Đặc điểm lâm sàng, cận lâm sàng thai chết lưu tại Bệnh viện Phụ sản Hà Nội=Clinical and laboratory characteristics of stillbirths in Hanoi Obstetrics and Gynecology Hospital

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Tác giả: Tuấn Đạt Đỗ, Văn Đạt Lê, Thị Thu Hà Nguyễn, Thị Huyền Thương Phan, Công Đạt Trần

Ngôn ngữ: vie

Ký hiệu phân loại:

Thông tin xuất bản: Y học cộng đồng, 2024

Mô tả vật lý: tr.146-151

Bộ sưu tập: Metadata

ID: 242632

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Describe the clinical and paraclinical characteristics of stillbirths from 22 weeks or more at Hanoi Obstetrics and Gynecology Hospital. Research subjects and methods: Retrospective review of over 100 pregnant women with stillbirths aged 22 weeks or older using pre-designed research records at Hanoi Obstetrics and Gynecology Hospital from January 1st, 2023 to December, 31st2023. Results: The average age of the study subjects was 29.6 ± 5.5 years old and was most common in the age group 25-29 (40%). 37% of pregnant women were pregnant for the first time, 81% of pregnant women had never had a miscarriage or abortion, 12% of pregnant women had 1 stillbirth and 1% had 2 or more stillbirths. The average age of a stillborn fetus is 30.1 ± 4.9 weeks, the rate of gestational age in the 28-35 week group is 47%. 68% of pregnant women discovered the stillbirth in the uterus when they saw loss of fetal movement, 22% came to the doctor because of abdominal pain, 17% due to vaginal bleeding, 10% discovered it during a routine prenatal check-up. There are 2% of fetuses with polyhydramnios and 6% of fetuses with oligohydramnios
the majority have normal placenta, only 5% have placental edema. The proportion of pregnant women with low hemoglobin levels is 26%. Conclusion: Stillbirth is common in the preterm gestational age group and is often detected due to abdominal pain and loss of fetal movement.Mô tả đặc điểm lâm sàng, cận lâm sàng thai chết lưu từ tuần 22 trở lên tại Bệnh viện Phụ Sản Hà Nội. Đối tượng và phương pháp nghiên cứu: Hồi cứu trên 100 sản phụ thai chết lưu từ 22 tuần tuổi trở lên bằng bệnh án nghiên cứu được thiết kế sẵn tại Bệnh viện Phụ Sản Hà Nội từ ngày 1/1/2023 đến ngày 31/12/2023. Kết quả: Độ tuổi trung bình của sản phụ là 29,6 ± 5,5 tuổi và thường gặp nhất trong lứa tuổi 25-29 (40%). 37% sản phụ có thai lần đầu, 81% thai phụ chưa từng bị sảy thai hoặc nạo hút thai, 12% thai phụ có 1 lần bị thai lưu và 1% bị thai lưu từ 2 lần trở lên. Tuổi thai chết lưu trung bình là 30,1 ± 4,9 tuần tuổi, tỷ lệ tuổi thai ở nhóm 28-35 tuần chiếm 47%. Có 68% thai phụ phát hiện thai chết lưu trong tử cung khi thấy mất cử động thai, 22% đến khám vì lý do đau bụng, 17% là do ra máu âm đạo, 10% phát hiện khi thực hiện khám thai định kỳ. Có 2% thai nhi đa ối và 6% thai nhi thiểu ối
đa số có bánh rau bình thường, chỉ có 5% phù rau thai. Tỷ lệ thai phụ có nồng độ hemoglobin máu thấp chiếm 26%. Kết luận: Thai chết lưu thường gặp ở nhóm tuổi thai non tháng và thường được phát hiện do đau bụng và mất cử động thai.

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