Abstract
Objective: To identify the risk factors associated with acute fetal distress during labor.
Subjects and Methods: The study group comprised 55 women diagnosed with acute fetal distress during labor, while the control group included 55 women without this diagnosis. This descriptive cross-sectional study utilized a pre-designed questionnaire and medical records as data collection tools. Data were obtained through direct observation, interviews, and examinations according to the pre-designed questionnaire.
Results: Maternal age of 35 years or older, preeclampsia, heart disease, a large fetus, prolonged labor, intense contractions, anemia, abnormal amniotic fluid levels, and the umbilical cord wrapped around the neck are all statistically significant indicators (p<0.05) linked to acute fetal distress during labor. Notably, anemia increases the risk of acute fetal distress by an alarming 3.8 times (OR=3.8; 95% CI: 1.32-11.23; p<0.05). Abnormalities in amniotic fluid escalate this risk more than 8.2 times (OR=8.2; 95% CI: 2.5-26.6; p<0.05). The umbilical cord around the neck raises the risk by 2.4 times (OR=2.4; 95% CI: 1.09-5.29). Additionally, fever during labor heightens the risk of acute fetal distress by over 4.4 times (OR=5.02; 95% CI: 1.04-18.18; p<0.05).
Conclusion: In laboring women, clinical exams should identify risk factors for acute fetal distress. This monitoring helps obstetricians make timely management decisions.
| Published | 2025-04-24 | |
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| Issue | Vol. 15 No. 1 (2025) | |
| Section | Original Articles | |
| DOI | 10.34071/jmp.2025.1.9 | |
| Keywords | suy thai, chuyển dạ, thai phụ acute fetal distress, labor |
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