NHẬN XÉT CHỈ ĐỊNH VÀ KẾT QUẢ MỔ LẤY THAI CON SO TẠI BỆNH VIỆN PHỤ SẢN HÀ NỘI NĂM 2021

Abstract

Objective: Review the indications and results of cesarean section for nulliparous pregnancies at Ha Noi Obstetrics and Gynecology Hospital in 2021. Materials and Methods: The descriptive study was conducted on 510 pregnancies who delivered ≥ 28 weeks gestational age at Hanoi Obstetrics and Gynecology Hospital from January 1, 2021, to December 31, 2021. Results: The rate of cesarean section for first-born babies’ accounts for 32.2% of the total number of cesarean sections in 2021. Indications for cesarean section: due to genital tract (15.9%), due to fetus (63.3%), due to fetal appendages (23.7%) , social causes (22.2%), due to maternal illness (9.2%). In the cesarean section group, the causes were due to fetal reasons: surgery for fetal distress accounted for 25.2%, fetal macrosomia accounted for 18.4%, and breech presentation accounted for 5.9%. Apgar of newborns: 1st minute Apgar >7 (98.5%), 5th minute Apgar >7 (99.4%). Postoperative complications: uterine atony and surgical wound infection. Conclusions: The cesarean section rate for first-born babies’ accounts for 1/3 of the total cesarean sections at Hanoi Obstetrics Hospital. The leading cause of cesarean section is the fetus. The rate of complications after cesarean section is low, the most common complication is uterine atony.