20% of cases who underwent cesarean section using lower segment transverse incision. All cases were treated by intravenous antibiotics in 7 days, twice a day. The infection’s rate was 7.6%. The most common infections were postoperative fever, and the wound’s infection was the least common. There was no severe infections such as peritonitis, septicemia
Cesarean Section ; Infection

Retrospective study on 247 cases of Caesarean section among 3531 deliveries at the Obstetric Department, Bach Mai hospital from January to October 1992 showed that the ratio of Caesarean section is 7% in total deliveries; the rate of women who have the first child born by Caesarean section is 55.5%. The maternal death rate is 0%, but the rate of postoperative complications is 1.6%, including severe complications such as total peritonitis, postoperative bleeding, compress omit, septicemia, and maternal death
Cesarean Section ; Retrospective Studies

A study on 53 patients, average age 27.2 ± 5.6, underwent cesarean section using Hinh-Minh’s incision between 6/2000 and 12/2001 in National Hospital for Obstetrics and Gynecology showed that Hinh-Minh technique overcame the unaesthetic of Joel Cohen incision and time consuming of Pfannenstiel incision, with time of abdominal open is very quick, average time is 1 minute 45 second, average time of child delivery is 2 minutes 39 seconds and time of abdominal closure is 4 minutes 53 second. Total operation time using this technique is 21 minutes. In this study, besides 3 cases had fever some days after operation, there was no significant complication
Cesarean section ; Surgery

Study on 730 pregnant women with oligohydramnios, among 10,663 normal pregnancies at National Obstetrics and Gynecology Hospital in 2002. In 250 pregnant women with oligohydramnios there were 66.4% had cesarian section, 31.6% had normal childbirth and 4% had an extra option under childbirth, the amniotic fluid volume depended on gestational age, from 30 weeks, amniotic fluid volume decreased with the speed about 33% per one week. Amniotic fluid volume associated with the condition on health of fetus. Now using the ultrasound to evaluate the amniotic fluid volume by two techniques: the maximal vertical pocket and the amniotic fluid index
Fetus ; Oligohydramnios ; Time Factors

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

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