Đặc điểm lâm sàng, cận lâm sàng và kết quả xử trí rau tiền đạo ở thai phụ có sẹo mổ đẻ cũ tại Bệnh viện Trung ương Thái nguyên

Abstract

Objective: To describe the clinical, paraclinical characteristics and outcome of placenta praevia in patients with a previous caesarean section at the Obstetrics and Gynecology Department of Thai Nguyen National Hospital from January 2019 to December 2023. Subject and method: A cross-sectional descriptive study with retrospective sampling based on medical record information of 60 pregnant women having placenta praevia with previous caesarean section at Thai Nguyen Central Hospital from June 1, 2021 to December 31, 2023. Result: The median age of pregnant women was 33.45 ± 4.72 and the age group ≥ 35 accounted for the highest proportion 43.3%. Planceta previa was mainly encountered in the group of subjects with a history of double cesarean section (48.7%) and a history of abortion (56.7%). Symptoms of abdominal pain and bleeding on admission to the hospital were the most common clinical symptoms, accounting for 40%. The rate of placenta previa complete covering of the internal os of the cervix was 66.7%. Indications for emergency surgery accounted for 61.7%. Uterine preservation was achieved in 56.7% of cases. There were 2 cases of bleeding that had to be operated on, 1 case of bladder damage. There were no maternal deaths. Conclusion: The rate of placenta previa tends to be high in women with a history of double cesarean sections and a history of abortion. Abdominal pain and bleeding are the most common symptoms. There is high hysterectomy rate. Common complications are bleeding and bladder damage.