Chỉ định mổ lấy thai con so tại Bệnh viện Đại học Y Dược Huế

Abstract

Objectives: To access indications of Cesarean section in nulliparous women at Hue University’s Hospital and to determine some relevant factors to the indications of Cesarean section in nulliparous women.

Materials and Methods: Cross-sectional study in 451 full-term nulliparous women who hospitalized in Hue University Hospital’s Department of Gynecology and Obstrtrics from July 2016 to January 2017

Results: The Cesarean section (CS) rate was 58,8 %. The dominated indications belonged to fetal group. The most indication was feta distress with 38,1 %. 72,5 % nulliparous women underwent an operation with 2 indications. The most combination of the indications belonged to fetal group and maternal group. There was a relationship between the maternal age ≥ 35 years old, living in the countryside, height ≤ 145 cm and the indications of CS (p <0,05). Mean height of women with CS was smaller but mean weight was bigger than the other group, the difference was statically significant (p <0,05). Mean Gestational age of women with CS was higher, the difference was not statically significant (p >0,05). 40 % of women with CS had the period before laboring in “24-48h” group while 41,9 % the other group had this time in “<24h” group. The hospitalized time of women with CS was longer (4,4 ±1,5 days vs 2,5±2,4 days), the difference was statically significant (p <0,05). Mean weight of total neonatals was 3144,6± 379,3 g, the one of CS group was higher, the difference was statically significant (p <0,05). Apgar score of 1 and 5 minutes of 2 group were similar. 1,1 % of total neonatals had a birth defect, 80 % of them were in “ CS group”.

Conclusion: CS in nulliparous women is still high, mainly due to “fetal” causes. It is necessary to follow-up closely during labour to control the CS rate as well as control the complications.