DỪNG THAI NGHÉN Ở THAI QUÁ NGÀY DỰ SINH TẠI KHOA ĐẺ BỆNH VIỆN PHỤ SẢN TRUNG ƯƠNG: KẾT QUẢ, NHỮNG YẾU TỐ NGUY CƠ CHO TRẺ SƠ SINH VÀ SẢN PHỤ

Abstract

Objectives: To assess the maternal and perinatal outcomes of pregnancies beyond 40 weeks gestation at Department of Delivery – National Hospital of Obstetrics and Gynecology and to investigate the impact of beyond 40 weeks pregnancies on neonatal outcomes. Patients and methods: Pregnant women beyond 40 weeks gestation underwent induction of labor at Department of Delivery from January 2023 to December 2023 with methods of induction based on fetal condition at admission, including cesarean section (fetal macrosomia, fetal distress), spontaneous labor, induction of labor (oxytocin, modified Foley double balloon catheter, propess). Results: A total of 754 pregnant women beyond 40 weeks gestation underwent induction of labor in 2023, accounted for 4.48% of full-term births at Department of Delivery (754/16.289). Regarding the results of induction of labor, the rate of vaginal delivery was 80.5%, whereas only 19.5% of participants experienced cesarean section. There were one case of birth asphyxia and one case of neonatal resuscitation in our study. However, no conclusion can be drawn about adverse perinatal outcomes and maternal complications after delivery due to insufficient data. Conclusions:  Our study showed that induction of labor in pregnancies beyond 40 weeks gestation resulted in almost completely good obstetric and neonatal. There was  only one case of birth asphyxia but later he was fine.