Article Sidebar
Views PDF: 139
SURVEY ON THE SITUATION OF PREGNANCY WOMEN WITH CHRONIC DISEASES AT THE DELIVERY DEPARTMENT OF THE NATIONAL HOSPITAL OF OBSTETRICS AND GYNECOLOGY IN THE FIRST SIX MONTHS OF 2022
Main Article Content
Abstract
Objective: To identify common chronic diseases, obstetrics management strategies, maternal and neonatal outcomes among pregnant women admitted to Department of Delivery at the National Hospital of Obstetrics and Gynecology (NHOG). Subject and methods: We conducted a cross-sectional study on 125 pregnant women with chronic diseases who were admitted to Department of Delivery (NHOG) from January to June 2022. Results and discussion: During the first 6 months of 2022, there were 125 pregnant women with chronic diseases at the Department of Delivery, in which the disease accounted for the highest rate was chronic hypertension accounting for 31.2%, The second highest rate was diabetes mellitus (DM) with insulin treatment with 30.4%, the third was with unexplained thrombocytopenia, accounting for 14.4%. The results of obstetric management have a total of 70.4% of women with chronic diseases having cesarean section, only 29.6% of women having vaginal delivery. In the study, no women had any complications during and after giving birth. There was 1 case of infants weighing 4500g above gestational age in women with diabetes, 3 full-term infants with gestational weight < 2500g (2 of mothers with hypertension and 1 child with mothers with diabetes). 1 case of stillbirth in the mother's womb in a woman with uncontrolled chronic hypertension, with 4 children requiring special care because of premature birth.
Article Details
Keywords
chronic diseases, pregnant women, infants
References
2. Hayes DK, Fan AZ, Smith RA, Bombard JM. Trends in selected chronic conditions and behavioral risk factors among women of reproductive age, behavioral risk factor surveillance system, 2001–2009. Prev Chronic Dis 2011; 8:A120.
3. Chappell LC, Enye S, Seed P, et al. Adverse perinatal outcomes and risk factors for preeclampsia in women with chronic hypertension: A prospective study. Hypertension 2008;51: 1002–1009.
4. The American College of Obstetrians and Gynecologists, Task Force on Hypertension in Pregnancy. Washington, 2013.
5. C.Vayssie`re a,b, *, L. Sentilhes c, A.Ego d,e,f , C.Bernard g, D.Cambourieu h, C. Flamanti,G. Gascoin j, A.Gaudineau k, G.Grange´l, V.Houfflin-Debargem, B.Langerk, V.Mala n, P.Marcorelleso, J.Nizardp, F.Perrotinq, L. Salomonr, M.-V.Senats, A.Serryg, V.Tessiers, P.Truffertt, V.Tsatsarisl, C.Arnaud b, B.Carbonne: Fetal growth restriction and intra-uterine growth restriction: guidelines for clinical practice from the French College of Gynaecologists and Obstetricians. European Journal of Obstetrics & Gynecology and Reproductive Biology. 103 (2015) 10 – 18.
6. SF Wong, FY Chan, R8 Cincotta, JJ Oats and HD McIntyre. Sonographic estimation of fetal weight in rnacrosornic fetuses: diabeticversus non-diabetic pregnancies Ausr S Z J Obsrei Gynnecol mi:41: 4: .129
7. Bộ Y Tế vụ sức khỏe bà mẹ trẻ em, “Hướng dẫn quốc gia dự phòng và kiểm soát đái tháo đường thai kỳ”, ed,2018.
8. American College of Obstetrians and Gynecologists’ Committee on Practice Bulletins - Obstetrics. ACOG Practice Bulletin No. 203: Chronic Hypertension in Pregnancy. Obstet Gynecol 2019 Jan;133.
9. Kate Bramham, Bethany Parnell, Catherine Nelson-Piercy, Paul T, Lucilla Poston, Lucy C. Chronic hypertension and pregnancy outcomes: systematic review and meta-analysis. BMJ 2014.
10. Trương Thị Quỳnh Hoa, Huỳnh Nguyễn Khánh Trang. Tỷ lệ đái tháo đường thai kỳ và các yếu tố liên quan tại bệnh viện Đa khoa tỉnh Bình Định. Y Học thành phố Hồ Chí Minh, 2017;vol.21.