NHẬN XÉT VÀ ĐÁNH GIÁ KẾT QUẢ MỔ LẤY THAI LẦN ĐẦU TẠI BỆNH VIỆN BẠCH MAI NĂM 2022

Abstract

Objective:1. Review the clinical characteristics of pregnant women undergoing cesarean section (CS) for the first time at Bach Mai hospital in 2022. 2. Evaluate the results of CS of them. Material and methods: Retrospective, cross-sectional descriptive study on medical records of nulliparous or multiparous pregnant women who given a for the first time at the Department of Obstetrics and Gynecology, Bach Mai Hospital in 2022. Results: There were 1299/3220 cases of the first CS at Bach Mai hospital in 2022, accounting for 39,13%. The most common reason  for  CS  were from fetal (73.6%), follow by maternal disease (36.8%). Spinal anesthesia  was  the  main  anesthesia  method (90.3%). The majority of cases of abdominal wall opening are transverse incision (91.8%). The group of newborns weighing 2500-3500 grams accounts for the largest proportion (69.6%). Apgar index mainly > 7 points: 1 minute (87.5%), 5 minutes (96%). Rates of intraoperative  and  postoperative  complications  accounted for 6.1. The majority of pregnant women only used one type of antibiotic after surgery (73.9%). The average treatment time after surgery is 5.53 ± 1.51 days.  Conclusion: The rate of the first CS at Bach Mai hospital due to maternal pathology is higher than other good obstetric facilities. The results of the first CS had a statistically significant difference between the group of women with pathology and the group without pathology.