NHẬN XÉT VỀ XỬ TRÍ RAU TIỀN ĐẠO TRUNG TÂM RAU CÀI RĂNG LƯỢC TẠI BỆNH VIỆN PHỤ SẢN HÀ NỘI

Abstract

Objectives: Evaluation and treatment of placenta previa and placenta accreta at Hanoi Obstetrics and Gynecology Hospital. Subjects and methods: Retrospective descriptive study of 76 pregnant women diagnosed with placenta previa and cesarean section scars treated at Hanoi Obstetrics and Gynecology Hospital. Results: 76 pregnant women with placenta accreta were diagnosed and treated at Hanoi Obstetrics and Gynecology Hospital. The rate of planned cesarean section is 86.8%, emergency cesarean section is 13.2%; general anesthesia accounts for 98.7%, epidural anesthesia accounts for 1.3%; Horizontal incisions and the low midline incision are 61.8% and 38.2%, respectively; Transverse uterine body incision and longitudinal uterine body incision for cesarean section were 61.8% and 38.2%, respectively; 55.3% of pregnant women had conservative surgery, 43.4% had a partial hysterectomy, and 1.3% had a total hysterectomy; 9.3% of surgical cases had complications, of which bladder, ureteral complications and re-operation were 6.7%, 1.3% and 1.3%, respectively. Conclusions: The rate of planned cesarean section in pregnant women with placenta accreta is high, undergoing general anesthesia, horizontal incision, and horizontal uterine body incision. Placenta accreta surgery tends to conserve the uterus with the most common complication being bladder damage.