COMMENTS ON THE TREATMENT OUTCOMES OF NULLIPAROUS WOMEN WITH GESTATIONAL AGES FROM 40 WEEKS 1 DAY TO 40 WEEKS 6 DAYS AT THAI BINH OBSTETRICS AND GYNECOLOGY HOSPITAL IN 2024.

Tran Thi Len1, Nguyen Trung Kien1, Dinh Thi Giang1, Pham Thi Van Trinh1
1 Thai Binh University of Medicine and Pharmacy

Main Article Content

Abstract

Objectives: To evaluate the treatment outcomes of nulliparous women with gestational ages between 40 weeks 1 day and 40 weeks 6 days at Thai Binh Obstetrics and Gynecology Hospital in 2024. Additionally, to compare the outcomes between labor induction and spontaneous labor in this specific group.


Methods: A retrospective cross-sectional descriptive study was conducted on 220 nulliparous women with gestational ages from 40+1 to 40+6 weeks, treated at Thai Binh Obstetrics and Gynecology Hospital from January 1st to December 31st, 2024.


Results: The rate of vaginal delivery was 59.1%. The elective cesarean section rate was 27.7%, while the emergency cesarean section rate was 13.2%. Labor induction was performed in 22.3% of cases (49 patients), achieving a successful vaginal delivery rate of 65.3%. Among the 17 patients induced with Propess, the vaginal delivery rate reached 70.6%. Regarding neonatal outcomes, 1% of newborns had an Apgar score < 7 at the first minute. Maternal complications were minimal, including 2 cases of postpartum hemorrhage (0.9%) and 1 case of endometritis (0.45%), with no recorded instances of uterine rupture or maternal mortality. The average hospital stay was 6,97 ± 4, 23 days (range: 2 to 10 days).


Conclusions: The elective cesarean section rate for pregnancies between 40 weeks 1 day and 40 weeks 6 days remains high at 27.7%, while the utilization of labor induction is still relatively low at 22.3%.

Article Details

References

1. John T. Queenan, Spong C.Y., and Lockwood C.J. (2012),“Prolonged Pregnancy”, Management of High-Risk Pregnancy, pp. 391-398., John Wiley & Sons, isbn-13: 978-0-470-65576-4.
2. Norwitz, Snegovskikh V.V., and Caughey A.B. (2007).“Prolonged Pregnancy: When Should We Intervene?” Clin Obstet Gynecol, 50(2), 547–557. Clin Obstet Gynecol, 50(2), 547–557.
3. Đoàn TPL, Phan TN, Nguyễn MT. Dừng thai nghén ở thai quá ngày dự sinh tại khoa đẻ bệnh viện Phụ sản Trung Ương: Kết quả, những yếu tố nguy cơ cho trẻ sơ sinh và sản phụ. Tạp Chí Học Việt Nam. 2025;548(2). doi:10.51298/vmj. v548i2.13409.
4. Vũ Đình Hiếu. Hiệu quả khởi phát chuyển dạ bằng Dinoproston dạng đặt âm đạo ở thai kì 37 tuần có chỉ định khởi phát chuyển dạ tại Bệnh viện Nhân Dân Gia Định. Luận văn chuyên khoa cấp II. Đại học Y Dược Thành Phố Hồ Chí Minh; 2022.
5. Dương Mỹ Linh, Ry D.T.K., Dự N.H., et al. (2024). Kết quả khởi phát chuyển dạ bằng oxytocin và dinoprostone trên thai trên 37 tuần. Tạp Chí Dược Học Cần Thơ, (76), 159–165 .Doi 10.58490/ctump.2024i76.2674
6. Nguyễn Trần Thảo Nguyên, Giang L.T.Q., and Tú T.D. (2022). Khảo sát kết cục thai kỳ và chuyển dạ ở những thai phụ mang thai con so từ 37 tuần đến 41 tuần 6 ngày. Tạp Chí Phụ Sản, 20(4), 18–22. doi.org/10.46755/vjog.2022.4.14
7. Warke HS, Saraogi RM, Sanjwalla SM. Prostaglandin E2 gel In ripening of cervix in induction of labour. Journal of postgraduate medicine. OctDec 1999;45(4):105-9
8. Phạm Chí Kông, Bùi Thị Viễn Phương (2021). Nghiên cứu hiệu quả khởi phát chuyển dạ bằng propess đặt âm đạo Tạp chí Phụ sản 2021; 19(1):38-46. doi: 10.46755/vjog.2021.1.1173