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

In studying 31 subjects who undergoing a treatment in the year 2001 at Hai Ba Trung Hospital for giving up the drug, results showed that all are male of the working age and a low level of education, mainly secondary school. There are in poor family, only 12.4% in the families of good living or of rich families, 80.6% of subjects have closed relation with addictive friends sharing the drug. Most of their families have concerned with these subjects after discharging from hospital.
Substance-Related Disorders ; Behavior, Addictive ; Opium ; Therapeutics

300 HIV/AIDS patients in Hanoi include mainly young persons (20-29 years old subjects account for 62%) intravenous drug user (90%) more male patients than female. Main clinical manifestations are fatigue 41.7%, swelling gland 32.5%, weight loss 22.5% … reduce of red blood cells, white blood cells, hemoglobin level …, which have negative correlation with the reduce of CD4 cell count. There is not the change of the contains of some blood components such as albumin, glucose, but there is significant change in the activity of come enzymes – ASAT, ALAT. The increase of their activity is correlated negatively with CD4 cell number. X-ray images have not dramatical change of lung mesenchyma and bronchial image
HIV ; Acquired Immunodeficiency Syndrome ; Diseases ; diagnosis

A randomized control clinical trial was carried out in National Obstetric and Gynecological Hospital in order to assess preventive effect of cefuroxime (Zinacef, made by Glaxo Smithline in India and England) from May to July, 2005. Results show that there was no difference about preventive effect between Indian cefuroxime and English cefuroxime. However, there was a big difference about cost between the two cefuroxime. English Zinacef had a double cost compared to Indian Zinacef. Indian Zinacef 750 mg had a good preventive effect with shorten course therapy, less hospitalization day and suitable cost
Preventive Medicine ; Cefuroxime ; Gynecologic Surgical Procedures ; Surgery

A retrospective cross sectional survey on 509 cases of ectopic pregnancy in National Institute of Protection of Mothers and Newborns in the year 2000 showed the rate of fetal abortment reached 23.6%. In 58% of cases of ectopic pregnancy the related factor is a history of abortment. In addition, some other factors are associated including the previous annexitis, surgery of perineum, genital tuberculosis is… Therefore an ultrasonic diagnosis for the site of the fetus before the indication of abortment and safe procedure of abortment are necessary
Pregnant Women ; Pregnancy, Ectopic ; Women

By modern epidemiology and sociology method, 1200 households in the districts of Dong Da, Thanh Tri, Tu Liem in Hanoi city were studied. Environment is not polluted with NO2, SO2, CO, CO2, but with high dust level and noisiness. NO2, NH3 indices in water are within standard level. Concerning the microorganisms Welchii index was high in living water. The pollution with worm eggs was considerable because all examined soil samples had worm eggs. In adult, the most morbidities were high blood pressure, bronchitis, ENT diseases, gastroenteritis; in children, the most were malnutrition, acute inflammations of respiratory tract
Environmental illness ; epidemiology ; Sociology

600 old persons in Tu Liem District – Ha Noi city including 276 male, 324 female persons youngest 60, highest 94 years old were enrolled in the study. 49.83% of elderly reported subjectively bad status of health, 69.5% though that they had had certain disease affecting daily activities: diseases of circulatory system 36.17%, respiratory system 21.14%, gastrointestinal diseases 18.74%, neurological diseases 29.53%, musculoskeletal-articular system 28.17%, ocular 14.17%, endocrinology and metabolism 5.82% and others 7.33%. 66.17% had acquired some diseases 1 month ago before the study, 43.83% of old persons had health problem, 43.50% loss the well being status, 9.33% got anxiety, 16% had a difficult to move and 1.5% had not the walking capacity, 44.67% did not make exercise, 12% used tobacco and 6.5% used alcoholic drinks
Health Status ; epidemiology ; Aged ; Morbidity

Background: Abnormal chromosome may be abnormal in number or structure of chromosomes related to normal chromosomes or sex chromosomes. One sign of abnormal chromosomes that we can observe during pregnancy is the abnormal ultrasound images. Objectives: To discover the relations between the chromosomal abnormalities and some fetal abnormalities determined by ultrasound. Subjects and method: A prospective descriptive study combined with a retrospective study on 250 pregnant women with fetal abnormalities from Aug 2006 to Aug 2008. Results: Among 250 pregnant women with fetal abnormalities determined by ultrasound taken amniocentesis, rate of late amniocentesis (over 20 weeks) was the highest (50.8%), while rate of ideal amniocentesis (16-20 weeks) only accounted for 29.6%. Abnormal chromosomal rate of multiple abnormalities of fetus statistically significant were higher than that of mono abnormal of fetus (46.8% vs. 18.5%/ p<0.0l). Conclusion: Abnormal phenotype determined by ultrasound; rate of chromosomal disorder was 27.2%.
chromosomal analysis ; fetal abnormalities

The efficacy of pre-operative single dose antimicrobial prophylaxis in preventing infection after gynecological surgery has been demonstrated. In this study 200 patients were randomly enrolled in two groups. Each of the 1st group (n=100) was received 2 g of ampicillin and 160 mg of gentamycin per day, during 7 days of postoperation. Each of the other (n=100) was received 1.5g of cefuroxime (Zinacef) single-dose 15-30 minutes before operation. The two treatments were compared. There was no difference between two groups about the number of white blood cell, the fever and the hospitalization stay. No infectious complication was noted. But in the group receiving Zinacef, the patient felt less painful and the hospitalization stay might be reduced
Cefuroxime ; Pharmaceutical Preparations ; surgery ; prevention ; infection

A study was done on 111 patients with ectopic pregnancy in the Institute of Mother and Infant Protection and Care and 111 pregnant women in the same locality. Results have shown that the history of menstrual modulation aspiration related closely with the ectopic pregnancy, especially the menstrual modulation aspiration only before the round of this pregnancy. The women with 2 or more than rounds of menstrual modulation increased the risk of ectopic pregnancy. Other factors comprised induced abortion, vulvitis and having many sexual partners
Pregnancy, Ectopic ; Aspirations (Psychology)