Article Sidebar

PDF
Issue: No. 32 (2020)
Section: Article
Date Published: 11/08/2026
Views 0
Downloads 0
How to Cite
Tran , M. D., Ho, T. T. H., & Luu, T. T. Đ. (2026). THE SITUATION, CLINICAL, SUBCLINICAL CHARACTERISTICS AND TREATMENT RESULTS OF POSTPARTUM HEMORRHAGE FOLLOWING VAGINAL DELIVERY AT VINH LONG GENERAL HOSPITAL. Cantho Journal of Medicine and Pharmacy, 32, 170-177. https://tapchi.ctump.edu.vn/index.php/ctump/article/view/1171

THE SITUATION, CLINICAL, SUBCLINICAL CHARACTERISTICS AND TREATMENT RESULTS OF POSTPARTUM HEMORRHAGE FOLLOWING VAGINAL DELIVERY AT VINH LONG GENERAL HOSPITAL

My Dung Tran 1, , Thi Thu Hang Ho2, Thi Thanh Đao Luu3
1 Vinh Long General Hospital
2 Vinh Long Department of Health
3 Can Tho University of Medicine and Pharmacy

Main Article Content

Abstract

Background: Postpartum hemorrhage (PPH) is one of the leading causes of morbidity and mortality in Vietnam and all over the world. Despite the remarkable improvement of medical staff qualifications and medical facilities, PPH is still the most dangerous obstetric complication for obstetricians. Objectives: Describe the incidence and causes of PPH; To survey the clinical, subclinical characteristics and evaluate the results of postpartum hemorrhage treatment. Materials and methods: 86 pregnant women with vaginal deliveries at Vinh Long General Hospital or transferred from other hospitals to Vinh Long General Hospital from February 2019 to June 2020. Results: The incidence of PPH was 7.1%. The percentage of PPH due to uterine atony was 82.6%, vaginal injury was 15.1% and retained placenta was 2.3%. Major occurred in women aged 20-35 years, accounting for 73.3%. Mean pulse rate was 85.7 per minute, mean systolic blood pressure was 107.1mmHg, mean diastolic blood pressure was 63.8mmHg. The average gestational age was 38.1 ± 4.25, from 36 weeks to 41 weeks, gestational age from 38-40 weeks accounted for 73.3%. 93% of PPH was moderate blood loss, 96.5% after vaginal delivery and 98.8% of PPH was detected within 2 hours after. There was a change in blood count as erythrocytes, hemoglobin and hematocrit in PPH. Results of PPH treatment: The percentage of successful treatment was 96.5% and only 3.5% had to do hysterectomy. Conclusion: Most of PPH was detected soon and treated successfully.

Keywords

Postpartum hemorrhage, treament results

Article Details

Creative Commons License

This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.

References

1. Bộ Y tế (2010), Hướng dẫn chẩn đoán, xử trí cấp cứu tai biến sản khoa.
2. Bộ Y tế (2016), Hướng dẫn quốc gia về các dịch vụ chăm sóc sức khỏe sinh sản.
3. Bộ Y tế (2016), Niên giảm thống kê y tế Health Statistics Yearbook, Hà Nội.
4. Phạm Văn Chung (2010), Nghiên cứu tình hình chảy mản sớm sau để tại bệnh viện phụ sản Trung ương trong 2 giai đoạn 1998-1999 và 2008- 2009, Luận văn tốt nghiệp bảc sĩ nội trú, Trường Đại học Y Hà Nội.
5. Nguyễn Thị Nóp (2011), Tỷ lệ BHSS và các yếu tố liên quan ở sản phụ sinh ngã âm đạo tại bệnh viện Đa khoa Khu vực Tháp Mười, Luận văn chuyên khoa II, Đai học Y dược Thành Phố.
6. Bùi Thọ Ơn (2017), Nghiên cứu đặc điểm lâm sàng, cận lâm sàng và kết quả xử trí chảy máu sau đẻ tại bệnh viện Đắk Lắk, Luận văn chuyên khoa II, Đại học y dược Hà Nội.
7. La Thị Hồng Phong (2018), Nghiên cứu các nguyên nhân BHSS và kết quả điều trị tại bệnh viện Sản- Nhi Phú Yên, Luận văn chuyên khoa II, Đại học Y dược Hà Nội, Hà Nội.
8. Cao Xuân Thanh (2014), Tỷ lệ BHSS và các yếu tố liên quan tại bệnh viện Phụ Sản Tiền Giang, Luận văn chuyên khoa II, Đại học Y dược Cần Thơ.
9. Đỗ Văn Tú (2017), Nghiên cứu đặc điểm lâm sàng, cận lâm sàng, nguyên nhân và xử trí chảy máu sau đẻ tại bệnh viện Bạch Mai, Luận văn chuyên khoa II, Đại học Y dược Hà Nội.
10. Ariela L. Marshall (2017), "The impact of postpartum hemorrhage on hospital length of stay and inpatient mortality: a National Inpatient Sample-based analysis", Am J Obstet Gynecol, 217 (3), pp. 344-350.
11. Brian T. Bateman, Mitchell F. Berman, Riley LE, et al. (2010), "The epidemiology of postpartum hemorrhage in a large, nationwide sample of deliveries", Anesth Analg, 110 (5), pp. 1368-1373.
12. Clara Calvert, Sara L. Thomas, Ronsmans C, et al. (2012), " Identifying regional variation in the prevalence of postpartum haemorrhage: a systematic review and meta-analysis", PLoS One 7(7), pp. 411-414.
13. Sam Ononge, Florence Mirembe, Julius Wandabwa et al (2016), "Incidence and risk factors for postpartum hemorrhage in Uganda", Reproductive Health, 13 (38).
14. Weeks A (2015), "The prevention and treatment of postpartum haemorrhage: what do we know, and where do we go to next?", BJOG, 122, pp. 202-212.
15. Yinka Oyelese, Cande V. Ananth (2010), "Postpartum hemorrage: Epidemiology, Risk Factors, and Causes", Clinical Obstetrics and Gynecology, 53 (1), pp. 147-156