BIẾN CHỨNG CỦA MỔ LẤY THAI CHỦ ĐỘNG TẠI BỆNH VIỆN PHỤ SẢN TRUNG ƯƠNG: ĐÁNH GIÁ TRONG VÀ SAU PHẪU THUẬT

Abstract

Objectives: To determine the rate of complications during and after elective cesarean section at National Hospital of Obstetrics and Gynecology. Subjects and methods: A cross-sectional descriptive study was conducted on 1,128 women undergoing elective cesarean section at National Hospital of Obstetrics and Gynecology from August 2023 to August 2024. Results: The rate of maternal complications during surgery was 2.13%, including bleeding (1.68%), bladder injury (0.36%) and bowel injury (0.09%). Postoperatively, the complication rate was 1.17%, mainly wound hematoma (0.36%), wound infection (0.27%), and wound bleeding (0.6%). The complication rate in newborns was mainly acute respiratory distress syndrome (7.89%), with two cases of humerus fracture (0.18%). The rate of respiratory failure in the group of fetuses under 2,500g was 8.86 times higher than that in the group of fetuses ≥ 2,500g (OR=8.86; 95% CI: 5.50 – 14.25). Conclusions: Elective cesarean section at National Hospital of Obstetrics and Gynecology has a significant complication rate, especially for mothers and newborns with a birth weight under 2,500g. Improving the indications and post-operative care can reduce complications and improve the quality of care for mothers and children.