ĐẶC ĐIỂM LÂM SÀNG, CẬN LÂM SÀNG VÀ NHỮNG YẾU TỐ LIÊN QUAN CỦA TIỀN SẢN GIẬT Ở CÁC THAI PHỤ TẠI BỆNH VIỆN PHỤ SẢN HÀ NỘI NĂM 2024

Abstract

Objective: This study aims to investigate the clinical and para-clinical characteristics and some related factors of preeclampsia (PE) at Hanoi Obstetrics and Gynecology Hospital in 2024. Subjects and Methods: A retrospective cross-sectional descriptive study was conducted on 84 pregnant women diagnosed with preeclampsia at Hanoi Obstetrics and Gynecology Hospital from January 1, 2024, to December 31, 2024. Results: The average age of the study group was 31.3 ± 5.8 years, with 75% under 35 years old. Among the participants, 47.6% were primigravida. The most common medical history was gestational diabetes, accounting for 25%. At hospital admission, grade 1 hypertension was the most prevalent, observed in 53.6% of cases. The average urinary protein concentration in the severe PE group was 2.0 g/L, significantly higher than the 0.9 g/L in the non-severe PE group. Laboratory findings showed increases in AST, ALT, uric acid, blood creatinine, and urinary protein, along with decreases in serum albumin and platelet count. At the time of pregnancy termination (PT), 76.2% of women belonged to the severe PE group, while 23.8% were in the non-severe group. Among PE cases, severe hypertension was the most common severe symptom. Conclusion: Hypertension is the primary clinical manifestation, with severe hypertension being the most frequent severe sign. The severe PE group had significantly higher urinary protein levels. There is a correlation between maternal age, parity, and medical history with the occurrence of PE.