Nghiên cứu đặc điểm lâm sàng, cận lâm sàng và kết cục thai kỳ ở thai phụ với thai giới hạn tăng trưởng trong tử cung tại Bệnh viện Phụ sản thành phố Cần Thơ năm 2021-2023=The clinical, paraclinical and outcomes of pregnant women with fetal growth restriction at Can Tho obstetric and gynecology hospital in 2021

Nghiên cứu đặc điểm lâm sàng, cận lâm sàng và kết cục thai kỳ ở thai phụ với thai giới hạn tăng trưởng trong tử cung tại Bệnh viện Phụ sản thành phố Cần Thơ năm 2021-2023=The clinical, paraclinical and outcomes of pregnant women with fetal growth restriction at Can Tho obstetric and gynecology hospital in 2021 – 2023

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Tác giả: Thị Thùy Trang Đỗ, Thị Thanh Đào Lưu, Thái Hoàng Nguyễn

Ngôn ngữ: vie

Ký hiệu phân loại:

Thông tin xuất bản: Tạp chí Y dược học Cần Thơ, 2024

Mô tả vật lý: tr.203-209

Bộ sưu tập: Metadata

ID: 245074

Thêm vào giỏ

Fetal growth restriction also known as intrauterine growth restriction, is a common complication of pregnancy that has been associated with a variety of adverse perinatal outcomes. Objectives: To determine the clinical and subclinical characteristics and evaluate the pregnancy outcomes of pregnant women with fetal growth restriction. Materials and method: A prospective cross-sectional descriptive study was conducted on 163 pregnant women with fetal growth restriction from 24 weeks. Then, monitoring and evaluating the clinical subclinical symptoms and outcomes of pregnant women indicated treatment and termination of pregnancy. Results: Estimated fetal weight (EFW) <
3rd centile was 47.9%. Absent end-diastolic flow on umbilical artery Doppler was 8.8%, oligohydramnios was 17.2%. The average gestational age was 35.22 ± 3.03 weeks. Cesarean section was 65.6%, born vaginally was 34.4%. 1 minute Apgar score <
7 was 61.3%. 5 minutes Apgar score ≥ 7 was 84%. The average weight at birth was 1854.88 ± 414,7 gram. Conclusion: Fetal growth restriction was usually terminated prematurely and Apgar score was low at 1 minute but improved markedly at 5 minutes.Thai giới hạn tăng trưởng trong tử cung được biết đến như là một biến chứng thường gặp trong thai kỳ liên quan đến các kết cục chu sinh bất lợi như tăng nguy cơ thai lưu, tăng bệnh suất và chết chu sinh. Mục tiêu nghiên cứu: Mô tả đặc điểm lâm sàng, cận lâm sàng và đánh giá kết cục thai kỳ ở thai phụ với thai giới hạn tăng trưởng trong tử cung. Đối tượng và phương pháp nghiên cứu: Mô tả cắt ngang, tiến cứu trên 163 thai phụ được chẩn đoán thai giới hạn tăng trưởng trong tử cung từ tuổi thai ≥ 24 tuần. Sau đó theo dõi và đánh giá các đặc điểm lâm sàng, cận lâm sàng và kết cục thai kỳ của thai phụ có chỉ định nhập viện điều trị và chấm dứt thai kỳ. Kết quả: Cân nặng ước lượng của thai dưới bách phân vị 3rd chiếm tỷ lệ 47,9%. Tỷ lệ mất sóng cuối tâm trương trên Doppler động mạch rốn là 8,8%, thiểu ối là 17,2%. Tuổi thai lúc sinh trung bình là 35,66 ± 2,83 tuần. Tỷ lệ mổ lấy thai là 66,9%, sinh đường âm đạo là 33,1%. Trẻ có Apgar 1 phút <
7 điểm là 61,3%, Apgar 5 phút ≥ 7 điểm là 84%. Cân nặng của trẻ lúc sinh trung bình là 1854,88 ± 414,7 gram. Kết luận: Thai giới hạn tăng trưởng trong tử cung thường được chấm dứt thai kỳ sớm và chỉ số Apgar của bé thấp ở phút thứ nhất nhưng cải thiện rõ rệt ở phút thứ 5.

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