THE CURREN SITUATION OF CESAREAN SECTION FOR NULLIPAROUS PREGNANCIES AT THE NATIONAL HOSPITAL OF TROPICAL DISEASES IN 2023
Nội dung chính của bài viết
Tóm tắt
Objectives: To review the indications and results of cesarean sections for nulliparous pregnancies at the
National Hospital for Tropical Diseases in 2023.
Subjects and methods: A cross-sectional descriptive study combined with a retrospective review of medical records of pregnancies who delivered at ≥ 28 weeks gestational age at the National Hospital for Tropical Diseases from May 2021 to November 2023.
Results: Research on 200 medical records shows that the rate of cesarean sections for first-born babies accounted for 67% of the total cesarean sections. Indications for cesarean section were due to genital tract issues (13.5%), fetal position (25%), fetal-related reasons (75%), fetal appendages (5.5%), maternal pathology (4%), and social factors (2%). For fetal-related reasons, 52% were due to fetal distress, 32% to macrosomia, and 14.5% to breech presentation. The Apgar index after 1 minute > 7 reached 98.5%, and after 5 minutes > 7 reached 100%. 96.5% of cases had no complications during or after surgery. Complications included bleeding requiring stitches to stop the bleeding (2%) and surgical wound infection (1.5%).
Conclusions: The rate of cesarean sections for nulliparous pregnancies accounted for 67% of the total number of cesarean sections at the National Hospital for Tropical Diseases. The main cause of cesarean sections was fetal-related issues. The rate of postoperative complications was low, primarily consisting of bleeding that required stitches and surgical wound infections.
Chi tiết bài viết
Từ khóa
Caesarean section, nulliparous pregnancies
Tài liệu tham khảo
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