KẾT CỤC THAI KỲ VÀ TÌNH TRẠNG SAU SINH CỦA CÁC TRƯỜNG HỢP THAI NHI CÓ GIÃN NÃO THẤT ĐƠN THUẦN TẠI BỆNH VIỆN PHỤ SẢN HÀ NỘI

Abstract

Objectives: To evaluate the management, pregnancy outcomes, and postnatal status of fetuses with isolated ventriculomegaly at Hanoi Obstetrics and Gynecology Hospital. Methods: A retrospective, cross-sectional descriptive study on 119 pregnant women with fetuses diagnosed with isolated ventriculomegaly from January 2022 to December 2023; these participants were followed until 6 months postpartum. Results: Pregnancy continuation and termination rates were 84% and 16%. Factors associated with pregnancy termination included early gestational age at diagnosis (p < 0.001), severe ventriculomegaly (p < 0.001), bilateral ventriculomegaly (p < 0.001), and genetic abnormalities. 100% of cases with unilateral ventriculomegaly continued pregnancy. In the continuation group, 97.0% of the infants were healthy and required no intervention, 87.9% had resolution of ventriculomegaly after birth, and only 2.0% had persistent ventriculomegaly at 6 months. Conclusion: Most isolated ventriculomegaly pregnancies (84%) were continued with favorable outcomes. Severe ventriculomegaly, bilateral ventriculomegaly, and genetic abnormalities influenced the decision of pregnancy termination. Mild and unilateral isolated ventriculomegaly had a favorable prognosis.