Ministry of Health proposes to increase maternity leave to 7 months

In the draft Population Law submitted to the Government, the Ministry of Health proposed allowing female workers to extend their maternity leave from 6 months to 7 months when giving birth to their second child.

Medical news on March 11: Ministry of Health proposes to increase maternity leave to 7 months

In the draft Population Law submitted to the Government, the Ministry of Health proposed allowing female workers to extend their maternity leave from 6 months to 7 months when giving birth to their second child.

Ministry of Health proposes to increase maternity leave to 7 months

The latest draft of the Population Law proposes groups of policies related to the goal of maintaining replacement fertility; reducing gender imbalance at birth and bringing the sex ratio at birth back to a natural balance; improving population quality...

According to current regulations on maternity leave, female employees who give birth are entitled to 6 months of maternity leave before and after giving birth.

This draft Population Law still intends to give couples and individuals the right to decide on having children, the time of giving birth, the number of children and the interval between births in accordance with the age, health status, learning conditions, labor, work, income and child-rearing of the individual or couple.

The difference is that this draft proposes to allow female workers to extend their maternity leave from 6 months to 7 months when giving birth to their second child.

According to current regulations on maternity leave, female employees who give birth are entitled to 6 months of maternity leave before and after giving birth. In case a female employee gives birth to twins or more, from the second child onwards, the mother is entitled to 1 additional month of leave for each child. The maximum maternity leave before giving birth is 2 months.

According to the Ministry of Health, in the past 3 years, 2022-2024, the birth rate has begun to show signs of rapid decline, in 2024 it will be only 1.91 children/woman, the lowest level recorded in history. The Ministry of Health predicts that Vietnam's birth rate will continue to decline in the coming time.

The consequences of a prolonged low birth rate will lead to a shortage of labor force, a decline in population size, accelerated population aging, and negative impacts on socio-economic development.

Vietnam has entered the process of population aging quite early, with a sharp decline in the birth rate over the past two decades. As of 2023, the birth rate in Vietnam has fallen to below 2 children per woman (replacement rate). Accordingly, each year, the number of children born is not enough to maintain a stable population. Many factors contribute to this decline, including changes in lifestyles, economic development, higher living standards, and changes in population concepts and policies.

One of the biggest impacts of declining fertility rates is the shift in the labor force. As the young population declines, the labor force will become increasingly scarce, especially in the industrial and service sectors, which can lead to labor shortages, affecting labor productivity and the competitiveness of domestic enterprises.

Along with the declining birth rate, the proportion of elderly people in the population is also increasing, creating a worrying long-term impact on the economy. As the population ages, the demand for medical services, health care and social security increases. This creates a heavy burden on the state budget, while increasing the need for investment in medical infrastructure, social insurance and elderly care.

An aging economy can also lead to lower consumption, as older people tend to spend less than working-age groups. This can negatively impact manufacturing, consumer and service sectors, slowing economic growth.

Warning of urea poisoning

Urea poisoning is one of the dangerous complications of end-stage renal failure, which can be life-threatening if not treated promptly. This is a condition in which toxins accumulate in the blood, causing severe symptoms and deeply affecting the patient's quality of life.

Mr. N., 71 years old, living in Lam Dong, has been facing end-stage renal failure for a long time. Recently, he has felt very tired, lost weight rapidly, and had dull and itchy skin. One of the most obvious signs is that he feels nauseous and cannot eat when he sees meat or seafood, a typical symptom of urea poisoning.

According to Dr. Do Thi Hang, who treated the patient, the symptoms Mr. N. experienced were typical of hyperuricemia syndrome. This is a condition in which toxins, especially urea, accumulate in the blood due to severe impairment of the kidney's filtering function.

Urea is a product of protein metabolism in the body, and normally, it is filtered by the kidneys and excreted in urine. However, when the kidneys fail, this function is no longer effective, causing urea and other excess substances to not be excreted, causing symptoms such as fatigue, nausea, shortness of breath and dull skin.

At this time, Mr. N's blood urea concentration had increased to 59 mmol/l, 7 times higher than normal. In addition, the creatinine level (another toxin in the blood) was also more than 10 times higher than normal, indicating a serious decline in kidney function.

In addition to basic symptoms such as bad breath and rotten meat, patients also experience health problems such as physical weakness, fatigue, headaches, and a high risk of serious complications such as liver damage, heart failure, stroke, even cardiac arrest and death.

To minimize the effects of urea poisoning, Dr. Do Thi Hang established a treatment regimen for Mr. N., including dialysis three times a week.

The new generation of kidney dialysis machines with endotoxin filters are used to maximize filtration efficiency, helping to remove toxins and excess substances from the blood without affecting the body's hemodynamics. This blood filtration system also uses ultra-pure water, through the RO water treatment process, to improve blood filtration efficiency.

Thanks to the dialysis treatment, after three treatment sessions, Mr. N. had significant improvements. After the first dialysis session, he no longer felt nauseous when he saw meat, and by the second session, he began to feel hungry and had a good appetite.

After the third session, he no longer felt tired, had difficulty breathing, and was coughing, and his skin condition also became rosy again. Blood tests after three sessions showed that his blood urea index had decreased by nearly four times compared to before, his creatinine level had decreased by half, and his ferritin level (excess iron in the body) had decreased significantly.

Dr. Do Thi Hang recommends that patients with chronic kidney failure need to strictly follow the dialysis schedule and treatment regimen prescribed by their doctor to achieve the best results in controlling their condition. Skipping dialysis sessions or not performing them on time will prevent toxins from being completely removed, leading to an increased risk of disease symptoms.

In addition, patients also need to follow a proper diet and take medication as directed by their doctor to control underlying medical conditions such as high blood pressure, anemia or heart failure.

Hemodialysis (also known as artificial kidney dialysis) is an important alternative treatment for patients with end-stage renal failure. Compared to other methods such as peritoneal dialysis or kidney transplantation, artificial kidney dialysis is more commonly used, but to achieve optimal results, patients need to strictly follow the treatment schedule and procedure.

Urea poisoning is a serious complication of end-stage renal failure, which can severely affect the patient's health and quality of life.

However, with effective treatment such as hemodialysis, patients can improve their health and minimize the symptoms of poisoning. Strict adherence to treatment regimen and proper medical care is very important for patients to live healthier lives.

Kidney failure rejuvenation, what should people pay attention to?

With serious chronic diseases such as kidney failure, hypertension and diabetes, a 21-year-old girl was facing end-stage renal failure. This is a warning about the importance of regular health check-ups to detect diseases early.

Recently, the Central Endocrinology Hospital received a female patient, BQH, 21 years old, who came to the clinic with a state of prolonged fatigue accompanied by symptoms of uncontrollable bleeding from the mouth. Previously, this patient had never had a health check-up, and only when the symptoms became severe did she seek medical attention.

After examination and testing, doctors determined that BQH suffered from a series of dangerous diseases, including end-stage renal failure, high blood pressure, type 2 diabetes, blood clotting disorders and severe anemia - diseases commonly found in the elderly but appearing in a young person like BQH.

Through taking a medical history, doctors learned that over the past 6 months, the patient had lost 20 pounds, often felt tired, dizzy, and had a poor appetite. These were signs that the patient's health had gradually deteriorated without timely intervention.

Laboratory tests showed the severity of the patient's kidney failure. Specifically, the patient's blood urea concentration was 66.9 mmol/L, far exceeding the normal range (2.5-6.4 mmol/L), and the creatinine index was 3449 µmol/L, also much higher than the normal range (53-97 µmol/L). These results reflected end-stage kidney failure, requiring the patient to undergo regular dialysis to maintain life.

In addition, the blood count showed that the patient had a red blood cell count of only 1.67 T/L (much lower than the normal range of 4-5.9 T/L) and a hemoglobin of only 50 g/L (much lower than the normal range of 120-160 g/L). These indicators showed that the patient was severely anemic.

According to Dr. Trinh Quang Doan, Department of Nephrology and Urology, Central Endocrinology Hospital, chronic anemia is a silent progressive condition, causing the body to gradually adapt without obvious symptoms until the condition becomes serious. This is also one of the reasons why patients do not realize the severity of the disease until the symptoms are no longer controllable.

Dr. Doan said that chronic diseases such as diabetes, high blood pressure, kidney failure and anemia can develop silently in the body without causing obvious signs. Therefore, ignoring your health and not performing regular tests can make the disease more difficult to control and more dangerous.

Dr. Trinh Quang Doan emphasized that regular health check-ups are extremely important, especially for those with a medical history or risk factors. Early detection of diseases will help with timely treatment, prevent dangerous complications and improve the patient's quality of life.

Regular health check-ups, even when you feel healthy, are an effective way to detect and prevent dangerous diseases early. According to Dr. Doan, when diseases are detected and treated early, patients will have more opportunities to improve their health and minimize long-term health risks.

The case of BQH is a warning not to ignore one’s health, especially for young people. Diseases such as kidney failure, diabetes and anemia can develop silently and without obvious symptoms, but when the disease becomes severe, it can cause serious consequences. Regular health check-ups are an important step to help detect health problems early and prevent dangerous complications.

Source: https://baodautu.vn/tin-moi-y-te-ngay-113-bo-y-te-de-xuat-tang-thoi-gian-nghi-thai-san-len-7-thang-d252036.html