Treatment of haemorrhage due to placenta previa

Between 2000 and 2001, there were 143 cases of placenta previa (1.95%) at Institue for Protection of Mothers and Newborns. The potential causes were abortion many times, cesar section, and multi delivery... Diagnosis is accurate and early by using good pregnant management system and ultrasound. Monitoring and treatment before delivery were improved. In cases of central placenta previa, Cesar section could help decreasing the risk of haemorrhage

Heart diseases and pregnancy at Institue for Protection of Mothers and Newborns

During 1 year (2001), there were 86 cardiac patients (1.18% of all pregnancy) treated at IPMN. Acquired heart diseases rate is 81.79%, of which the most frequent ones are mitral stenosis and regurgitation (37.02%), followed by pure mitral stenosis (12.79%). Congenital cardiopathy accounted for 18.58%. The most frequent complications are heart failure (91.67%). The mortality is 0%. The main treatment is Cesar operation (55.81%); forceps (32.56%)

Postnatal infections at the Infants – Mother Protection Institute in the period of 2 years 2000-2001

365 patients with postpartum infections were studied in the Central Institute of Gynecology and Obstetrics in 2000- 2001 year period. Results showed a high incidence of infection in post partum morbidity, which occures usually after ceasarian section and after artificial abortment. The most common pathologic bacteria were E.coli and staphylococcus aureus. Uterine mucosis inflammations were the most common clinical manifestation in postpartum infections Antibiotics in association with uterine curettage were the most frequently measures for treating uterine mucosis inflammation. Histerectomy was the compulsory surgery in case of total peritonitis and sepsis.

Tummor of ovarium in children and pubescent girls

Research on 31 patients who lower than 18 years old with tumor of ovarium at The protect mother and newborn Hospital from 1987 to 1993. Result: Tumor of ovarium at the age is very rare. Rate of malignant tumor is high and most of the tumor has origin from seed cell of ovarium. Majority patients was found slowly when the tumor at the end of period. Clinical symptoms is poor. Need to cut the tumor and trying to maintain normal part of ovarium. For malignant tumor, treatment base on organization of tumor cell. When surgery, need to cold cut organ of ovarium to have better activity. After surgery, can combine with chemical or ray X therapies as well as immune therapy

Risk factors of hypertension on pregnancy

320 pregnant women aged 31 in average with high blood pressure were studied in the National Institute of Protection of Mother and Newborn from August 2000 to August 2003. Risk factors include: systolic blood pressure  160mmHg, diastolic blood pressure  90mmHg, protein/urine  3g/l, severe edema, serum total protein 6.6mmol/l, serum creatine  106milimol/l, SGOT  70UL/l, SGPT  70UL/l, uric acid > 400milimol/l, hemorrhagic complication 3.1%, thoracic edema 0%, premature relapse of placenta 4%, impaired liver 1.9%, kidney failure 4.4%, pregnant mortality 0%, eclampsy 12.5%. For the newborn babies, complications include: body weight < 2500g (51.5%), premature delivery (36.3%), fatal still birth 5.3%, neonate mortality 6.9%.

Amlodipin to treat high blood pressure in pregnant intoxication

The results of treatment of high blood presure in pregnant intoxication on 61 pregnant women are as follows: success rate 54/61 (88.52%). Systolic blood pressure and diastolic blood pressure decreased significantly in comparing with the use of Aldomet in combining with Hydralazin (p 0.05), uremia decreased significantly. For the fetus, Apgar index was tolerable, no sign of monster and stillbirth. Conclusion: Amlodipin is good drug for treating high blood pressure in pregnant intoxication.

The prognoses for pregnant women and foetus in puerperal eclampsia

From Oct 2000 to Jan 2003, 64 patients with puerperal eclampsy among 572 pregnant women with pregnant intoxication were studied. A majority of cases was young women and the most common age was 18-25 (48.4%). Most of the patients (62.5%) had the first pregnancy of a fetal age of 31-34 weeks (55%) and < 30 weeks. Eclampsy caused high rate of complications for the mother and the fetus, among them, liver failure and kidney failure were the most common in mother, premature birth and neonatal death in the baby. Pregnant termination by surgery in combining with MgSO4.