Nghiên cứu đặc điểm lâm sàng, cận lâm sàng và một số yếu tố liên quan của mổ lấy thai nhóm iii theo phân loại của robson tại bệnh viện đa khoa trung ương Cần Thơ.

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Tác giả: Thị Thu Hằng Hồ, Thị Gá Lê, Thị Thùy Dung Lê, Hữu Thúy Nga Phan

Ngôn ngữ: vie

Ký hiệu phân loại: 398.354 Life cycle

Thông tin xuất bản: Y Dược học Cần Thơ, 2021

Mô tả vật lý: 13-20

Bộ sưu tập: Metadata

ID: 498344

Thêm vào giỏ

The rate of cesarean section is increasing in countries around the world and in Viet Nam, and is becoming a critical issue worldwide. Reducing the rate of cesarean section for close to the rate of World Health Organization proposal is a critical issue of the centerfor obstetrics. Objectives: To describe the clinical, paraclinical characteristics
to determine the ratio of the causes of cesarean section and to find out some related factors to the cesarean section rate of group III classified by Robson at Can Tho Central General Hospital. Materials and methods: A cross sectional descriptive study was conducted on 120 pregnant women group III gave birth at Can Tho Central General Hospital from 05/2020 to 05/2021. Results: The rate of cesarean section group III was 46.67%. The average age was 32 ± 5.05 year olds (19-43 year olds). Cesarean section due to amniotic fluid and meconium was 37.5%
abnormal fetal heart rate was 21.43%. The factors related to the rate of cesarean section group III was bad amniotic fluid (OR 24.37), oligohydramnios (OR 8.63), CTG group 2 (OR 16.63). Conclusion: The rate of group III cesarean section according to the classification of Robson in our study is higher than that recommended by World Health Organization, it is necessary to have solutions to reduce the rate of cesarean section in this group.Tỷ lệ mổ lấy thai ngày càng tăng ở các nước trên thế giới, cả ở Việt Nam và đang trở thành vấn đề cấp thiết trên toàn cầu. Việc giảm tỷ lệ mổ lấy thai cho gần với tỷ lệ do Tổ chức Y tế Thế giới đề nghị đang là vấn đề cấp thiết của các trung tâm sản khoa. Mục tiêu nghiên cứu: Mô tả đặc điểm lâm sàng, cận lâm sàng
xác định tỷ lệ các nguyên nhân mổ lấy thai và tìm hiểu một số yếu tố liên quan đến mổ lấy thai nhóm III theo phân loại Robson tại Bệnh viện Đa khoa Trung ương Cần Thơ. Đối tượng và phương pháp nghiên cứu: Nghiên cứu mô tả cắt ngang trên 120 sản phụ thuộc nhóm III sinh tại Bệnh viện Đa khoa Trung ương Cần Thơ từ tháng 5/2020 đến tháng 5/2021. Kết quả: Tỷ lệ mổ lấy thai nhóm III là 46,67%. Tuổi sản phụ trung bình là 32 ± 5,05 tuổi (19-43 tuổi). Mổ lấy thai do nước ối lẫn phân su là 37,5%, do nhịp tim thai bất thường là 21,43%. Các yếu tố liên quan đến tỷ lệ mổ lấy thai nhóm III là ối xấu (OR 24,37), ối ít (OR 8,63), CTG nhóm II (OR 16,63). Kết luận: Tỷ lệ mổ lấy thai nhóm III theo phân loại Robson trong nghiên cứu của chúng tôi cao hơn khuyến cáo của Tổ chức Y tế Thế giới, cần có giải pháp nhằm giảm tỷ lệ mổ lấy thai trong nhóm này.

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