BACKGROUND: There is increasing evidence of an elevated sex ratio at birth (SRB) in many Asian countries, including Vietnam, and that this prenatal gender inequity is related to sex-selective abortion. However, few studies have investigated the relation between the sex of offspring and delivery care utilization. OBJECTIVE: The aim of the present study was to relate sex of newborns to place and mode of delivery in a province in northern Vietnam. METHODS: A population-based surveillance system within the Neonatal Health-Knowledge Into Practice (NeoKIP) project (ISRCTN44599712) recorded all births within eight districts of Quang Ninh province in northern Vietnam from July 2008 to June 2011. RESULTS: In total, there were 22,377 live births within the study area. SRB was 108 boys per 100 girls. There was a large difference in SRB depending on place of delivery, with 94 boys per 100 girls being delivered at home, whereas 113 boys per 100 girls were delivered at a district-level hospital. Cesarean section (CS) rate was 17%, and within the CS group, the SRB was 135:100. CONCLUSIONS: We demonstrated an elevated SRB, especially at district hospital level, and that sex of offspring influenced place and mode of delivery. Although mothers to boys were more likely to receive more qualified delivery care, they were at the same time more likely to undergo unnecessary surgery. Correct information to women and family members about CS and stricter implementation of the medical indications for CS are urgently called for.
BACKGROUND: There is increasing evidence of an elevated sex ratio at birth (SRB) in many Asian countries, including Vietnam, and that this prenatal gender inequity is related to sex-selective abortion. However, few studies have investigated the relation between the sex of offspring and delivery care utilization. OBJECTIVE: The aim of the present study was to relate sex of newborns to place and mode of delivery in a province in northern Vietnam. METHODS: A population-based surveillance system within the Neonatal Health-Knowledge Into Practice (NeoKIP) project (ISRCTN44599712) recorded all births within eight districts of Quang Ninh province in northern Vietnam from July 2008 to June 2011. RESULTS: In total, there were 22,377 live births within the study area. SRB was 108 boys per 100 girls. There was a large difference in SRB depending on place of delivery, with 94 boys per 100 girls being delivered at home, whereas 113 boys per 100 girls were delivered at a district-level hospital. Cesarean section (CS) rate was 17%, and within the CS group, the SRB was 135:100. CONCLUSIONS: We demonstrated an elevated SRB, especially at district hospital level, and that sex of offspring influenced place and mode of delivery. Although mothers to boys were more likely to receive more qualified delivery care, they were at the same time more likely to undergo unnecessary surgery. Correct information to women and family members about CS and stricter implementation of the medical indications for CS are urgently called for.
Authors: Mizuki Takegata; Carine Ronsmans; Hien Anh T Nguyen; Noriko Kitamura; Chihiro Iwasaki; Michiko Toizumi; Hiroyuki Moriuchi; Duc Anh Dang; Lay-Myint Yoshida Journal: Trop Med Health Date: 2020-07-10
Authors: Kristina Edvardsson; Sophie Graner; Lan Pham Thi; Annika Åhman; Rhonda Small; Ann Lalos; Ingrid Mogren Journal: Glob Health Action Date: 2015-10-29 Impact factor: 2.640
Authors: Hoang Thi Nam Giang; Do Thi Thuy Duy; Le Tho Minh Hieu; Nguyen Lam Vuong; Nguyen Thi Tu Ngoc; Mai Thi Phuong; Nguyen Tien Huy Journal: PLoS One Date: 2022-08-29 Impact factor: 3.752
Authors: Doan Thi Thuy Duong; Colin Binns; Andy Lee; Yun Zhao; Ngoc Minh Pham; Dinh Thi Phuong Hoa; Bui Thi Thu Ha Journal: Int J Environ Res Public Health Date: 2022-01-13 Impact factor: 3.390