PHƯƠNG PHÁP XỬ TRÍ SẢN KHOA Ở NHỮNG SẢN PHỤ ĐẺ NON TẠI BỆNH VIỆN PHỤ SẢN TRUNG ƯƠNG NĂM 2022-2023

Abstract

Objective: To study methods and results of

obstetric management in preterm pregnant women at the National Hospital of Obstetrics and Gynecology in 2022-2023. Research Methods: A cross-sectional descriptive study. Results: The majority of pregnant women delivered prematurely at 28-34 weeks (65.1%). Mainly, pregnant women were managed by cesarean section in the gestational age group 28-34 weeks (61.5%), ≥35 weeks (75.0%), gestational age group 27 weeks mostly managed by cesarean section. vaginal delivery (85.7%). The difference between the treatments for preterm birth by age groups is statistically significant (p<0.05). Caesarean section is more manageable for women who deliver prematurely in case of abnormal fetal position (78.1%). Most Apgar scores were ≥7 at the 1st minute (91.5%) and at the 5th minute (92.8%). The difference between Apgar score at 1st minute and 5th minute with caesarean section is statistically significant (p<0.05). Common complications in premature infants were respiratory failure (70.7%), neonatal infections (31.6%), jaundice

(12.7%), necrotizing enterocolitis (7.2). %) and postpartum asphyxia (3.6%) and these complications were more common in the vaginal delivery group. Conclusion: Caesarean section is the preferred method of management for women who deliver prematurely mainly due to abnormal fetal position. Apgar score at 1st minute, 5th minute is mostly ≥7. Common complications include respiratory failure, neonatal sepsis, jaundice, necrotizing enterocolitis, and postpartum asphyxia.