Thực trạng và kết quả sản khoa ở những thai phụ đái tháo thai kỳ tại Bệnh viện Phụ sản Hà Nội=Current situation and obstetric results in pregnant women with gestational diabetes at Hanoi Obstetrics and Gynecology Hospital

0 Người đánh giá. Xếp hạng trung bình 0

Tác giả: Xuân Vinh Đỗ, Trọng Hưng Mai, Mạnh Hùng Nguyễn

Ngôn ngữ: vie

Ký hiệu phân loại:

Thông tin xuất bản: Y học cộng đồng, 2023

Mô tả vật lý: tr.256-262

Bộ sưu tập: Metadata

ID: 477659

Thêm vào giỏ

Đánh giá kết quả sản khoa ở những thai phụ đái tháo đường thai kỳ (ĐTĐTK) tại Bệnh viện Phụ sản Hà Nội từ tháng 1 đến tháng 10 năm 2023. Đối tượng và phương pháp nghiên cứu: Nghiên cứu mô tả cắt ngang trên 104 thai phụ mắc ĐTĐTK tại Bệnh viện Phụ sản Hà Nội từ tháng 1 đến tháng 10 năm 2023. Kết quả: Trong số 104 thai phụ có 6,7% không theo dõi định kỳ, 24,1% dùng insulin và 69,2% thay đổi chế độ ăn. Tỷ lệ sinh con đủ tháng chiếm 77%, non tháng từ 31 – 37 tuần chiếm 23%. Không có sự khác biệt về tỷ lệ mổ lấy thai và tỷ lệ đẻ thường ở thai phụ mắc ĐTĐTK (51%, 49%). Không có sự khác biệt về tỷ lệ tiền sản giật, đa ối, thai to, thai suy ở các nhóm. Có 3 trường hợp nhiễm khuẩn vết mổ, tầng sinh môn và viêm niêm mạc tử cung (2,9%). Chỉ số APGAR 5 phút 100% trên 7 điểm, vàng da 5,6%, hạ đường huyết sau sinh 7,7%, nhiễm khuẩn sơ sinh 0,9%, không có trường hợp tử vong sơ sinh. Kết luận: Thai phụ được kiểm soát đường máu bằng điều chỉnh chế độ ăn hoặc insulin gặp rất ít các biến chứng thai kỳ cho cả mẹ và thai.the rest of them didn’t follow their checkup schedule. Results: Among 104 women with GDM, there are 6,7% women didn’t follow the management, 24,1% controlled by insulin, 69,2% got Medical Nutrition Therapy. The number of women deliveried at term take a proportion of 77%, the others deliveried at 31 – 37 weeks of gestation. This study reveal the same ratio between vaginal dilivery and cesarean section. There is no difference in incidence of preeclampsia, polyhydramnios, fetal macrosomia, fetal distress between treatment groups. We witnessed 3 women suffered surgical site infection and endometritis (2,9%). APGAR scores at 5 minutes of all newborn is equal or higher than 7. The percentage of infant jaundice, hypoglycemia, infections is 5,6% 7,7% and 0,9% respectively. There is no neonatal death in this study. Conclusions: Women with GDM controlled by insulin or got Medical Nutrition Therapy had reduced obsterics complications.

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