ĐẶC ĐIỂM LÂM SÀNG, CẬN LÂM SÀNG VÀ CÁC PHƯƠNG PHÁP XỬ TRÍ ỐI VỠ NON CÓ TUỔI THAI TỪ 28 TUẦN TRỞ LÊN TẠI BỆNH VIỆN PHỤ SẢN THÁI BÌNH NĂM 2024

Abstract

Objective: To describe the clinical and paraclinical characteristics and evaluate management outcomes of preterm premature rupture of membranes at gestational age ≥ 28 weeks at Thai Binh Obstetrics and Gynecology Hospital. Subjects and Methods: A cross-sectional descriptive study was conducted on 119 pregnant women diagnosed with PPROM from January to June 2024. Data were collected from medical records and analyzed using SPSS 27.0. Results: The mean maternal age was 28.3 ± 0.5 years; the 25–29 age group accounted for 39.5%. History of cesarean section was 16.8%, and abortion was 47.9%. The mean gestational age at admission was 37.6 ± 0.2 weeks, with the ≥ 37 week group comprising 66.4%. Cephalic presentation was seen in 92.4%; vaginal fluid leakage in 98.3%; uterine contractions in 6.7%; leukocytosis ≥ 15 G/L in 22.7%. Management strategies upon admission by gestational age included: expectant management 6.7%, spontaneous labor 8.4%, induction of labor 50.4% (highest proportion), and immediate cesarean section 34.5%. The overall rates of vaginal delivery and cesarean section were 38.7% and 61.3%, respectively. Among term neonates, 5.1% had an Apgar score < 8 at the first minute. Preterm neonates accounted for 33.6%, respiratory distress 0.8%, and neonatal infection 1.7%. Conclusion: The mean gestational age at admission was 37.6 ± 0.2 weeks. Cephalic presentation was predominant (92.4%), vaginal fluid leakage occurred in 98.3%, uterine contractions in 6.7%, and leukocytosis ≥ 15 G/L in 22.7%. Regarding management outcomes, cesarean section was performed in 61.3% and vaginal delivery in 38.7%. Preterm birth rate was 33.6%; neonatal respiratory distress 0.8%; neonatal infection 1.7%.