THE CURREN SITUATION OF CESAREAN SECTION FOR NULLIPAROUS PREGNANCIES AT THE NATIONAL HOSPITAL OF TROPICAL DISEASES IN 2023

Nguyen Thi Thu Ha1,, Pham Quang Vu1, Hoang Thị Khanh Phuong1, Nguyen Thi Hang1, Ngo Van Lang2, Nguyen Phuong Lan3, Phi Thi Hoang Lien4
1 National Hospital of Tropical Diseases
2 Phenikaa University
3 Vinmec International Hospital (Times City, Hanoi)
4 Smile Kids Vaccination Center

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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.

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Tài liệu tham khảo

1. Martin JA, et al.(2005). "Preliminary births for 2004: infant and maternal health", Health E-stats. Hyattsville, MD: National Center for Health Statistics. Released November. 15(2005).
2. Do Quang Mai (2007). A study on the situation of cesarean sections in nulliparous women at the Central Obstetrics and Gynecology Hospital in 1996 and 2006. Hanoi Medical University.
3. Clark SL (1985). Placenta previa accrete and prior cesarean section. Obstet and Gynecol. 66 (89-92).
4. Pham Truong Duyet (1998). History of cesarean section. Hanoi Medical Publishing House.
5. Nguyen Binh An (2020). A study on the indications for cesarean sections in nulliparous women at the Hospital of Post and Telecommunications. Master's thesis, Hanoi Medical University.
6. Vu Manh Cuong (2016). A study on the indications and complications of cesarean sections in nulliparous women at Thai Binh Obstetrics and
Gynecology Hospital. Hanoi Medical University.
7. Do Thi Nhu Quynh (2021). A study on the indications for cesarean sections in nulliparous women at Hanoi Obstetrics and Gynecology Hospital in 2021. Vietnam National University.
8. Nguyen Xuan Duong (2023). Results of firsttime cesarean sections at Ha Hoa District Medical Center - Phu Tho. Master's thesis, Hanoi Medical University.
9. Nguyen Duy Anh (2016). A study on complications of cesarean sections at Hanoi Obstetrics and Gynecology Hospital in 2007-2008.