COMMENT ABOUT IN VITRO FERTILIZATION (IVF) PREGNANCIES DELIVERIED AT NATIONAL HOSPITAL OF OBSTETRICS AND GYNECOLOGY IN 2022

Duc Thang Nguyen1,, Trong Dung Mai1, Hoai Son Pham1, Thi Hong Phuong Nguyen1, Lien Phuong Le1, Linh Huyen Le1
1 National Hospital of Obstetrics and Gynecology

Main Article Content

Abstract

Objectives: To determine the rate of in vitro fertilization giving birth at National Hospital of Obstetrics and Gynecology in 2022; Comments on the attitude of handling cases of in vitro fertilization giving birth with preterm labor and the attitude of handling in vitro fertilization at term.
Methods: Cross-sectional description.
Results: The birth rate of in vitro fertilization at the hospital in 2022 was 8.79%. The multiple pregnancy rate of in vitro fertilization accounted for 5.1% of the total number of births and accounted for 58.04% of the total number of multiple pregnancies, the rate of natural twin mothers accounted for 48%. The cases
of twin birth with gestational age over 38 weeks accounted for 26.1%, the remaining 73.9% were preterm twins. The cesarean section rate was 61.5%, normal delivery was 38.3%. Among the cases of vaginal delivery, uterine atony had to transfuse blood accounted for 1.08%; among the pregnant women who had to undergo cesarean section, uterine atony, hemorrhage had to transfuse blood accounted for 0.8%.
Conclusion: The birth rate of in vitro fertilization at National Hospital of Obstetrics and Gynecology in 2022 was 8.79%. The attitude of handling is mainly cesarean delivery when the fetus is full-term or preterm labor at a gestational age that can survive.

Article Details

References

1. Nguyen Minh Nguyet (2008). A study on the rate, methods of handling and outcomes of twin birth at the Central Obstetrics and Gynecology Hospital in two periods of 1996-1997 and 2006-2007. Graduation thesis of Specialist II Doctor. Ha Noi Medical University.
2. Nguyen Quoc Tuan (2004). Comments on the attitude of handling multiple births at National Hospital of Obstetrics and Gynecology in two years 2001-2002. Obstetrics and Gynecology Journal. The 2nd session of the XV Congress of the Vietnam Obstetrics and Gynecology Association, 40-46.
3. Nguyen Thi Hanh (2004). Study on some risk factors of preterm birth in twin pregnancy and management of twin pregnancy during labor at National Hospital of Obstetrics and Gynecology from January 2003 to June 2004. Thesis for specialist doctor II, Hanoi Medical University, 3-49.
4. Nguyen Thi Kieu Oanh (2006). The situation of twin pregnancy at National Hospital of Obstetrics and Gynecology from July 2004 to June 2006. Master thesis in Medicine, Hanoi Medical University, 3-50.
5. Juh AG, Krasznai Z, Davagã P et all (2004). Management oj twin births . Hetil Journal, 145 (49): 2485 - 2489.
6. Dong Y, Luo Z-C, Yang Z-J et al (2016). Is Cesarean Delivery Preferable in Twin Pregnancies at >= 36 Weeks Gestation? PLoS ONE 11(5): e0155692. https://doi.org/10.1371/journal.pone.0155692.
7. Oleszuzuk JJ, Cervantes A, Kiely JL et al (2001). Maternal race/ethnicity and twinning rates in the United States. J Reprod Med ,46 (6),550 - 557.