MỘT SỐ YẾU TỐ LIÊN QUAN ĐẾN CHỈ ĐỊNH PHƯƠNG PHÁP SINH Ở THAI PHỤ ĐỦ THÁNG CÓ VẾT MỔ LẤY THAI CŨ TẠI BỆNH VIỆN SẢN NHI TỈNH HẬU GIANG

Abstract

Objectives: Survey some factors related to birth methods in full-term pregnancy woman with previous C-section. Research subjects and methods: cross-sectional descriptive study on 100 pregnant women with old cesarean section treated at Hau Giang Provincial Obstetrics and Pediatrics Hospital. Results: There are many factors related to the indication of birth method, including: history of previous vaginal birth (p = 0.002; 95% CI), cervical dilatation at the beginning of labor (p < 0.001, 95% CI), amniotic state at the beginning of labor (p < 0.001, 95% CI), old surgical wound pain (p = 0.003; 95% CI). The average hospital stay of pregnant women with old cesarean section is (6,16 ± 0,8 days). Vaginal birth had the shortest time (5 ± 1,4 days), followed by the emergency surgery group (6,05 ± 0,75 days) and the proactive surgery group (6,34 ± 0,71 days). The choice of birth method is related to the number of days in hospital (p=002, 95% CI). Conclusion: There are many factors related to the method of birth, including: history of previous vaginal birth, previous surgical wound pain, amniotic fluid status, and cervical dilatation at the beginning of labor. The method of birth is related to the number of days in the hospital. The vaginal delivery group had a shorter hospital stay and lower treatment costs than the cesarean section group.