THỰC TRẠNG THAI NGOÀI TỬ CUNG TẠI BỆNH VIỆN SẢN NHI TỈNH CÀ MAU GIAI ĐOẠN NĂM 2023-2024

Abstract

Background: Ectopic pregnancy (EP) is a dangerous condition with an increasing rate, causing many complications for women. Ruptured EP, especially when admitted late, leads to significant blood loss and life-threatening situations. Early diagnosis and timely treatment are very important. Objectives: To determine the rate of ruptured ectopic pregnancy and related factors at Ca Mau Obstetrics and Pediatrics Hospital during 2023-2024. Subjects and methods: A cross-sectional descriptive study was conducted on 530 EP patients at Ca Mau Obstetrics and Pediatrics Hospital from 2023-01 to 2024-12. Data on epidemiology, obstetric and gynecological history, and classical symptoms were collected and analyzed using Stata 18.0 statistical software. Results: The rate of ruptured EP was 37.74%. After logistic regression analysis, factors such as patients in rural areas, pelvic inflammatory disease, history of abortion, and cesarean section were associated with an increased risk of ruptured EP with adjusted ORs of 2.18, 2.16, 2.29, and 1.68, respectively. Conversely, regular gynecological examination, regular menstruation, and the presence of classical symptoms reduced the risk of ruptured EP with adjusted ORs of 0.59, 0.55, and 0.66, respectively; p <0.05 for all. Conclusion: The rate of ruptured EP is still high. Risk factors that need to be controlled include women in rural areas, those with a history of obstetric and gynecological risks such as pelvic inflammatory disease, abortion, cesarean section, irregular menstruation, etc., to minimize complications.