NGHIÊN CỨU TỈ LỆ VÀ MỘT SỐ YẾU TỐ LIÊN QUAN ĐẾN TỈ LỆ MỔ LẤY THAI Ở NHÓM 1 THEO PHÂN LOẠI ROBSON TẠI BỆNH VIỆN ĐA KHOA CÁI NƯỚC, TỈNH CÀ MAU NĂM 2019- 2020

Abstract

Background: The situation of cesarean section (CS) in the world is increasing in recent years and it will continue to increase in the future if there are no interventions in the group of the first CS. The recent increase in CS prevalence is a public health issue that deserves attention. Objectives: To determine the prevalence and some factors related to CS of group 1 according to Robson classification at Cai Nuoc General Hospital, Ca Mau province in 2019-2020. Materials and methods: Pregnant women hospitalized and gave birth at Cai Nuoc general hospital from 03/2019 to 07/2020. Results: In 296 cases, the CS prevalence of group 1 was 29.73%; the average age was 23.24 ± 4.78 year olds (16-40 year olds); increased weight in pregnancy was 12.05±4.64 kg (3-30 kg); the average amniotic fluid was accounting for 95.27%, the reasons were fetal failure during labor accounting for 22.73%; the prevalence of using oxytocin was 24.32%. Using oxytocin augmentation was likely to increase in those with cesarean section to 2.4, this difference was statistically significant with p = 0.02, CI 95%: 1.38-4.18. Conclusion: CS rate in group 1 is still high, it is necessary to have solutions to reduce the rate of CS in this group. Using oxytocin increases the risk of CS, so oxytocin should be used according to the standard regimen.