Nov 17, 2011

Vietnam - Young Vietnamese women don’t want to have baby


VietNamNet Bridge – Instead of doctors’ warning of low child-bearing ability after 35 years old, many women dilly-dally to have children.



Ho Thi Ha, 33, in HCM City, has got married for seven years but she did not want to have a baby until recently, after her parents-in-law pressed the couple to have a child.

Ha and her husband went to the Tu Du Obstetrics Hospital for pre-exams. However, doctors said that Ha’s oocyte volume has reduced and her eggs ovulate abnormally. Ha’s ability to bear a child is very low, only several percentage.

Ha’s case is not rare. The number of women who face childbearing problems due to high age is on the rise at Tu Du Hospital. “Most of them are over 35,” said doctor Ngo Thi Yen, chief of the hospital’s Sexual Consulting Division.

The Ngoc Lan obstetric clinic in District 1, HCM City provides consulting service to 50-100 women a day. Most of them are over 35 years old who face problems in having child.

Meanwhile, the Obstetrics Ward of the HCM City Medical University Hospital receives over 200 childbearing-age women a day, who needs consultancy on contraceptive measures.

Being afraid of having baby seems to become a trend among young couples. Phan Tu Toan, 29, who has got married for four years but Toan and his wife do not want to have a child now. “My friends and my relatives say that perhaps I’m infertile but I don’t care,” Toan said.

“We have to get a master diploma. Moreover, we do not have a house yet so we don’t dare to have a child now,” he added.

Hoang Thi Thanh, 24, from Phu Nhuan district, HCM City, said: “Doctors told me that I’m in the childbearing age and I should not delay delivering a child, because it will be very difficult for having a baby when I get older. But I and my husband have decided to not have a child right now. We are not hurried. If necessary, we can perform artificial insemination,” Thanh said.

Doctor Vuong Thi Ngoc Lan, from the HCM City Medical University Hospital, said that there are various reasons for young couples to delay having a child, such as economic difficulties, trying to get promotion, etc.

High risks

Ho Anh, 43, in My Tho city, Tien Giang province, did not want to have a baby until her family forced her to have a baby to maintain family continuity. The woman went to Tu Du Hospital for consultation. Doctors said that she could not have a baby since her eggs ovulate abnormally and ovule stopped working. She performed in-vitro fertilization but the hope is only ten percent.

Doctor Vuong Ngoc Lan said that the best time for women to have a baby is between 20-24 years old. The childbearing ability reduces gently at the age of 30-32 and sharply falls after that. “At that age, women may lose childbearing ability,” Lan said.

A research work by the HCM City Association for Reproductive Endocrine and Infertility reveals that for women of over 40, pregnant ability falls by 95 percent.

“It is extremely difficult to have a child by in-vitro insemination for women of that age,” said Prof. Nguyen Thi Ngoc Phuong, former director of Tu Du Hospital.

According to doctor Lan, each ovary contains 500,000 ovules. After 30 years old, the ovary will have only 1,000 eggs so the pregnancy is very difficult.

Moreover, miscarriage is also high for women after 35 years old. Research works show that nearly 15 percent of women of less than 35 lose pregnancy. The rate increases to 20 percent for women of 35-37 years old and higher for older women.

Dr. Nguyen Thi Thanh Ha, head of the Obstetrics Ward of Tu Du Hospital, warned of high rate of babies having Down syndrome whose mothers are over 30. For mothers of 25 years old, the rate is only 1/1,250 babies with Down syndrome; 1/952 for mothers of 30 years old; 1/378 for mothers of over 35; 1/106 for mothers of over 40 and 1/30 for mothers of over 45.

Vietnam’s population getting older

It is forecast that by 2020, 18 percent of Vietnam’s population will be old people. According to the General Statistics Office, Vietnam will enter the period of “aging population” after 2017 and it will enter the “aged population” period in the next two decades.

The National Committee on Elderly People estimates that by 2050, 30 percent of Vietnam’s population will be the elderly. Of the number, 81.2 percent will live in the countryside and 18.8 percent in the urban. Only 16-17 percent of them have pension.

A recent survey on the elderly’s health draws a dim painting of Vietnam’s dependency population, with 95 percent of the elderly committing diseases, around 55 percent suffering from chronic diseases and only 5.7 percent being healthy.

The number of families with several generations is reducing, while the number of families with two old people or old singles is on the rise.

Le Nga



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