NGHIÊN CỨU TÌNH HÌNH MỔ LẤY THAI Ở SẢN PHỤ MANG THAI CON SO TẠI BỆNH VIỆN ĐA KHOA TỈNH GIA LAI NĂM 2023

Abstract

Objective: To survey the causes and results of cesarean section in pregnant women with first children at Gia Lai Provincial General Hospital. Research methods: The study used a descriptive design, using retrospective data on 146 pregnant women who had cesarean section upon delivery at Gia Lai Provincial General Hospital from January 1, 2023 to January 31. December 2023. Results: The proportion of boys was 54.8% and the proportion of girls was 45.2%. The majority of cases where the fetus is present are vertex presentation, accounting for 90.4%. The rate of breech presentation is 9.6%. The majority of cases have a gestational age of 37 - 41 weeks, accounting for 57.5%. There are 4.8% of cases with gestational age between 32 - 36 weeks. The rate of premature babies born between 28 and under 32 weeks is 3.4%. The rate of premature births under 28 weeks is 2.7%. The main cause is the fetus, accounting for fetal failure in 68.49% of cases and fetal appendages in 26.71%. The majority of cesarean sections (60.27%) have more than 1 cause. The majority of cases have a birth weight between 2500g and less than 3500g, accounting for 76.7%. There are 9.6% of newborns weighing less than 2500g and 13.7% of babies weighing 3500g or more. There were 1.4% of cases of asphyxia (Apgar ≤ 3 points) at the first minute after birth. At the 5th minute Apgar, all cases were not asphyxiated (> 3 points), accounting for 100%. There were no cases of complications. Conclusion: The common cause leading to cesarean section is fetal distress. In 1.4% of cases of cesarean section, the baby was asphyxiated (Apgar ≤ 3 points) in the first minute and after 5 minutes there were no more cases of asphyxiation.