ĐẶC ĐIỂM LÂM SÀNG, CẬN LÂM SÀNG CỦA DỌA SẢY THAI TẠI BỆNH VIỆN ĐA KHOA Y HỌC CỔ TRUYỀN HÀ NỘI TỪ 2018 - 2022

Abstract

Background: Threatened miscarriage is a common obstetric condition in Vietnam as well as worldwide, with an increasing incidence. Objective: To investigate the clinical and paraclinical characteristics of threatened miscarriage at Hanoi hospital of traditional medical during the period 2018-2022.

Subjects and Methods: A retrospective descriptive study was conducted on all medical records of pregnant women diagnosed with threatened miscarriage and treated at the Department of Obstetrics and Gynecology, Hanoi hospital of traditional medical from 2018 to 2022.

Results: A total of 108 pregnant women were included in the study. The most common clinical manifestations were vaginal bleeding (97.2%) and lower abdominal pain (93.5%). Other symptoms included poor sleep (57.4%), decreased appetite (51.9%), and nausea and vomiting (51.9%). The mean gestational age at admission was 9.3 ± 0.4 weeks, and at discharge was 11.5 ± 0.4 weeks. Regarding paraclinical findings, 43.5% of patients underwent serum β-hCG measurement. Ultrasonography was performed in 100% of cases, with 41.7% showing subchorionic hematoma.

Conclusion: The most common clinical manifestation of threatened miscarriage was vaginal bleeding (97.2%), followed by lower abdominal pain (93.5%). The mean gestational age at admission was 9.3 ± 0.4 weeks, and the mean gestational age at discharge was 11.5 ± 0.4 weeks. Serum β-hCG levels were measured in 43.5% of pregnant women. All patients underwent obstetric ultrasonography, of whom 41.7% showed subchorionic hematoma