Characteristics of women with cesarean section due to placenta previa at national hospital of obstetric and gynecology in 2020

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Ngôn ngữ sử dụng

Cách trích dẫn

Nguyen, T. T. H., & Vu, D. (2021). Characteristics of women with cesarean section due to placenta previa at national hospital of obstetric and gynecology in 2020. Tạp Chí Khoa học Điều dưỡng, 4(1), 76–85. Truy vấn từ https://jns.vn/index.php/journal/article/view/311

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Tóm tắt

Objective: Describe the clinical, subclinical, and resuscitation care after placenta previa operations at the National Hospital For Obstetric And Gynecology.

Method: Descriptive study design was used to recruited 149 women who had a cesarean section due to placenta previa at the department of resuscitation anesthesia in the National Hospital For Obstetric And Gynecologyfrom January to September 2020.

Results: The average age of pregnant women was 32.5 ± 4.9 years old, mainly in the 22 to 35 years old group (71.1%); 23.5% of them had comorbidities; 40.9% get pregnant up to 3 times; 61.7% of them had ever a C-section. In the pregnancy, 42.8% of the women had preterm birth and 4.1% of them were pregnant with twins. While admitted to the hospital, 49% of women presented with vaginal bleeding and 34.9% of them were anemia; 57% of women had uterine contractions and most of them presented with an open cervix. Almost of participants had completed placenta previa (85.2%) and 34.9% of them had Placenta Accreta. 63.1% of women had a cesarean section and preserved the uterus and 36.9% of them undergo surgery of hysterectomy. 43.6% of the women experienced servere bleeding and half of them had to have a blood transfusion, the average amount of transfusion was 3.11 ± 2.6 units of blood. After surgery, 55% of pregnant women recovered well.

Conclusion: Most of the women had better progress after surgery in terms of mental status, breathing, circulation, pain sensation. Health care staff should provide post-cesarean care for the woman with history of cesarean section due to placenta previa, pregnancy with comorbid diseases, placenta accreta, emergency surgery and women with servere bleeding pre-and post- surgery.

Từ khóa

after cesarean section, placeta previa, the National Hospital For Obstetric And Gynecology. after cesarean section, placeta previa, the National Hospital For Obstetric And Gynecology.
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