KẾT QUẢ SẢN KHOA XỬ TRÍ TIỀN SẢN GIẬT TẠI BỆNH VIỆN PHỤ SẢN HÀ NỘI NĂM 2024

Abstract

Objective: To evaluate obstetric outcomes in pregnant women with pre-eclampsia (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 PE at Hanoi Obstetrics and Gynecology Hospital from January 1, 2024, to December 31, 2024. Results: Among the 84 cases, 76.2% were diagnosed with severe PE, while 23.8% had non-severe PE. The majority of patients underwent cesarean section, accounting for 97.6%. ICU admission occurred in 9.5% of cases. The average gestational age at termination of pregnancy (TOP) was lower in the severe PE group compared to the non-severe group (32.2 ± 3 weeks vs. 35.7 ± 1.9 weeks). At 1 minute after birth, 40.6% of newborns in the severe PE group had an APGAR score < 7, compared to only 5% in the non-severe group. At 5 minutes, there was no significant difference between the groups, with most newborns scoring > 7. Newborns in the severe PE group had lower birth weights, both in average weight and in the proportion of low birth weight infants. Among adverse neonatal outcomes, the most common was birth weight < 2000g (52 cases), followed by postnatal respiratory support (48 cases). There was only one case of perinatal death and no cases of stillbirth. Conclusion: Cesarean section was the primary method of TOP in PE cases, accounting for 97.6%. Maternal complications included ICU transfer (9.5%), liver dysfunction (3.6%), HELLP syndrome (1.2%), and pulmonary edema (1.2%), with no maternal deaths. Low birth weight (< 2kg) occurred in 61.9% of newborns, respiratory support was required in 57.1%, and perinatal mortality was 1.2%, with no stillbirths. Pregnant women with severe PE tended to have worse obstetric outcomes for both mother and child.