NHẬN XÉT CHỈ ĐỊNH VÀ KẾT QUẢ CỦA SẢN PHỤ MỔ LẤY THAI LẦN ĐẦU TẠI BỆNH VIỆN QUÂN Y 103 NĂM 2024

Abstract

Objective: Review of indications and results of first cesarean section (C-section) at Military Hospital 103 in 2024. Subjects and methods: A retrospective combined with a prospective cross-sectional descriptive study on 329 women undergoing the first cesarean section from January 1, 2024 to December 31, 2024. Results: The rate of the first cesarean section accounted for 12.4% of the total number of births. Fetal causes accounted for the highest rate (78.1%), mainly fetal distress (28.3%). Maternal causes accounted for 47.9%, with stopped cervical progressing (36.5%) being common. Social factors (10.6%) were mainly related to rare pregnancies/IVF. Regarding results, 75.1% of newborns weighed 2500–3500g, 100% of newborns achieved Apgar score >7 points at the fifth minute. Postoperative complications included bleeding (36.2%), surgical site infection (1.2%) and neonatal asphyxia (10%). The average hospital stay was 4.08 days. Conclusion: The rate of the first cesarean section at the Military Hospital 103 in 2024 was lower compared to specialized obstetric hospitals. Among the indications for cesarean section, fetal-related causes were the most common, followed by maternal indications and those related to fetal appendages. Regarding postoperative outcomes, 100% of mothers and newborns were stable and in good health at the time of hospital discharge.