ĐẶC ĐIỂM LÂM SÀNG Ở NHỮNG BỆNH NHÂN CHẢY MÁU SẢN KHOA NẶNG TẠI BỆNH VIỆN PHỤ SẢN HÀ NỘI

Abstract

Objective:  To describe the clinical characteristics of patients with severe postpartum hemorrhage at Hanoi Obstetrics and Gynecology Hospital. Methods: A prospective and retrospective descriptive study of 34 patients with severe postpartum hemorrhage at Hanoi Obstetrics and Gynecology Hospital (from April 2024 to August 2024). Results: The average age of the mothers was 34. Most patients had previously given birth, with the majority being at least on their third delivery and undergoing cesarean sections (85.5%). The most common causes of severe postpartum hemorrhage were placenta previa and placenta accreta, accounting for the highest percentage (79.4%). The systolic/diastolic blood pressure of the patients with severe postpartum hemorrhage was 90.7/52.6, and most patients had a heart rate exceeding 100 beats per minute. Seven patients (20.6%) exhibited oliguria, while one patient (2.9%) had anuria. The average blood loss in the study group was 2229.4 ml, with the highest blood loss recorded at 6000ml. Conclusion: The study indicates that most mothers with severe postpartum hemorrhage have placenta previa and placenta accreta, along with tachycardia and hypotension. Some mothers experienced oliguria and anuria due to significant blood loss.