Background: About 40,000 infertile couples visit Tu Du Hospital, Vietnam for consultation and treatment of infertility per year. Depression in infertile female patients not only influences mental wellbeing, but also affects the effectiveness of infertility treatment. The study aimed to determine the depression prevalence in infertile female patients and associated factors. Methods: A cross-sectional study was conducted during April–July 2016 with 401 infertile women visiting the Department of Infertility at Tu Du Hospital . The PHQ-9 scale was used to measure depressive symptoms. Face-to-face interviewing was conducted using a structured questionaire. Participants were also inquired about demographic characteristics, socio-economic status, infertility related characteristics and family and social relationships. Results: The depression prevalence was 12.2%, with a cut-off score ≥10 on PHQ-9 scale. Depression in infertile female patients was associated with infertility caused by the husband (AOR=3.09, 95% CI=1.44–6.63), infertility caused by both spouses (AOR=3.63, 95% CI=1.26–10.48), alcohol-addicted husband (AOR=4.83, 95% CI=1.32–17.58), and with wife’s previous antidepressant use (AOR=48.1, 95% CI=4.83–47.96) Conclusions: Assessment of depressive symptoms should be assessed at an early stage among infertile female patients for timely mental health support.

Objective: To demonstrate the efficacy of management for cesarean scar ectopic pregnancies up to 8 weeks' gestation using ultrasound-guided Foley balloon catheter placement combined with dilation and curettage (D and C) at TuDu Hospital. Subjects and Methods: A quasi-experimental study was conducted from March 2015 to March 2016. Patients with imaging-confirmed cesarean ectopic pregnancies were admitted to an inpatient unit at Tu Du Hospital. A Foley balloon catheter was placed inside the uterus under ultrasound guidance and was left in place for 24 h. Afterward, the patient underwent ultrasound-guided D and C. Follow-up to confirm success included serial blood draws to measure beta-human chorionic gonadotropin (β-hCG) levels until a value of 0, and routine ultrasounds to confirm absence of a gestational sac and no evidence of vascularity at the site of the cesarean section scar. Results: A total of 311 patients were enrolled over 3 months. Overall, 90.7% (95% confidence interval [CI]: 86.8%–93.9%) patients were successfully treated with this regimen. Several factors that were significantly associated with successful management included gestational age <6 weeks (odds ratio [OR] 3.1, 95% CI: 1.03%–8.76%), β-hCG level <11,000 mUI/mL before discharge from the hospital (OR 6.5, 95% CI: 1.42%–30.6%), gestational sac volume 2 weeks after treatment measuring <5 cm³ (OR 9.1, 95% CI: 1.96%–50.1%). Conclusions: This is an easily applicable method with a short follow-up period and reduction in treatment costs compared to standard treatment with methotrexate injection.

Background: Burnout syndrome has become a great concern worldwide in recent decades. It can also lead to a negative effect on quality of work, life, and sexual dysfunction. This study assesses the prevalence of burnout syndrome and its association with sexual dysfunction among female nurses and midwives at a frontline hospital. Material and Methods: This cross-sectional study was conducted at Tu Du Hospital in Vietnam between February 1, 2023 and March 31, 2023. The study enrolled 485 female nurses and midwives. Among them, 426 women were eligible for the assessment of sexual disorders. This study used the Maslach Burnout Inventory–Human Services Survey toolkit to investigate burnout syndrome and the Female Sexual Function Index (FSFI) to determine sexual dysfunction. Results: Of the 485 respondents, the burnout rate was 27.0%, of which emotional exhaustion (EE), depersonalization, and diminished personal achievement (PA) were found at 13.2%, 6.0%, and 18.4%, respectively. Factors relating to burnout included young age, work duration of less than 10 years, sleep disorders, high workload, insufficient salary, and job dissatisfaction. Among 426 respondents completing the FSFI tool, 12.0% of female health care workers experienced sexual dysfunction, of which decreased sexual desire appeared in 42.0% of participants. EE at work was associated with sexual health issues and almost all sexual dysfunction factors with a weak negative correlation coefficient. Reduced PA was related to general sexual status, anorgasmia, and dyspareunia with a weak positive correlation coefficient. Conclusion: Overall, the prevalence of burnout and sexual disorders were 27.0% and 12.0%, respectively. Importantly, work-related factors were the main factors associated with burnout syndrome. EE and reduced PA were related to sexual disorders. These results underscore the need to assess support for the professional well-being of nurses and midwives. Further national-database studies are required to strengthen these findings.