Nhận xét kết quả xử trí sản khoa tiền sản giật tại Bệnh viện Bạch Mai

Abstract

To describe the characteristics and management of obstetric cases of pre-eclampsia at Bach Mai Hospital in 2023, we conducted a cross-sectional retrospective study involving 113 pregnant women who were diagnosed with pre-eclampsia and had completed obstetric treatment at Bach Mai Hospital. Results: The rate of pre-eclampsia was 2.6%, with high-risk pre-eclampsia at 65%. 79% of women with early-onset pre-eclampsia were detected as having the severe type. Management: anticonvulsants (magnesium sulfate) were used, and the rate of cesarean section was 100%. The complication rate was 5.3% with HELLP syndrome, 3.5% with eclampsia, 1 case of obstructed labor, and 66.6% with preterm birth, while 67.5% had low birth weight infant. Conclusion: Although the percentage of pre-eclampsia is quite low among pregnant women, there are always risks of developing potentially unpredictable complications. Women with early-onset pre-eclampsia may develop the severe type. Consider termination of pregnancy via cesarean section based on the timing of onset and the severity of pre-eclampsia condition.