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No. 65

Authors :

Chanrachakul B, Herabutya Y, Udomsubpayakul U.

Title :

Epidemic of cesarean section at the general, private and university hospitals in Thailand.

Source :

Journal of Obstetrics and Gynaecology Research. 26(5):357-61, 2000(Oct).

Keywords :

Epidemic, Cesarean section, Thailand

Abstract :

OBJECTIVE: To undertake a survey of cesarean section in the general, private and university hospitals in

Thailand. METHODS: Postal questionnaires were sent to all the general, private and university hospitals

with 200 beds or more. The questionnaires were prepared to find out the percentage, the indications and the

trend of cesarean delivery, the measures taken to decrease cesarean section rate, and the practice of

external cephalic version (ECV) and vaginal birth after cesarean section (VBAC) in the hospitals. RESULTS:

The overall response rate was 88%. Mean cesarean section rates were 24, 48, and 22% in the general, private

and university hospitals, respectively. Cesarean section rates in most of the hospitals were increased in the

past 5 years namely 78% in the general hospitals, 50% in the private hospitals, 66% in the university

hospitals. However, only 38% of the hospitals had measures to regulate this operation. Repeated cesarean

section was the most common indication in the private (63%) and the university hospitals (88%) while

failure to progress was the most common indication in the general hospitals (55%). ECV and VBAC were

performed in 26 and 12% of the hospitals. They were, however, not the standard practices. CONCLUSION:

Rising of cesarean section rate without any measure to regulate it is the problem in the developing countries.

Standardised labor management and reduction of unnecessary primary cesarean section will automatically

reduce repeated operation and overall cesarean section.

No. 66

Authors :

Charuwichitratana S, Wattanakrai P, Tanrattanakorn S.

Title :

Randomized double blind placebo-controlled trial in the treatment at alopecia areata with 0.25% desoximetasone

cream.

Source :

Archives of Dermatology. 136(10):1276-7, 2000(Oct).

Keywords :

Double blind placebo, Alopecia areata, Desoximetasone, Cream

No. 67

Authors :

Chittacharoen A, Chaitum A, Suthutvoravut S, Herabutya Y.

Title :

Fetal acoustic stimulation for early intrapartum assessment of fetal well-being.

Source :

International Journal of Gynaecology and Obstetrics. 69(3):275-7, 2000(Jun).

Keywords :

Vibroacoustic stimulation, Labor, Fetal well-being, Maternal perception, Period

No 68

Authors :

Chittacharoen A, Herabutya Y.

Title :

Slow fetal heart rate in first trimester bleeding : a sign of poor pregnancy outcome.

Source :

The Royal Thai College of Obstetrics and Gynaecologist. 2000(Oct).

Keywords :

Fetal heart rate, First trimester bleeding, Pregnancy outcome

Abstract :

Objective : To assess the pregnancy outcome of first trimester bleeding women with slow fetal heart rates.

Methods : Two hundred and forty-four pregnant women who presented with first trimester vaginal bleeding

had transvaginal ultrasound scans obtained before 12 weeks gestation that demonstrated a fetal rate. Gesta-

tional age was calculated from the known date of the beginning of the last menstrual period and was

confirmed by sonographic measurement of the crown-rump length. M-mode sonography was used to calcu-

lated the fetal heart rate as the mean of at least 3 waves in beats/minute. Follow-up information was used to