Background: The rate of abortion in Vietnam is still high and is dependent on the personal factors of the women as well as the supply of contraceptive services. Objectives: To evaluate some of the factors that influenced the abortion decisions of the women admitted to the National Hospital for Obstetric and Gynecology. Subjects and method: There were 334 unwanted pregnancies in women with a gestation age of less than 12 weeks, who have aborted at the National Hospital for Obstetric and Gynecology between June 2006 and December 2006, participated in this cross-sectional study. They were interviewed according to a questionnaire. Data was analyzed by SPSS software version 10.0. Results: The mean age was 28.93+/-6.57 years. Among all participants, 61.4% were civil servants, 25.7% housewives, 8.1 % students. For 54.8% of all subjects this was the first abortion, and 45.2% had at least one abortion in the past. Age, occupation, educational level, marital status and numbers of children were associated with the history of abortion. Conclusion: The main reasons of abortion were having enough children, unmarried. Determinant factors of abortion decision were older age, low level of education, marital status and having enough children.
abortion

Introduction: In the event of encountering hydropic villi in products of conception specimens, pathologists will have to distinguish complete and partial hydatidiform mole (CHM & PHM) from hydropic abortion (HA). The histological diagnostic criteria are subjective and demonstrate considerable inter-observer variability. Materials and Methods: This study evaluated the inter-observer variability in diagnosis of CHM, PHM and HA according to defined histologic criteria. Ninety abortus conception specimens were reviewed. Representative haematoxylin and eosin-stained slides were assigned independently to two pathologists who were asked to make a diagnosis of CHM, PHM or HA, and provide a report of the identified diagnostic histological criteria. Kappa value was calculated for the inter-observer agreement. Results: There was a total of 36.7% disagreement between two pathologists (K = 0.403, Strength of Agreement = moderate), of which 24.4% and 12.2%, were differentiating PHM from CHM and PHM from HA, respectively. Among defined diagnostic histological criteria, the highest rate of agreement was observed in the identification of cistern formation and hydropic changes (K = 0.746 and 0.686 respectively, Strength of Agreement = substantial). Conclusion: There was moderate to substantial agreement rate between two pathologists in identification of two essential histologic criteria for diagnosis of molar pregnancies i.e. “hydropic change” and “trophoblastic proliferation”.
hydropic abortion

The study was carried out at Hung Vuong Hospital in 1998 to compare vaginal misoprostol with extra-amniotic balloon to induce abortion in second trimester. Patients were received either 800mcg misoprostol vaginally (n=87) or 500ml of 0.9% NaCl solution inserted into extra-amniotic cavity (n= 93) for induced abortion. Vaginal misoprostol was repeated 24-hourly for maximum of three times. The abortion rates were 98.9% and 96.8% for misoprostol and balloon group, respectively. A second attempt was need in approximate one third of patients in misoprostol group and 10% in balloon group. Side effects of misoprostol were mild and transient. Vaginal misoprostol is as effective as balloon for induced abortion in second trimester. Misoprostol is cheap and easily stored and used. Vaginal misoprostol could be considered as an alternative to balloon for induced abortion
Abortion, Therapeutic ; Misoprostol ; Abortion, Induced

*Abortion, Criminal ; *Abortion, Habitual ; *Abortion, Missed ; *Abortion, Septic ; *Abortion, Threatened ; *Malaysia ; *Maternal Mortality ; *Statistics ; *Adolescent ; *Pregnancy

Ectopic pregancy and previous induced abortions: To assess the risk of ectopic pregnancy (EP) by previous induced abortions (IA), a case control study was conducted at Tudu Obstetric and Gynecology hospital in 2000 with 160 cases of extrauterine pregnancy and 320 cases of intrauterine pregnancy under 14 weeks. The results showed that previous induced abortion was the risk of EP with odds ratio (OR) of 4.8(95% Cl: 3.2-7.2). However, we did not find any association between the number of abortions and IA with complications has had the relationship with EP. We found a 24,5 fold increases risk of EP after IA taken place in private sector or commune levels compared with IA taken in hospital or districts hospitals. Uterine curettage was the risk of EP, safe abortion and IA by no invasive procedures should be paid more attention
Pregnancy, Ectopic ; Abortion, Eugenic ; Hysteroscopy ; Abortion, Induced

594 women underwent medical abortion in Tu Du Hospital of Ho Chi Minh city were interviewed from March to December 2004. Mean age of these women was 24.3. Among them, medical abortion to terminate pregnancy is 52.2%, abortion 47.8%, miscarriage 12.1%. Reasons for choosing medical abortion included: this is a new method (52%), reducing dangerous complications (73%), fear of pain due to surgical abortion (94%), available (96.3%), confidence (97.5%). 68% of them like to use medication at home, 38% did it in health facilities. Multivariable analysis showed that there were correlation between use medication at home or in health facilities with age and the success or unsuccess of recent medical abortion
Abortion, Induced ; Women

In 7 points of 4 provinces and cities: Hanoi, HCM city, Hoa Binh and Nam Dinh, 1800 cases of artificial abortion were performed. 88.6% were at the age ranged from 21-40, among them 19.4$ were celibacy most were adolescent. A majority of cases of abortion were carried out in state health instititions
Abortion, Legal ; epidemiology

Study on 11670 married women aborted in first 9 months of year 2004 showed that the abortion to delivery rate was 0.85%. Percentage of abortion was 18.53% in married women who were applying contraceptive methods. The rate of husbands implementing contraceptive methods only was 2.8%. 97.2% of wives had to take responsibility on using contraceptive methods. The most common reasons that make women go to have abortion were do not want to have more children (70%) and want to extend the interval between deliveries (21%). There was only 3% women aborted due to afraid of breaking the rules
Abortion, Induced ; Women ; Epidemiology

Youth accounted for 19.5% of the total abortions at the Institute for Protection of Mother and Newborn (IPMN). 17% patients came from other provinces. Over 17% among them are students. Single women accounted for nearly 80% of aborted youth. Five percent among them had at least one time of previous induced abortion. Most of them (92.8%) did not use any contraception at the month they become pregnant. The younger were likely to detect an unwanted pregnancy and to make a decision for terminating it slower than the elders were. The study suggests the high risks for reproductive health among youth, especially STDs and HIV/AIDS.
Abortion, Criminal ; Adolescent

Objectives: comparison of the method of analgesia by blockade in cervix with the traditional method. Subjects: 400 pregnant women with fetal ages of 10-12 weeks received the induced abortion by double valve…Kama in Hµ néi Gynecological and Obstetric Hospital. The study has shown that the efficacy of two methods is the same. blocking agents have side effects less than these of the traditional method so it is more convenient. The blocking agents have not inhibition effects on the central nervous system, therefore the patients early return the normal life.
Analgesia ; Abortion, Criminal