Articles Vol. 67 No. CĐ8-NCKH 06/07/2026

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.

Len Tran Thi1,2, Kien Nguyen Trung1,2, Giang Dinh Thi1,2, Trinh Pham Thi Van1,2
1 Thai Binh University of Medicine and Pharmacy
2 Trường Đại học Y Dược Thái Bình.
DOI: 10.52163/yhc.v67iCD8.5549
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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%.

Keywords
Labor induction, Propess.
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