Somsak Suthutvoravut

• Mahidol University

Background: Unwanted pregnancy is a major social and public health problem which most often ends in termination of pregnancy and unsafe abortion which is causing the deaths and disabilities. There is still argument among Thai lawyers about suitability of abortion laws in Thai Criminal code. Objectives: To study knowledge and opinion of the lawyers...

Background: Postpartum hemorrhage (PPH) is a major cause of maternal death and is accounted for 25% of maternal deaths worldwide. Nowadays, administration of uterotonic drugs to stimulate uterine contraction can prevent postpartum hemorrhage. Objective: To compare postpartum blood loss and side effects between use of intravenous carbetocin and int...

The study of spermicidal effects of lemon juice and juices from other natural products consisting of pineapple juice, apple juice and aloe vera juice, was carried out to develop methods of contraception using natural products. Semen was donated by 20 men from infertile couples who came to an infertility clinic at the Department of Obstetrics and Gy...

Colpexin Sphere was effective for advanced pelvic organ prolapse. The aim of this study was to assess the effect of Colpexin Sphere in women with pelvic organ prolapse (POP) stage I or II on pelvic floor muscle strength, quality of life, and POP stage. Women were randomly divided into Colpexin Sphere with pelvic floor muscle exercise group and exer...

To compare the time of colostrum expression and quantity of breast milk between early postpartum women who practiced exclusively breastfeeding and who had combined breast and bottle feeding. Seventy mothers who delivered term normal, singleton infants were voluntarily recruited during immediate postpartum period and allocated into two groups. Study...

To compare the incidence, severity and pregnancy outcomes of pregnancy induced hypertension in twins and singleton gestations. The cohort study enrolled 305 twins and 298 singleton gestations at Department of Obstetrics and Gynaecology, Faculty of Medicine, Ramathibodi Hospital, Mahidol University, Bangkok, Thailand between January 1996 and Decembe...

In conclusion the Norplant implants are highly effective safe and well accepted by Thai women. Older women were more compliant users than younger ones. However careful and complete counseling regarding the effectiveness duration of approved use and adverse effects of Norplant implants is essential for high continuation rates. (excerpt)

Previous studies have shown that sweeping between the membranes and lower uterine segment was an effective procedure for reducing prolonged pregnancy. However, there has been no study to show the effect of lower uterine segment sweeping to the progress of the active phase of labor. This study was to determine the effect of lower uterine segment swe...

To compare the effects of estradiol vaginal tablet with conjugated estrogen cream on urogenital symptoms, vaginal health index, vaginal cytology, endometrial thickness, and plasma estradiol level in postmenopausal women. Fifty-three women with urogenital symptoms were randomized to local vaginal treatment of 25 microg estradiol tablet or 1 g of con...

While trends of cesarean deliveries have stabilized in many developed countries partly due to the successful introduction and use of vaginal birth after cesarean section (VBAC) the level of such deliveries continues to rise rapidly in Thailand from 15% in 1990 to 22% in 1996. Almost all obstetricians in Thailand believe that once a section always a...

Objective: To study the safety and efficacy of single-dose prophylaxis intravenous amoxycillin-clavulanic acid vs. ampicillin given after clamping of the cord in the emergency cesarean section. Methods: We conducted a randomized prospective double-blind study of 340 pregnant women undergoing emergency cesarean section. Each group received unlabeled...

To assess the reliability and application of maternal perception of sound provoked fetal movement for antepartum assessment of fetal well-being. Six hundred singleton high risk pregnant women of at least 32 weeks gestation were studied on 684 occasions. The response was compared with a nonstress test (NST) performed before a 3 second vibroacoustic...

To determine the relationship between maternal perception of sound-provoked fetal movement in the early intrapartum period and perinatal outcome. 739 singleton pregnant women of at least 32 weeks gestation who were admitted to the labor ward, underwent the maternal perception of sound-provoked fetal movement test. All were in the latent phase of la...

To study the incidence of spontaneous abortion and relationship between incidence and maternal age profession, education level and income. Prospective cohort study. Department of Obstetrics and Gynecology, Faculty of Medicine, Ramathibodi Hospital, Mahidol University, Bangkok 10400, Thailand. 999 patients registered at antenatal care unit, Departme...

Catheterization, which is widely accepted as an important factor to urinary tract infection, is routinely done during cesarean section. This randomized study was conducted to compare the incidence of urinary tract infection between patients who underwent cesarean section using intermittent catheterization and indwelling catheterization, at the Depa...

Papanicolaou (Pap) smear test is an established method of cervical cancer screening. However, most women in Thailand are still reluctant to undergo pelvic examination. A prospective study was carried out on the use of self inserted vaginal tampon to collect specimens for Pap test in 126 patients at Ramathibodi Hospital from September to October 199...

In obstetrics, the need to perform manual removal of placenta is not infrequent. This was a retrospective study of placental removal among all vaginal deliveries at Ramathibodi Hospital from 1985 to 1988. The incidence of manual removal of placenta was 2.1 per 100 parturients which was higher than other reports. The reason for this is still unclear...

In this prospective study, comparisons were made between the results of fetal movement count as performed by either the attending staff or by the patients using the non stress test (NST). A total of 283 NSTs were performed in 200 patients who had singleton pregnancy of at least 32 weeks gestation with indications for assessment of fetal well-being....

This was a retrospective case-control study of hydrops fetalis due to Bart hemoglobinopathy at Ramathibodi Hospital between 1978-1987. The incidence was 0.61 per 1,000 deliveries. Hydrops fetalis tend to go into labour prematurely with smaller fetuses and larger placentae. When compared with the control group there were statistically significant di...

In birth certificate data for Massachusetts resident births from 1978 to 1982, 12-27% of births purportedly under 31 weeks of gestation were probably misclassified, i.e. had birthweight greater than or equal to 2500 g. Correcting for maldistribution of births removed 34% and 23%, respectively, of black and white births with reported gestational age...

A retrospective study of 9300 deliveries occurring at Bangkok's Ramathibodi Hospital in 1977-79 was undertaken to identify the maternal factors associated with low birthweight. 65 of the deliveries resulted in twins. Overall, there were 641 (6.9% incidence) low birthweight (under 2500 grams) deliveries. The incidence of low birthweight was above th...

A retrospective study of midtrimester abortions using the intraamniotic instillation of hypertonic saline solution was conducted. All 62 cases admitted to the Ramathibodi Hospital in Bangkok, Thailand for midtrimester abortion in 1980 were terminated by intraamniotic hypertonic saline instillation. The pregnancies were unwanted in 32 (51.6%) of the...