Vietnam is currently striving towards a universal health care system through government-provided social health insurance. In 2018, about 87% of the population had health insurance coverage. The government fully covers the health insurance costs of the poor, ethnic minorities, children under 6, and elderly people over 80. [1] [2]
In June 2011, the United Nations Population Fund released a report on The State of the World's Midwifery. It contained new data on the midwifery workforce and policies relating to newborn and maternal mortality for 59 countries. The 2015 maternal mortality rate per 100,000 births for Vietnam is 56.7. This is compared with 64.3 in 2008 and 157.9 in 1990. The under-5 mortality rate, per 1,000 births, is 24, and the neonatal mortality as a percentage of under-5's mortality is 52. The aim of this report is to highlight ways in which the Millennium Development Goals can be achieved, particularly Goal 4 – Reduce child mortality and Goal 5 – improve maternal death. In Vietnam the number of midwives per 1,000 live births is unavailable and the lifetime risk of death for pregnant women 1 in 850. [3]
Tine M. Gammeltoft, an anthropologist at the University of Copenhagen has described the interplay between the individual and the state during prenatal screening, "In the realm of reproduction, intense sentiments of anxiety, dread, desire, ambition, and hope tie together the state and [Vietnam's] citizens, animating individual aspirations as well as national population policies". [4]
An increase in the prevalence of ultrasound technology in the country has led to more screening for abnormal fetuses. [9] While women in the Western world are commonly offered one or two ultrasounds throughout the entire duration of their pregnancy, it is not uncommon for Vietnamese women to have more than 20 ultrasounds during one pregnancy. [9] The focus of these ultrasounds are often much different than in Western countries, where parents look forward to determining the sex of their baby or seeing photos of the developing fetus. Because of the prevalence of birth defects due to Agent Orange in Vietnam (up to 4 million were affected in the Vietnam War), ultrasounds are often a means for quelling the fears of expectant mothers. [9] The Vietnamese Commission for Population, Family, and Children, gave a statement in 2004 describing their support for prenatal screening in hopes that it may promote population quality that would allow Vietnam to enter into a phase of modernization and industrialization alongside other Southeast Asian countries. [9] This focus on Vietnam's national "stock" was in part based on Japan's efforts beginning in 1945 to strengthen the physicality and quality of their population through genetics programs, encouraging scientists to have many children, and the legalization of marriage with foreigners. [9]
Because of the particularly high prevalence of HIV infections in women of childbearing age world wide, in addition to Vietnam's high HIV/AIDS diagnosis rate, health counseling during the prenatal period is also focused on HIV positive expectant mothers. Since 1996, women have had access to programs designed to reduce transmission of HIV from mother to child, but still face the decision of whether or not to terminate their pregnancy out of concern for the child's long term care. Many women decide to have an abortion because of the fear that they will not be able to care for the child. This is common even when the family desires to have a child.[ citation needed ]
Nguyen Truong Son, deputy Minister of Health announced in June 2019 that Electronic Health Records based on social insurance codes would be deployed across the country from July, forming the basis of a national health data system. 6 of the 24 provinces have been piloting this initiative which is intended to be complete by 2025. [5]
City International Hospital is the largest international hospital with a capacity of 320 beds, 21 medical specialities with a Centre of Excellence in Digital subtraction angiography/ Cath lab in cardiology intervention, neurology intervention. [6] Other iconic specialities includes General Surgery, Orthopaedics, Women and Children health. it serves 400 thousand outpatients a year. 25% patients of the hospital are foreigners .
Hoan My Medical Corporation is the largest and most prestigious chain hospitals (7 hospitals and 1 clinic) across Vietnam, serving 1.8 Million patient visits a year, with medical centers of Excellence in a wide spectrum of specialties, i.e., Cardiology, Orthopedics, Obstetrics, Gynecology, Pediatric, Gerontology, Ophthalmology, Hepatology, [7] and Gastroenterology
Obstetrics is the field of study concentrated on pregnancy, childbirth and the postpartum period. As a medical specialty, obstetrics is combined with gynecology under the discipline known as obstetrics and gynecology (OB/GYN), which is a surgical field.
Prenatal care, also known as antenatal care, is a type of preventive healthcare. It is provided in the form of medical checkups, consisting of recommendations on managing a healthy lifestyle and the provision of medical information such as maternal physiological changes in pregnancy, biological changes, and prenatal nutrition including prenatal vitamins, which prevents potential health problems throughout the course of the pregnancy and promotes the mother and child's health alike. The availability of routine prenatal care, including prenatal screening and diagnosis, has played a part in reducing the frequency of maternal death, miscarriages, birth defects, low birth weight, neonatal infections and other preventable health problems.
Maternal death or maternal mortality is defined in slightly different ways by several different health organizations. The World Health Organization (WHO) defines maternal death as the death of a pregnant mother due to complications related to pregnancy, underlying conditions worsened by the pregnancy or management of these conditions. This can occur either while they are pregnant or within six weeks of resolution of the pregnancy. The CDC definition of pregnancy-related deaths extends the period of consideration to include one year from the resolution of the pregnancy. Pregnancy associated death, as defined by the American College of Obstetricians and Gynecologists (ACOG), are all deaths occurring within one year of a pregnancy resolution. Identification of pregnancy associated deaths is important for deciding whether or not the pregnancy was a direct or indirect contributing cause of the death.
Obstetric ultrasonography, or prenatal ultrasound, is the use of medical ultrasonography in pregnancy, in which sound waves are used to create real-time visual images of the developing embryo or fetus in the uterus (womb). The procedure is a standard part of prenatal care in many countries, as it can provide a variety of information about the health of the mother, the timing and progress of the pregnancy, and the health and development of the embryo or fetus.
Prenatal testing consists of prenatal screening and prenatal diagnosis, which are aspects of prenatal care that focus on detecting problems with the pregnancy as early as possible. These may be anatomic and physiologic problems with the health of the zygote, embryo, or fetus, either before gestation even starts or as early in gestation as practicable. Screening can detect problems such as neural tube defects, chromosome abnormalities, and gene mutations that would lead to genetic disorders and birth defects, such as spina bifida, cleft palate, Down syndrome, Tay–Sachs disease, sickle cell anemia, thalassemia, cystic fibrosis, muscular dystrophy, and fragile X syndrome. Some tests are designed to discover problems which primarily affect the health of the mother, such as PAPP-A to detect pre-eclampsia or glucose tolerance tests to diagnose gestational diabetes. Screening can also detect anatomical defects such as hydrocephalus, anencephaly, heart defects, and amniotic band syndrome.
Neural tube defects (NTDs) are a group of birth defects in which an opening in the spine or cranium remains from early in human development. In the third week of pregnancy called gastrulation, specialized cells on the dorsal side of the embryo begin to change shape and form the neural tube. When the neural tube does not close completely, an NTD develops.
Maternal health is the health of women during pregnancy, childbirth, and the postpartum period. In most cases, maternal health encompasses the health care dimensions of family planning, preconception, prenatal, and postnatal care in order to ensure a positive and fulfilling experience. In other cases, maternal health can reduce maternal morbidity and mortality. Maternal health revolves around the health and wellness of pregnant women, particularly when they are pregnant, at the time they give birth, and during child-raising. WHO has indicated that even though motherhood has been considered as a fulfilling natural experience that is emotional to the mother, a high percentage of women develop health problems and sometimes even die. Because of this, there is a need to invest in the health of women. The investment can be achieved in different ways, among the main ones being subsidizing the healthcare cost, education on maternal health, encouraging effective family planning, and ensuring progressive check up on the health of women with children. Maternal morbidity and mortality particularly affects women of color and women living in low and lower-middle income countries.
Maternal–fetal medicine (MFM), also known as perinatology, is a branch of medicine that focuses on managing health concerns of the mother and fetus prior to, during, and shortly after pregnancy.
Tropical diseases, especially malaria and tuberculosis, have long been a public health problem in Kenya. In recent years, infection with the human immunodeficiency virus (HIV), which causes acquired immune deficiency syndrome (AIDS), also has become a severe problem. Estimates of the incidence of infection differ widely.
Vietnam faces a concentrated HIV epidemic.
The Human Rights Measurement Initiative finds that Cameroon is fulfilling 61.0% of what it should be fulfilling for the right to health based on its level of income. When looking at the right to health with respect to children, Cameroon achieves 81.7% of what is expected based on its current income. In regards to the right to health amongst the adult population, the country achieves only 70.5% of what is expected based on the nation's level of income. Cameroon falls into the "very bad" category when evaluating the right to reproductive health because the nation is fulfilling only 30.9% of what the nation is expected to achieve based on the resources (income) it has available.
Prenatal care in the United States is a health care preventive care protocol recommended to women with the goal to provide regular check-ups that allow obstetricians-gynecologists or midwives to detect, treat and prevent potential health problems throughout the course of pregnancy while promoting healthy lifestyles that benefit both mother and child. Patients are encouraged to attend monthly checkups during the first two trimesters and in the third trimester gradually increasing to weekly visits. Women who suspect they are pregnant can schedule pregnancy tests prior to 9 weeks gestation. Once pregnancy is confirmed an initial appointment is scheduled after 8 weeks gestation. Subsequent appointments consist of various tests ranging from blood pressure to glucose levels to check on the health of the mother and fetus. If not, appropriate treatment will then be provided to hinder any further complications.
Maternal health in Angola is a very complicated issue. In the Sub-Saharan region of Africa where Angola is located, poor maternal health has been an ongoing problem contributing to the decreased level of health in the population in the early 21st century.
Obstetric medicine, similar to maternal medicine, is a sub-specialty of general internal medicine and obstetrics that specializes in process of prevention, diagnosing, and treating medical disorders in with pregnant women. It is closely related to the specialty of maternal-fetal medicine, although obstetric medicine does not directly care for the fetus. The practice of obstetric medicine, or previously known as "obstetric intervention," primarily consisted of the extraction of the baby during instances of duress, such as obstructed labor or if the baby was positioned in breech.
Women's reproductive health in Russia refers to the set of physical, mental, and social health issues and services available to women in Russia. It includes the rights, laws, and problems experienced by women and their families regarding proper reproductive health. Women account for over half of the Russian population and are considered a vulnerable population due to political and social problems from inequalities in gender, age, socioeconomic status, and geographical location that affect access to comprehensive health care. As Russia struggles with a decreasing birthrate and increase in STIs, HIV, and poor reproductive health care, the need for government financed services and international programs is essential to successfully reach this vulnerable population. Currently, women in Russia access care through government funded free services, private insurance, and NGO programs.
HIV in pregnancy is the presence of an HIV/AIDS infection in a woman while she is pregnant. There is a risk of HIV transmission from mother to child in three primary situations: pregnancy, childbirth, and while breastfeeding. This topic is important because the risk of viral transmission can be significantly reduced with appropriate medical intervention, and without treatment HIV/AIDS can cause significant illness and death in both the mother and child. This is exemplified by data from The Centers for Disease Control (CDC): In the United States and Puerto Rico between the years of 2014–2017, where prenatal care is generally accessible, there were 10,257 infants in the United States and Puerto Rico who were exposed to a maternal HIV infection in utero who did not become infected and 244 exposed infants who did become infected.
In its early history, Mexico was occupied by a large number of indigenous tribes such as the Mayans and Aztecs. In the 16th century, Spain colonized New Spain and took over the land from the indigenous peoples. Though it is now an independent nation, Mexico retains much of the cultural influence of Spain, including its official religion of Catholicism, the Spanish language, and the importance of machismo - the belief that men are superior to women. Mexico also retains much of the traditional beliefs of the indigenous peoples who first occupied the country. Besides Spanish, there are over one hundred different languages spoken in the country today. As a result, the current medical system involves a mix of traditional and Western medicinal techniques.
Maternal healthcare in Texas refers to the provision of family planning services, abortion options, pregnancy-related services, and physical and mental well-being care for women during the prenatal and postpartum periods. The provision of maternal health services in each state can prevent and reduce the incidence of maternal morbidity and mortality and fetal death.
Maternal mortality refers to the death of a woman during her pregnancy or up to a year after her pregnancy has terminated; this metric only includes causes related to the pregnancy, and does not include accidental causes. Some sources will define maternal mortality as the death of a woman up to 42 days after the pregnancy has ended, instead of one year. In 1986, the CDC began tracking pregnancy-related deaths to gather information and determine what was causing these deaths by creating the Pregnancy-Related Mortality Surveillance System. According to a 2010-2011 report although the United States was spending more on healthcare than any other country in the world, more than two women died during childbirth every day, making maternal mortality in the United States the highest when compared to 49 other countries in the developed world.
Black maternal mortality in the United States refers to the death of women, specifically those who identify as Black or African American, during or after child delivery. In general, maternal death can be due to a myriad of factors, such as how the nature of the pregnancy or the delivery itself, but is not associated with unintentional or secondary causes. In the United States, around 700 women die from pregnancy-related illnesses or complications per year. This number does not include the approximately 50,000 women who experience life-threatening complications during childbirth, resulting in lifelong disabilities and complications. However, there are stark differences in maternal mortality rates for Black American women versus Indigenous American, Alaska Native, and White American women.
