Determinants of cesarean section in Ho Chi Minh city

Study on 1260 women aged from 19 to 45 years old: 180 cases of elective cesarean section (CS), 360 cases of emergency CS, and 720 cases of vaginal delivery (the control group) at Hung Vuong Hospital in order to evaluate the effects of medical and socioeconomic factors on the decision of CS. Results: economic status didn’t affect on the indication of emergency CS, but the rate of elective CS in women with favorable economic level increased by 3.64 times. Seeking examinations at an obstetric hospital itself may have potential risk of pregnancies, the risk of emergency CS increased 16.99 times and the risk of elective CS raised 5.67 times. In addition, some factors can affect on the decision of CS such as 1st born child, having expected for pregnancy, having request for CS, fetal sex, etc

Surfactant replacement therapy for prevention and treatment of respiratory distress syndrome of preterm infants

During the period between 1999 and 2005, a clinical trial has been conducted at Hung Vuong Hospital to assess the efficacy of surfactant replacement therapy for prevention and treatment of respiratory distress syndrome (RDS) in preterm infants. Results: A total of 83 preterm infants with gestational age from 27 to 33 weeks were recruited, of whom 45 assigned to the prophylactic group and 38 to the rescue group. Percentages of developing or not reassuring RDS were 5.4% and 21.1% in the prophylactic and the rescue group, respectively (p<0.001). However, the difference in neonatal mortality was not statistically significant: 8.9% in the prophylactic in comparison with 15.8% in the rescue group

Prevalence of infections with toxoplasma, rubella, CMV and HSV-2 in cord blood analysis

Cord blood samples were taken from 552 infants for screening TORCH infections by ELISA. Maternal infection was documented by the presence of specific IgG antibody, whereas IgM was used to identify fetal infection. Results: Prevalence of maternal infections with toxoplasma, rubella, CMV and HSV-2 were 17.6%, 73.4%, 99.6% and 40.9%, respectively. Regarding the neonates, no infant presented with congenital toxoplasma, whereas prevalence of neonatal rubella and CMV were 0.2% and 0.5%, respectively, and herpes, 14.7%. No infant, however, was clinical infected

Evaluation of the results of Achilles tendon suture technique with Tcherneiski approach at Hospital 87 from February 2002 to April 2004

Tcherneiski approach in suturing Achilles tendon was applied in 13 patients (11 males, 2 females, ages 20 to 50 years), at Hospital No.87 from February 2002 to April 2004. Results showed that, the cause of breaking tendon: wound 38%, local injury 54% and implicit break 80%. The efficacy of this technique: good 62%, relative good 31%, medium 7% and bad 0%. Advantage of the method is that, in the cases of admission late or broken due to local trauma, the technique of suturing the tendon in 2 phases do often achieved a very good result.

Efficacy of Hoa Long in the prevention of recurrent herpes: A randomized, double-blinded, placebo controlled trial

Women of reproductive age seeking care at the Gynecology Clinic/Hung Vuong Hospital who were HSV-2 (+). Study subjects were randomized to receive either Hoa Long or placebo for oral administration in 12 days, then examined at 1, 3, 6 and 12 months after treatment. Findings: During the first year, 30.6% and 55.6% of the women allocated to HL and GD groups, respectively, had at least one episode of recurrent herpes. In addition, count and proportion of lymphocytes were higher in HL than in GD group. At 3, 6 and 12 months after treatment, CD 4 counts were 806.9, 701.2 and 800.1, respectively, for HL group, compared with 629.2, 584.2 and 629.3, respectively, for GD group. Similarly, CD 8 counts at 3, 6 and 12 months were 771.2, 614.7 and 824.1, respectively, for HL group, compared with 689.1, 489.3 and 596.4, respectively, for GD group. Among HSV-2 (+) women, Hoa Long increases CD 4 and CD 8 counts and reduces the recurrence rate of herpes during the first year after treatment

Human papillomavirus (HPV) prevalence among women in HoChiMinh city

Study on the incidence rate of cervical cancer on 1.122 women aged from 15 to 69 years old were interviewed and had a gynaecological examination in an urban district of HoChiMinh city. HPV DNA detection was performed using a GP5+/6+ primer-mediated PCR enzyme immunoassay. IgG antibodies against herpes simplex virus (HSV-2) were determined in blood samples using an ELISA assay. The results showed that: HPV DNA was detected among 10.9% of women in HoChiMinh city. 28 different HPV types were detected, the most common being HPV 16 (in 14 single and 18 multiple infections), followed by HPV 58, 18 and 56. A peak of HPV DNA detection in women below age 25 was found. Major risk factors for HPV DNA detection in the multivariate analyses were: indicators of sexual habits, most notably the presence of HSV-2 antibodies, nulliparity and the current use of oral contraceptives

Newborn neurological status in Hochiminh City

At HungVương Hospital, 17-48 hours after birth, 58 newborn babies with fetal age of 39,5 weeks in average underwent a neurological examination. Results showed that in comparing with the original British cohort, Vietnamese newborns had got significantly lower scores in 10 out of 25 indicators, including almost relating to truncal tone. Among these studied subjects, the deficiency of long chains fatty acid was unsignificant, while this group of fatty acids was related strictly to the nerve, especially ophtalmic nerve. The relation between transketolase concentration with neurological status was not identified