MINISTRY OF EDUCATION AND TRAINING MINISTRY OF HEALTH
School of Public Health
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NGUYEN THI THAO
RESEARCH ON SOME RISK FACTORS
AND THE IMPACT OF INFERTILITY DUE TO UTERINE TUBE ON WOMEN IN THANH HOA
DOCTORAL THESIS IN MEDICINE
MINISTRY OF EDUCATION AND TRAINING MINISTRY OF HEALTH
School of Public Health
RESEARCH ON SOME RISK FACTORS
AND THE IMPACT OF INFERTILITY DUE TO UTERINE TUBE ON WOMEN IN THANH HOA
NGUYEN THI THAO
SPECIALTY: PUBLIC HEALTH CODE: 62.72.6.01
DOCTORAL THESIS IN MEDICINE
SCIENTIFIC INSTRUCTOR:
1. Prof. Dr. TRAN THI PHUONG MAI
2. Assoc.Prof.Dr. BUI THI THU HA
COMMITMENT
I hereby declare that this is my own research work. The data and results presented in this thesis are true and have never been published in any other work.
INDEX
LIST OF TABLES AND FIGURES ABBREVIATIONS
PROBLEM STATEMENT 1
Chapter 1. OVERVIEW 3
1.1. DEFINITION OF INFERTILITY 3
1.2. CLASSIFICATION AND CAUSES OF INFERTILITY 3
1.2.1. Primary infertility and secondary infertility 3
1.2.2. Classification of infertility by cause 3
1.2.3. Classification of VS according to prognosis and preventive treatment 4
1.3. INFERTILITY DUE TO THE UTERINE TUBE 5
1.3.1. Anatomical characteristics of the fallopian tubes 5
1.3.2. Pathological lesions in the VTC, frequency and common causes 6
1.3.3. Risk factors that can cause VS due to VTC 7
1.3.4. Methods of diagnosing infertility due to VTC 12 causes
1.3.5. Treatment methods for VS caused by VTC 14
1.4. INFERTILITY CAUSED BY UTERINE TUBE CAUSES AFFECTS ON WOMEN 14
1.4.1. The effects of pressure from individual women 15
1.4.2. The effects of pressure from husband, family, community, society and religion on women 20
1.5. APPROACH USED IN RESEARCH 22
1.5.1. Theoretical framework used in the study 22
1.5.2. Approaches to quantitative research 24
1.5.3. Approaches to qualitative research 25
Chapter 2. RESEARCH OBJECTS AND METHODS 28
2.2. QUANTITATIVE RESEARCH 28
2.2.1. Research design and subjects 28
2.2.2. Research sample size 29
2.2.3. Data collection techniques 30
2.2.4. Research variables 31
2.2.5. Research question 32
2.2.6. Face-validity and pilot study 33
2.2.7. Data entry, processing and analysis 33
2.2.8. Ethical issues in research 33
2.3. QUALITATIVE RESEARCH 34
2.3.1. Research design 34
2.3.2. Sample size and research participants 34
2.3.3. Data collection techniques 35
2.3.4. Collected variables: 36
2.3.5. Data entry and analysis 36
2.3.6. Ethical issues in research 37
Chapter 3. RESEARCH RESULTS 38
3.1. QUANTITATIVE RESEARCH RESULTS 38
3.1.1. Some demographic characteristics of the case-control study subjects 38
3.1.2. Analysis of the relationship between VS caused by VTC and risk factors 39
3.1.3. Multivariate logistic regression analysis to test the association of each risk factor with VS due to VTC 44 causes
3.1.4. Multivariate logistic regression analysis to test the association between risk factors and VS due to VTC 47 causes
3.2. RESULTS OF QUALITATIVE RESEARCH ANALYSIS 48
3.2.1. Some basic characteristics of the research object 48
3.2.2. Impact of pressure felt by individual women 49
3.2.3. Impact of pressure from husband 60
3.2.5. Influence of pressure from social community 62
3.2.5. Influence of pressure from cultural, social factors and religious prejudices 63
Chapter 4. DISCUSSION 65
4.1. DISCUSSION ON SOME RISK FACTORS IN GYNECOLOGICAL HISTORY THAT MAY AFFECT INFERTILITY DUE TO UTERINE TUBE CAUSES 65
4.1.1. Brief discussion of demographic characteristics of research participants 65
4.1.2. Discussion on the relationship between history of IUD placement and risk of VS due to VTC 65
4.1.3. Discussion of the relationship between history of pelvic surgery and risk of VS due to VTC 70
4.1.4. Discuss the relationship between NPT history and VS risk due to VTC .. 72
4.1.5. Discussion on history of genital inflammation and VS due to VTC 76
4.2. ANALYSIS OF THE EFFECTS ON WOMEN WITH INFERTILITY DUE TO UTERINE TUBE CAUSES 83
4.2.1. Discussion on characteristics of research subjects 83
4.2.2. Discuss the impact of pressure from women themselves 84
4.2.3. Discuss the impact of pressure from husbands on women with VS 98
4.2.4. Discuss the influence of family pressure 102
4.2.5. Discuss the influences of community pressure on women 103
4.2.6. Discuss the effects of prejudice from cultural, social and religious factors that put pressure on women 105
CONCLUSION 107
1. Some risk factors in obstetric and gynecological history were closely associated with VS due to VTC in the study of 107
2. Infertility due to fallopian tubes seriously affects the quality of life of women 107
RECOMMENDATION 109
REFERENCES
LIST OF AUTHOR'S WORKS APPENDIX
SUMMARY TABLE OF SOME STUDIES ON THE FREQUENCY OF GENERAL INFERTILITY AND INFERTILITY DUE TO UTERINE TUBE CAUSES
SUMMARY TABLE OF SOME STUDIES ON RISK FACTORS FOR INFERTILITY DUE TO THE UTERINE TUBE
SUMMARY OF SOME STUDIES ON THE IMPACT OF INFERTILITY TOOLS FOR QUALITATIVE RESEARCH
QUESTIONNAIRE FOR QUANTITATIVE RESEARCH
LIST OF TABLES AND FIGURES
Table 3.1: Some demographic characteristics 38
Table 3.2: Correlation between IUD placement and risk of VS due to VTC 39
Table 3.3: Factors related to IUD placement and risk of VS due to VTC 40
Table 3.4: Correlation between pelvic surgery TS and VS due to VTC 40
Table 3.5: Association between NPT history and risk of VS due to VTC ...41 Table 3.6: Association between factors in NPT history and risk of VS due to VTC 42
Table 3.7: Association between VSD history and risk of VS due to VTC 43
Table 3.8: Association between factors in TS VSD and risk of VS due to VTC ...43 Table 3.9. Analysis of the association between TS number of times of IUD insertion and risk of VS due to VTC using multivariate logistic regression model 44
Table 3.10: Testing the association between cesarean section and cesarean section with the risk of VS due to VTC using multivariate logistic regression model 45
Table 3.11. Testing the association between NPT history and VS risk due to VTC using multivariate logistic regression model 45
Table 3.12. Testing the association between TS VSD and the risk of VS due to VTC using multivariate logistic regression model 46
Table 3.13. Multivariate logistic regression analysis of the association between risk factors and VS due to VTC 47 causes
Figure 1.1: Anatomy of VTC 5
Figure 3.1. Comparison of data reporting history of VSD and current presence of VSD 77
Figure 3.2. Comparison of data reporting history of Chlamydia infection and current Chlamydia infection rates 77
Figure 3.3: Assessment of the cause of VTC injury after NS 81 surgery
Figure 1.1. Theoretical framework used in research 23
Figure 2.1: Diagram of selecting subjects to participate in quantitative research 29
Diagram 2.2. Selection of research objects in phase 2 34
Figure 2.3. Selection of subjects for in-depth interviews 35