International Journal of Behavioral Medicine

, Volume 16, Issue 3, pp 269–277 | Cite as

The Panorama and Outcomes of Pregnancies Within a Well-Defined Population in Rural Vietnam 1999–2004

  • Sophie GranerEmail author
  • Marie Klingberg-Allvin
  • Ho Dang Phuc
  • Gunilla Krantz
  • Ingrid Mogren



Pregnancy outcomes in the general population are important public health indicators.


The overall aim of this study was to investigate the outcomes of reported pregnancies within a well-defined population, to identify risk groups for adverse pregnancy outcomes, and to suggest preventive measures.


A prospective population-based cohort study of pregnant women in Bavi district, Vietnam between 1 January 1999 and 30 June 2004.


Pregnancy outcome was reported for 5,259 cases; 4,152 (79%) resulted in a live birth, 67 (1.3%) in a stillbirth, 733 (14%) in an induced abortion, and 282 (5.4%) in a spontaneous abortion. There was an increased risk of home delivery for women from ethnic minorities (OR = 1.85; 95%CI = 1.06–3.24) or with less than 6 years of schooling (OR = 7.36; 95%CI = 3.54–15.30). The risk of stillbirth was increased for ethnic minorities (OR = 6.34; 95%CI = 1.33–30.29) and women delivering at home (OR = 6.81; 95%CI = 2.40–19.30). The risk of induced abortion increased with maternal age.


Our findings emphasize the public health significance of access to adequate family planning, counselling, and maternal health care for all women. Policies should specifically target women from high-risk groups.


Pregnancy outcome Cohort Vietnam Demographic surveillance systems Population-based Prospective 



The authors would like to thank all participating women as well as Drs. NT Chuc, A Johansson, and DL Huong for the valuable contributions. The demographic surveillance site is funded by SIDA/SAREC Stockholm. Sophie Graner received a planning grant from SIDA/SAREC 2004.

Competing interests

None declared.


  1. 1.
    Basso O, Olsen J, Christensen K. Risk of preterm delivery, low birthweight and growth retardation following spontaneous abortion: a registry-based study in Denmark. Int J Epidemiol. 1998;27(4):642–6.PubMedCrossRefGoogle Scholar
  2. 2.
    El-Bastawissi AY, Sorensen TK, Akafomo CK, Frederick IO, Xiao R, Williams MA. History of fetal loss and other adverse pregnancy outcomes in relation to subsequent risk of preterm delivery. Matern Child Health J. 2003;7(1):53–8.PubMedCrossRefGoogle Scholar
  3. 3.
    Klier CM, Geller PA, Ritsher JB. Affective disorders in the aftermath of miscarriage: a comprehensive review. Arch Womens Ment Health. 2002;5(4):129–49.PubMedCrossRefGoogle Scholar
  4. 4.
    Ahmed F. Unmarried mothers as a high-risk group for adverse pregnancy outcomes. J Community Health. 1990;15(1):35–44.PubMedCrossRefGoogle Scholar
  5. 5.
    Conde-Agudelo A, Belizan JM, Diaz-Rossello JL. Epidemiology of fetal death in Latin America. Acta Obstet Gynecol Scand. 2000;79(5):371–8.PubMedCrossRefGoogle Scholar
  6. 6.
    Duong DV, Binns CW, Lee AH. Utilization of delivery services at the primary health care level in rural Vietnam. Soc Sci Med. 2004;59(12):2585–95.PubMedCrossRefGoogle Scholar
  7. 7.
    Duong DV, Lee AH, Binns CW. Measuring preferences for delivery services in rural Vietnam. Birth. 2005;32(3):194–202.PubMedCrossRefGoogle Scholar
  8. 8.
    Gibbs RS. The relationship between infections and adverse pregnancy outcomes: an overview. Ann Periodontol. 2001;6(1):153–63.PubMedCrossRefGoogle Scholar
  9. 9.
    Kramer MS. The epidemiology of adverse pregnancy outcomes: an overview. J Nutr. 2003;133(5 Suppl 2):1592S–6S.PubMedGoogle Scholar
  10. 10.
    Kramer MS. Maternal nutrition and adverse pregnancy outcomes: lessons from epidemiology. Nestle Nutr Workshop Ser Pediatr Program. 2005;55:1–10. discussion 11–5.PubMedCrossRefGoogle Scholar
  11. 11.
    Nybo Andersen AM, Wohlfahrt J, Christens P, Olsen J, Melbye M. Maternal age and fetal loss: population based register linkage study. BMJ. 2000;320(7251):1708–12.PubMedCrossRefGoogle Scholar
  12. 12.
    Pasupathy D, Smith GC. The analysis of factors predicting antepartum stillbirth. Minerva Ginecol. 2005;57(4):397–410.PubMedGoogle Scholar
  13. 13.
    Say L, Donner A, Gulmezoglu AM, Taljaard M, Piaggio G. The prevalence of stillbirths: a systematic review. Reprod Health. 2006;3:1.PubMedCrossRefGoogle Scholar
  14. 14.
    Sheiner E, Levy A, Katz M, Mazor M. Pregnancy outcome following recurrent spontaneous abortions. Eur J Obstet Gynecol Reprod Biol. 2005;118(1):61–5.PubMedCrossRefGoogle Scholar
  15. 15.
    Wisborg K, Kesmodel U, Henriksen TB, Hedegaard M, Secher NJ. A prospective study of maternal smoking and spontaneous abortion. Acta Obstet Gynecol Scand. 2003;82(10):936–41.PubMedCrossRefGoogle Scholar
  16. 16.
    Rohland K, Konishi A, Brown D, Lessard G-M. Vietnam country gender assessment. World Bank group; 2006.Google Scholar
  17. 17.
    Le LC, Magnani R, Rice J, Speizer I, Bertrand W. Reassessing the level of unintended pregnancy and its correlates in Vietnam. Stud Fam Plann. 2004;35(1):15–26.PubMedCrossRefGoogle Scholar
  18. 18.
    Nguyen TM, Chongsuvivatwong V, Geater A, Prateepchaikul L. Characteristics of repeat aborters in Vietnam. Southeast Asian J Trop Med Public Health. 2000;31(1):167–72.PubMedGoogle Scholar
  19. 19.
    Hoa HT, Toan NV, Johansson A, Hoa VT, Hojer B, Persson LA. Child spacing and two child policy in practice in rural Vietnam: cross sectional survey. BMJ. 1996;313(7065):1113–6.PubMedGoogle Scholar
  20. 20.
    Johansson A, Hoa HT, Lap NT, Diwan V, Eriksson B. Population policies and reproductive patterns in Vietnam. Lancet. 1996;347(9014):1529–32.PubMedCrossRefGoogle Scholar
  21. 21.
    Le Thi Nham T, Mai Huy B, Johansson A, Hoang Thi H. Women’s experience of family planning in two rural communes in Vietnam. Arrows Change. 1995;1(1):3–4.Google Scholar
  22. 22.
    Henshaw SK, Singh S, Haas T. The incidence of abortion worldwide. Int Fam Plann Perspect. 1999;25(Suppl):S30–8.CrossRefGoogle Scholar
  23. 23.
    WHO. Abortion in Vietnam; An assessment of policy, programme and research issues; 1999.
  24. 24.
    ARROW. Women of the world: laws and policies affecting their reproductive rights. Malaysia: Center for Reproductive Rights, Asian-Pacific Resource and Research Centre for Women; 2005. ISBN:1-890671-29-0.Google Scholar
  25. 25.
    DHS. Demographic and health survey Vietnam 2002; 2003.Google Scholar
  26. 26.
    Khe ND, Toan NV, Xuan LT, Eriksson B, Hojer B, Diwan VK. Primary health concept revisited: where do people seek health care in a rural area of Vietnam? Health Policy. 2002;61(1):95–109.PubMedCrossRefGoogle Scholar
  27. 27.
    Chuc NT, Diwan V. FilaBavi, a demographic surveillance site, an epidemiological field laboratory in Vietnam. Scand J Public Health Suppl. 2003;62:3–7.PubMedCrossRefGoogle Scholar
  28. 28.
    MoH. National standards and guidelines for reproductive services. Vietnam, Hanoi: Ministry of health; 2003.Google Scholar
  29. 29.
    Sou SC, Chen WJ, Hsieh WS, Jeng SF. Severe obstetric complications and birth characteristics in preterm or term delivery were accurately recalled by mothers. J Clin Epidemiol. 2006;59(4):429–35.PubMedCrossRefGoogle Scholar
  30. 30.
    Marston C, Cleland J. Relationships between contraception and abortion: a review of the evidence. Int Fam Plann Perspect. 2003;29(1):6–13.CrossRefGoogle Scholar
  31. 31.
    MoH. Health statistics year book 2000, Hanoi: Ministry of health, health statistics and information division; 2000.Google Scholar
  32. 32.
    MoH. Health statistics year book 2005 Hanoi: Ministry of health, health statistics and information division; 2005.Google Scholar
  33. 33.
    Nguyen TH, Chongsuvivatwong V. Impact of prenatal care on perinatal mortality. Southeast Asian J Trop Med Public Health. 1997;28(1):55–61.PubMedGoogle Scholar
  34. 34.
    Bale B. Safe motherhood; towards safe delivery, case studies from Quang Xuong District. USA: Save the Children; 1999.Google Scholar
  35. 35.
    Huong DL, Minh HV, Byass P. Applying verbal autopsy to determine cause of death in rural Vietnam. Scand J Public Health Suppl. 2003;62:19–25.PubMedCrossRefGoogle Scholar
  36. 36.
    Huy TQ, Long NH, Hoa DP, Byass P, Ericksson B. Validity and completeness of death reporting and registration in a rural district of Vietnam. Scand J Public Health Suppl. 2003;62:12–8.PubMedCrossRefGoogle Scholar

Copyright information

© International Society of Behavioral Medicine 2008

Authors and Affiliations

  • Sophie Graner
    • 1
    Email author
  • Marie Klingberg-Allvin
    • 2
  • Ho Dang Phuc
    • 3
  • Gunilla Krantz
    • 2
    • 4
  • Ingrid Mogren
    • 1
    • 5
  1. 1.Department of Public Health and Clinical Medicine, Epidemiology and Public Health SciencesUmeå UniversityUmeåSweden
  2. 2.Department of Public Health Sciences, Division of International Health CareKarolinska InstitutetStockholmSweden
  3. 3.Department of Probability and Mathematical StatisticsInstitute of MathematicsHanoiVietnam
  4. 4.Department of Community Medicine and Public HealthThe Sahlgrenska Academy at Gothenburg UniversityGothenburgSweden
  5. 5.Department of Clinical Sciences, Obstetrics and GynaecologyUmeå UniversityUmeåSweden

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