XỬ TRÍ SẢN KHOA Ở SẢN PHỤ MẮC BỆNH TIM NGHIÊN CỨU TỔNG KẾT 3 NĂM

Abstract

The objective of the study was to describe the obstetric management and pregnancy outcomes of pregnant women with heart disease for 3 years (2018-2020) at the National Hospital of Obstetrics and Gynecology (NHOG). The research method is descriptive retrospective. Research results show that in 3 years, 331 women with heart disease with gestational age of 22 weeks or more ended their pregnancy at NHOG. Full term pregnancy accounted for the majority with 91.8%. C-section was the main method of ending pregnancy (88.2%), and normal delivery accounts for 11.8%. Indications for C-section was mainly on the obstetric (43%). C-section alone accounted for 70%, C-section with sterilization accounted for 30%. The most common cardiovascular complication was heart failure (65%), arrhythmia ranked second at 18%, no maternal mortality. In the group of fetuses with adverse outcomes, premature delivery accounted for the highest rate of 8.6%, intrauterine growth retardation accounted for 6.2%, and mortality newborns accounted for 2.6%.