NHẬN XÉT XỬ TRÍ SẢN KHOA Ở THAI PHỤ MẮC BỆNH CẦU THẬN BA THÁNG CUỐI THAI KỲ TẠI BỆNH VIỆN BẠCH MAI

Abstract

Objective: Describe the clinical and paraclinical characteristics and comment on obstetric management in pregnant women with glomerular disease in the last 3 months of pregnancy at Bach Mai Hospital. Research subjects and methods: Cross-sectional retrospective descriptive study on 109 pregnant women with glomerular disease in the last 3 months of pregnancy treated obstetrically at the Obstetrics and Gynecology Department of Bach Mai Hospital. Results: The average age of the study subjects was 29.0±5.1 years old. Second pregnancy accounts for the highest rate of 46.8%. Lupus glomerulonephritis accounts for the highest rate of 49.5%. Diabetic patients had 59.6% anemia, 49.5% blood albumin <30g/l, 23.9% proteinuria >3g/l. The average gestational age was 35.4±3.4 weeks. The average fetal weight at birth was 2193,1±828.9g. The rate of intrauterine growth restriction is 34.9%. The rate of newborns with an Apgar index ≥ 7 in the first minute is 79.2%. The rate of cesarean section is 81.7%, of which elective cesarean section is 89.9%. 16.5% of pregnant women have complications during pregnancy and postpartum. Conclusion: Pregnancy and glomerulonephritis is a high-risk pregnancy condition for both mother and fetus, combined monitoring and treatment between nephrologists and obstetricians helps to detect complications early. complications and timely treatment.