Nhận xét kết quả mổ lấy thai vì đầu không lọt tại Bệnh viện Phụ sản Trung ương

Abstract

To describe the clinical and subclinical characteristics of parturients undergoing cesarean section for fetal head non-engagement at the National Hospital of Obstetrics and Gynecology. A cross-sectional descriptive study was conducted on 218 parturients who underwent cesarean section for fetal head non-engagement at the National Hospital of Obstetrics and Gynecology. The maternal age ranged from 19 to 39 years, with the 25–29 age group accounting for the highest proportion (51.4%). The majority of patients had spontaneous pregnancies (91.3%) and were primigravidas (91.3%). Upon admission, 60.1% were not yet in labor. Normal amniotic fluid volume was observed in 87.6% of cases, with oligohydramnios in 4.1% and polyhydramnios in 8.3%. A normal fetal heart rate was recorded in 66.5% of cases, while transient early decelerations (DIP I) were noted in 33.5%. The most common fetal position was right occiput posterior (ROP) at 40.4%, followed by left occiput anterior (LOA) at 21.6% and left occiput transverse (LOT) at 20.2%. Cesarean sections for fetal head non-engagement are predominantly concentrated in the primary childbearing age group (25–34 years) and among primigravida women. Associated factors include amniotic fluid status, caput succedaneum, and fetal position, with right occiput posterior (ROP) being a common unfavorable presentation.