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

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)

A comparison of aspiration for menstrual modulation and risks of ectopic pregnancy, number of operated ectopic pregnancy and pregnant women in 10-117 cases of delivery, 5240 cases of induced abortion and 6749 cases of aspiration for menstrual modulation and 359 cases of etopic pregnancy for the past decade has shown that the aspiration for menstrual modulation related closely with ectopic pregnancy. The other risks comprised history of induced abortion and contraceptive device implantation. It should implement the diagnosis of HCG and ultrasound before indication of Aspiration for menstrual modulation.
Pregnancy, Ectopic ; Aspirations (Psychology)

Menstrual regulating aspiration is a procedure to induce menstruation when the women have menstrual delay of suspected pregnancy. It is indicated when the menstruation has delayed less than 14 days. In the other hand, the incidence of ectopic pregnancy has increased by 2-3 times during past decade. In comparison of history of menstrual regulating aspiration and ectopic pregnancy between married childbearing women, ectopic pregnancy-operated women and the women with intrauterine pregnancy, including 10,177 deliveries, 5240 induced abortions, 6749 menstrual regulating aspirations and 359 ectopic pregnancies, it is found that there was strong relationship between menstrual regulating aspirations and ectopic pregnancy with odd ratio of 2-4 times. However, this finding should be confirmed. Other risk factors for ectopic pregnancy are history of induced abortion and IUD insertion. Menstrual aspiration should be indicated for pregnancy that was diagnosed by HCG test and ultrasound to reduce the number of menstrual regulating aspirations
Pregnancy, Ectopic ; Aspirations (Psychology)

This cross-sectional and retrospective study was carried out on 1,200 outpatients who were examined and treated by health insurance at 4 suburban in Hanoi from 1998 to 1999. By interviewing health staffs and these outpatients, investigating of examination and treatment by health insurance at the commune health stations, the results showed that: about 50% of the patients had health insurance card went to district health centers, resulting in overload, so that patients had to wait for long time and pay more money, and examination and treatment at the commune health station is necessary. Health insurance officers, health staffs and patients were unanimous to deploy examination and treatment by health insurance at the commune health stations
Insurance, Health ; Outpatients ; Insurance, Physician Services

The author conduct deep interviewing, team discussing for officers and drugs users and female sex workers in 2 centers, concerning the transmission of HIV, the factors influencing with the transmission of HIV at these centers. The results showed that the rate of HIV transmission at center 06 was between 20-30% and at center 05 between 40-50%. Some advantages for cross transmission such as knowledge of HIV transmission and prevention of these subjects, awareness about HIV transmission was low, and the risk behaviors were still occurred at 2 centers
HIV ; Acquired Immunodeficiency Syndrome ; Knowledge ; Behavior ; Risk Factors

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