TỈ LỆ MỔ LẤY THAI VÀ MỐI LIÊN QUAN VỚI NGƯỜI ĐỒNG HÀNH CÙNG THAI PHỤ TRONG CHUYỂN DẠ TẠI BỆNH VIỆN HÙNG VƯƠNG

Abstract

Background: The American Association of Obstetricians and Gynecologists (ACOG) recommends a number of measures to reduce the rate of cesarean section, including the model of a person accompanying pregnant women during labor. This study aims to evaluate and compare the cesarean section rate between pregnant women with or without a companion in labor. Objective: Compare the rate of cesarean section between pregnant women with a companion in labor and without a companion in labor and the relationship between companion factors in labor and other pregnancy outcomes. Method: Prospective cohort study on 394 pregnant women giving birth at the service area of ​​the Department of Labor and Delivery of Hung Vuong Hospital (197 pregnant women with a companion and 197 pregnant women without a companion) during the period from December 2023 to January 2024. Results: The cesarean section rate in the group without a companion in labor was 41.6% (95% CI: 34.7 - 48.5) and the cesarean section rate in the group with a companion in labor was 29.4% (95% CI: 23.1 - 35.8). Having a companion reduces the risk of cesarean section by 0.65 times (95% CI: 0.46 - 0.91) and the likelihood of receiving obstetric pain relief increases by 1.51 times (95% CI: 1.01 - 2.26) compared to the group without a companion. Conclusion: The factor of having a companion reduces the risk of cesarean section compared to the group of pregnant women without a companion. It is necessary to strengthen counseling for pregnant women during pregnancy and labor about the impact and benefits of having a companion during labor. Companions also need detailed instructions to clearly understand their roles, responsibilities and what needs to be done to support the pregnant woman during labor.