NGHIÊN CỨU KẾT QUẢ DỰ ĐOÁN, CHẨN ĐOÁN TIỀN SẢN GIẬT Ở SẢN PHỤ CÓ NGUY CƠ TIỀN SẢN GIẬT TẠI BỆNH VIỆN PHỤ SẢN THÀNH PHỐ CẦN THƠ NĂM 2019 – 2021

Abstract

Background: Pre-eclampsia - eclampsia is a common disease in pregnancy. This is a disease with many complications both mother and fetus, is one of the leading causes of maternal and perinatal mortality worldwide. The effects of pre-eclampsia - eclampsia can be limited through disease prediction and prevention in order to reduce morbidity and mortality for both mother and fetus. Objectives: Determine the rate of pregnant women at high risk of pre-eclampsia at 11-13^{+ 6} weeks gestation and evaluate diagnostic results, pregnancy outcomes of pregnant women with preeclampsia at Can Tho Obstetrics and Gynecology hospital. Materials and methods: All pregnant women aged 11-13⁺⁶ weeks at high risk agree to a pre-eclampsia screening survey at Can Tho Obstetrics and Gynecology hospital. Describe cross section analysis. Results: From May 2019 to April 2021, we recorded that 1087 women were screened for preeclampsia in the first trimester of pregnancy, of which 567 high-risk cases of preeclampsia were screened for preeclampsia at the Department of Obstetrics and Gynecology. Of which, there are 264 cases with risk of preeclampsia <37 weeks (46.6%), 87 cases with risk of preeclampsia <34 weeks (15.3%) and 43 cases progressing to preeclampsia (3.95%). Conclusion: Effective prediction of early PE can be achieved at 11 – 13⁺⁶ weeks’ gestation by combine maternal characteristics, MAP, PlGF and Doppler ultrasound of uterine arteries pulse index PI to have an early preventive intervention strategy at the end of the first trimester of pregnancy and have a reasonable pregnancy management regime.