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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
Article

Abstract

Background

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

Purpose

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.

Method

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

Results

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.

Conclusion

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.

Keywords

Pregnancy outcome Cohort Vietnam Demographic surveillance systems Population-based Prospective 

Notes

Acknowledgements

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.

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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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