Giá trị tiên lượng cuộc đẻ của góc chẩm sống trên siêu âm ở những thai phụ chuyển dạ đủ tháng tại Bệnh viện Phụ sản Hải Phòng năm 2021=Prognostic value of the occiput spine angle on ultrasound of pregnant women in full-term labor at Hai Phong Hospital of Obstetrics & Gynecology in 2021

0 Người đánh giá. Xếp hạng trung bình 0

Tác giả: Phúc Thịnh Bùi, Văn Hiếu Bùi, Thị Hiếu Đoàn, Chí Thiện Phùng

Ngôn ngữ: vie

Ký hiệu phân loại:

Thông tin xuất bản: Tạp chí Khoa học Sức khỏe, 2024

Mô tả vật lý: tr.9

Bộ sưu tập: Metadata

ID: 481134

Thêm vào giỏ

Cross-sectional descriptive study of 120 singleton pregnant women in full-term labor from January 17, 2021, to April 30, 2021, at Hai Phong Hospital of Obstetrics and Gynecology. In the study, the percentage of women giving vaginal delivery was 87.5% and the percentage of those having cesarean section was 12.5%. The cut-off point of the occiput spine angle (OSA) in predicting the probability of vaginal delivery was 125° with a sensitivity of 85.7% and specificity of 86.7%. The group having OSA ≥ 125° had a rate of vaginal delivery that was much higher than the group showing OSA <
125° with OR at 39. The vaginal delivery group with OSA ≥ 125° had a shorter time (minutes) to end-stage Ia and the labor (261.06 ± 23.75 and 401.28 ± 26.72 compared to 703.67 ± 98.87 and 906.33 ± 89.27) compared to the group having OSA <
125°. The women over 35 years old with OSA ≥ 125° had a rate of vaginal delivery that was 13 times higher than those with OSA <
125°. The pregnant women giving birth for the first time with OSA ≥ 125° had a rate of vaginal delivery that was 14 times higher than those having OSA <
125°. Conclusion: Measuring OSA on ultrasound is an objective tool to assess the degree of fetal head deflexion during labor and to predict the method of delivery. The Pregnant women with occiput–spine angle <
125° had a higher risk for cesarean section.Nghiên cứu mô tả cắt ngang trên 120 thai phụ đơn thai chuyển dạ đủ tháng từ ngày 17/01/2021 đến 30/04/2021 tại Bệnh viện Phụ Sản Hải Phòng. Trong nghiên cứu số sản phụ sinh thường là 87,5% và tỷ lệ sinh mổ là 12,5%. Điểm cut off của góc chẩm sống trong tiên lượng sinh thường là OSA ≥ 125° với độ nhạy 85,7% và độ đặc hiệu 86.7%. Nhóm có OSA ≥ 125° có tỷ lệ sinh thường cao hơn nhiều lần so với nhóm có OSA <
125° với OR = 39 và p <
0,001. Nhóm sinh thường có góc OSA ≥ 125° có thời gian kết thúc giai đoạn Ia và kết thúc cuộc chuyển dạ rút ngắn hơn (phút) (261,06 ± 23,75 và 401,28 ± 26,72 so với 703,67 ± 98,87 và 906,33 ± 89,27) so với nhóm có OSA <
125°. Những sản phụ trên 35 tuổi có góc OSA ≥ 125° có tỷ lệ đẻ đường âm đạo cao gấp 13 lần so với nhóm có OSA <
125° (p = 0,032). Những sản phụ sinh con lần đầu có góc OSA ≥ 125° có tỷ lệ đẻ đường âm đạo cao gấp 14 lần so với nhóm OSA <
125° (p = 0.001). Kết luận: Đo góc OSA trên siêu âm là một công cụ khách quan để đánh giá độ cúi của thai trong chuyển dạ và dự đoán phương pháp sinh. Nhóm sản phụ có góc OSA <
125 độ thường tăng nguy cơ sinh mổ.

1. Đọc trực tuyến

1. Đọc trực tuyến

Tạo bộ sưu tập với mã QR