Chỉ định mổ lấy thai con so nguyên nhân do thai tại Bệnh viện Đa khoa Đức Giang

Consider indications for primary cesarean section caused by fetus in Duc Giang General Hospital. Subjects: There are 450 cases had a primary cesarean section who met the inclusion criteria and had no exclusion criteria included in the study. Methods: Retrospective cohort study. Results: The rate of cesarean delivery in Duc Giang General Hospital is still relatively high (47.4%); in which primary cesarean section compared to the total number of first delivery accounted for 50.2% and primary cesarean section compared to the total number of cesarean sections accounted for 27.5%. Indications for cesarean section caused by fetus accounted for the highest rate of 43.1%. The most common indication caused by the fetus is the large fetus, accounting for 40.2%, followed by fetal failure 25.8%. Some indications for caesarean section are not strict: cesarean section due to large fetus has 13.2% fetus under 3500g; caesarean section due to fetal failure based on amniotic fluid color alone was 56% and fetal heart rate over 169 beats/min (24%). Conclusion: Indications for primary cesarean section caused by fetus accounted for the highest rate of 43.1%. Indications for cesarean section caused by the fetus are the most common and there are still cases that are not strict, which is large fetus (40.2%), followed by fetal failure (25.8%).