KẾT QUẢ ĐIỀU TRỊ NỘI KHOA CỦA THAI PHỤ TIỀN SẢN GIẬT TẠI BỆNH VIỆN PHỤ SẢN HÀ NỘI

Abstract

Objective: To evaluate the results of expectant management in pre-eclampsia at Ha Noi Obstetrics and Gynecology Hospital in 2022. Materials and method: A retrospective cross-sectional study describing 125 pregnant women diagnosed with pre-eclampsia at Ha Noi Obstetrics and Gynecology Hospital in 2022. Results: There were 96 patients (76.8%) diagnosed with PE. Of these, 76.2% were treated with combination therapy for treatment hypertension (two or more antihypertensive drugs) and 67.2% were treated with Magnesium sulfate to prevent eclampsia. Among those with gestational age under 34 weeks, 62.1% were given antenatal corticosteroids and among those with gestational age under 32 weeks, 60.6% received antenatal Magnesium sulfate as an infant neuroprotectant. The average gestational ages at delivery was 33.0±3.9. Among these, induction of labor was only 4.8%, 7.2% had spontaneous labor and 88.0% had elective caesarean section, maily due to the complications of preeclampsia. The most common indication for termination was due to failure of conservative management (31.9%). Conclusion: Gestational age at the termination of pregnancy improved significantly. Antenatal management and medication treatment will markedly change obstetric outcomes. It is prudent to manage maternal and fetal condition due to complicated progress and dangerous complications.