ĐẶC ĐIỂM LÂM SÀNG, CẬN LÂM SÀNG CỦA SẢN PHỤ ĐƯỢC CHẨN ĐOÁN RAU BONG NON TẠI BỆNH VIỆN PHỤ SẢN THÁI BÌNH GIAI ĐOẠN TỪ 2019 - 2023

Abstract

Objectives: To describe the clinical and paraclinical characteristics of pregnant women diagnosed with placental abruption at Thai Binh Obstetrics and Gynecology Hospital. Methods: A retrospective, descriptive study was conducted through a cross-sectional review of 112 medical records of patients with a confirmed diagnosis of placental abruption who were treated at Thai Binh Obstetrics and Gynecology Hospital from January 1^st 2019 to December 31^th 2023, meeting the study inclusion criteria. Results: The incidence of placental abruption among all deliveries was 0.1%, and among preeclamptic cases was 9.16%. The most common clinical symptoms were continuous abdominal pain (50%) and vaginal bleeding (37.5%). On physical examination, anemia was observed in 19.6% of cases, shock in 7.1%, uterine hypertonicity in 45.5%, a rigid uterus in 14.3%, blood-stained amniotic fluid in 58%, meconium-stained amniotic fluid in 9.8%, fetal distress in 9.8%, and intrauterine fetal demise in 8.0%. Hemoglobin levels ranged from 90 - 110 g/L in 17.8% and < 90 g/L in 4.5% of cases. Fibrinogen levels were < 1 g/L in 4.5% and 1 - 2 g/L in 2.7%, while thrombocytopenia and hypofibrinogenemia were found in 8.9%. Ultrasound detected retroplacental hematoma in 110 patients (65.5%). Conclusion: The incidence of placental abruption was 0.1%. The most common symptoms were abdominal pain (50%) and vaginal bleeding (37.5%). Frequent physical findings included uterine hypertonicity (45.5%), a rigid uterus (14.3%), and abnormal amniotic fluid coloration (67.8%). Retroplacental hematoma was detected by ultrasound in 65.5% of cases.