PHÂN TÍCH MỘT SỐ YẾU TỐ LIÊN QUAN ĐẾN CHỈ SỐ LIỀN CƠ TỬ CUNG SAU PHẪU THUẬT LẤY THAI TẠI BỆNH VIỆN PHỤ SẢN HÀ NỘI

Abstract

Objective: Analyze a number of factors related to the uterine muscle healing index after the first cesarean section at Hanoi Obstetrics and Gynecology Hospital. Subjects - research methods: Cross-sectional, prospective description of 62 pregnant women who underwent 2-layer uterine cerclage during first cesarean section at Hanoi Obstetrics and Gynecology Hospital from October 2021 to October 2023. Results: The average surgery time was 15.82 ± 1.73 minutes. The rate of additional stitching to stop uterine bleeding is 27.4%. The average uterine muscle healing index at 6 weeks after surgery was 84± 8% and at 3 months after surgery was 78 ±  8.1%. The average cesarean section scar thickness at 6 weeks after surgery was 11.1±1.784 mm and at 3 months after surgery was 7.8± 1.652 mm. The rate of cesarean section scar defects is 3.23%. The uterine muscle healing index has differences in groups of patients with different uterine positions (anterior, intermediate or posterior reclining), however, the uterine muscle healing index has no difference related to the index. BMI, age of pregnant woman, time of surgery before or during labor as well as number of pregnancies. Conclusion: uterine muscle healing index is related to uterine position but not related to other factors such as: BMI, pregnant woman's age, time of surgery before or during labor as well as number of pregnancies...