

{"id":8396,"date":"2025-02-11T14:23:20","date_gmt":"2025-02-11T07:23:20","guid":{"rendered":"https:\/\/bvndgiadinh.org.vn\/?p=8396"},"modified":"2025-02-11T14:23:40","modified_gmt":"2025-02-11T07:23:40","slug":"cum-anh-huong-den-ba-bau-va-thai-nhi-nhu-the-nao","status":"publish","type":"post","link":"https:\/\/bvndgiadinh.org.vn\/?p=8396","title":{"rendered":"C\u00daM \u1ea2NH H\u01af\u1edeNG \u0110\u1ebeN B\u00c0 B\u1ea6U V\u00c0 THAI NHI NH\u01af TH\u1ebe N\u00c0O?"},"content":{"rendered":"\n<p>C\u00fam l\u00e0 m\u1ed9t b\u1ec7nh nhi\u1ec5m tr\u00f9ng h\u00f4 h\u1ea5p c\u1ea5p t\u00ednh do virus c\u00fam g\u00e2y ra, th\u01b0\u1eddng xu\u1ea5t hi\u1ec7n v\u00e0o m\u00f9a \u0111\u00f4ng xu\u00e2n. B\u1ec7nh l\u00e2y lan ch\u1ee7 y\u1ebfu qua c\u00e1c gi\u1ecdt b\u1eafn nh\u1ecf khi ng\u01b0\u1eddi b\u1ec7nh ho, h\u1eaft h\u01a1i ho\u1eb7c n\u00f3i chuy\u1ec7n v\u00e0 c\u00f3 th\u1ec3 l\u00e2y truy\u1ec1n qua ti\u1ebfp x\u00fac v\u1edbi b\u1ec1 m\u1eb7t b\u1ecb nhi\u1ec5m virus. \u0110\u1ed1i v\u1edbi ph\u1ee5 n\u1eef mang thai, c\u00fam kh\u00f4ng ch\u1ec9 \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn s\u1ee9c kh\u1ecfe c\u1ee7a m\u1eb9 m\u00e0 c\u00f2n ti\u1ec1m \u1ea9n nhi\u1ec1u nguy c\u01a1 cho thai nhi.<\/p>\n\n\n\n<p><strong>1. \u1ea2nh h\u01b0\u1edfng c\u1ee7a c\u00fam \u0111\u1ed1i v\u1edbi ph\u1ee5 n\u1eef mang thai<\/strong><\/p>\n\n\n\n<p>Ph\u1ee5 n\u1eef mang thai c\u00f3 nguy c\u01a1 cao h\u01a1n m\u1eafc c\u00e1c bi\u1ebfn ch\u1ee9ng nghi\u00eam tr\u1ecdng khi nhi\u1ec5m c\u00fam do h\u1ec7 mi\u1ec5n d\u1ecbch suy gi\u1ea3m v\u00e0 nhu c\u1ea7u oxy t\u0103ng l\u00ean trong thai k\u1ef3. C\u00e1c bi\u1ebfn ch\u1ee9ng c\u00f3 th\u1ec3 bao g\u1ed3m:<\/p>\n\n\n\n<p>Vi\u00eam ph\u1ed5i: C\u00fam c\u00f3 th\u1ec3 ti\u1ebfn tri\u1ec3n th\u00e0nh vi\u00eam ph\u1ed5i, \u0111\u1eb7c bi\u1ec7t nguy hi\u1ec3m cho ph\u1ee5 n\u1eef mang thai do nhu c\u1ea7u oxy cao h\u01a1n v\u00e0 h\u1ec7 mi\u1ec5n d\u1ecbch y\u1ebfu \u0111i.<\/p>\n\n\n\n<p>Nh\u1eadp vi\u1ec7n v\u00e0 t\u1eed vong: Ph\u1ee5 n\u1eef mang thai c\u00f3 nguy c\u01a1 nh\u1eadp vi\u1ec7n v\u00e0 t\u1eed vong cao h\u01a1n do c\u00fam so v\u1edbi ng\u01b0\u1eddi kh\u00f4ng mang thai.<\/p>\n\n\n\n<p>Bi\u1ebfn ch\u1ee9ng thai k\u1ef3: C\u00fam c\u00f3 th\u1ec3 g\u00e2y ra c\u00e1c v\u1ea5n \u0111\u1ec1 nh\u01b0 t\u0103ng huy\u1ebft \u00e1p thai k\u1ef3, ti\u1ec1n s\u1ea3n gi\u1eadt v\u00e0 c\u00e1c bi\u1ebfn ch\u1ee9ng kh\u00e1c.<\/p>\n\n\n\n<p><strong>2. \u1ea2nh h\u01b0\u1edfng c\u1ee7a c\u00fam \u0111\u1ed1i v\u1edbi thai nhi<\/strong><\/p>\n\n\n\n<p>Nhi\u1ec5m c\u00fam trong thai k\u1ef3 c\u00f3 th\u1ec3 d\u1eabn \u0111\u1ebfn c\u00e1c nguy c\u01a1 cho thai nhi, t\u00f9y thu\u1ed9c v\u00e0o th\u1eddi \u0111i\u1ec3m m\u1eb9 b\u1ecb nhi\u1ec5m b\u1ec7nh:<\/p>\n\n\n\n<p>Ba th\u00e1ng \u0111\u1ea7u: Nguy c\u01a1 d\u1ecb t\u1eadt b\u1ea9m sinh nh\u01b0 d\u1ecb t\u1eadt \u1ed1ng th\u1ea7n kinh, h\u1edf h\u00e0m \u1ebfch v\u00e0 tim b\u1ea9m sinh.<\/p>\n\n\n\n<p>Ba th\u00e1ng gi\u1eefa: T\u0103ng nguy c\u01a1 sinh non, thai nh\u1eb9 c\u00e2n ho\u1eb7c d\u1ecb t\u1eadt.<\/p>\n\n\n\n<p>Ba th\u00e1ng cu\u1ed1i: Nguy c\u01a1 thai ch\u1ebft l\u01b0u n\u1ebfu m\u1eb9 b\u1ecb c\u00fam n\u1eb7ng.<\/p>\n\n\n\n<p><strong>3. Bi\u1ec7n ph\u00e1p ph\u00f2ng ng\u1eeba c\u00fam cho ph\u1ee5 n\u1eef mang thai<\/strong><\/p>\n\n\n\n<p>\u0110\u1ec3 b\u1ea3o v\u1ec7 s\u1ee9c kh\u1ecfe c\u1ee7a c\u1ea3 m\u1eb9 v\u00e0 thai nhi, ph\u1ee5 n\u1eef mang thai n\u00ean th\u1ef1c hi\u1ec7n c\u00e1c bi\u1ec7n ph\u00e1p ph\u00f2ng ng\u1eeba c\u00fam sau:<\/p>\n\n\n\n<p>Ti\u00eam ph\u00f2ng v\u1eafc-xin c\u00fam<\/p>\n\n\n\n<p>Ti\u00eam v\u1eafc-xin c\u00fam trong thai k\u1ef3 \u0111\u01b0\u1ee3c ch\u1ee9ng minh l\u00e0 an to\u00e0n v\u00e0 hi\u1ec7u qu\u1ea3, gi\u00fap b\u1ea3o v\u1ec7 c\u1ea3 m\u1eb9 v\u00e0 b\u00e9. V\u1eafc-xin c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c ti\u00eam v\u00e0o b\u1ea5t k\u1ef3 th\u1eddi \u0111i\u1ec3m n\u00e0o trong thai k\u1ef3 v\u00e0 gi\u00fap gi\u1ea3m nguy c\u01a1 m\u1eafc b\u1ec7nh c\u0169ng nh\u01b0 c\u00e1c bi\u1ebfn ch\u1ee9ng li\u00ean quan.<\/p>\n\n\n\n<p>Th\u1ef1c hi\u1ec7n c\u00e1c bi\u1ec7n ph\u00e1p v\u1ec7 sinh c\u00e1 nh\u00e2n<\/p>\n\n\n\n<p>R\u1eeda tay th\u01b0\u1eddng xuy\u00ean: S\u1eed d\u1ee5ng x\u00e0 ph\u00f2ng v\u00e0 n\u01b0\u1edbc s\u1ea1ch \u0111\u1ec3 r\u1eeda tay, \u0111\u1eb7c bi\u1ec7t sau khi ho, h\u1eaft h\u01a1i ho\u1eb7c ti\u1ebfp x\u00fac v\u1edbi b\u1ec1 m\u1eb7t c\u00f4ng c\u1ed9ng.<\/p>\n\n\n\n<p>\u0110eo kh\u1ea9u trang: Khi ti\u1ebfp x\u00fac v\u1edbi ng\u01b0\u1eddi b\u1ec7nh ho\u1eb7c \u1edf n\u01a1i \u0111\u00f4ng ng\u01b0\u1eddi, \u0111eo kh\u1ea9u trang \u0111\u1ec3 gi\u1ea3m nguy c\u01a1 l\u00e2y nhi\u1ec5m.<\/p>\n\n\n\n<p>Tr\u00e1nh ch\u1ea1m v\u00e0o m\u1eb7t: H\u1ea1n ch\u1ebf ch\u1ea1m v\u00e0o m\u1eaft, m\u0169i, mi\u1ec7ng \u0111\u1ec3 tr\u00e1nh \u0111\u01b0a virus v\u00e0o c\u01a1 th\u1ec3.<\/p>\n\n\n\n<p>Duy tr\u00ec l\u1ed1i s\u1ed1ng l\u00e0nh m\u1ea1nh<\/p>\n\n\n\n<p>Ch\u1ebf \u0111\u1ed9 \u0103n u\u1ed1ng c\u00e2n \u0111\u1ed1i: B\u1ed5 sung \u0111\u1ee7 vitamin v\u00e0 kho\u00e1ng ch\u1ea5t, \u0111\u1eb7c bi\u1ec7t l\u00e0 vitamin C, \u0111\u1ec3 t\u0103ng c\u01b0\u1eddng h\u1ec7 mi\u1ec5n d\u1ecbch.<\/p>\n\n\n\n<p>Ngh\u1ec9 ng\u01a1i \u0111\u1ea7y \u0111\u1ee7: \u0110\u1ea3m b\u1ea3o gi\u1ea5c ng\u1ee7 \u0111\u1ee7 v\u00e0 ch\u1ea5t l\u01b0\u1ee3ng \u0111\u1ec3 c\u01a1 th\u1ec3 ph\u1ee5c h\u1ed3i v\u00e0 t\u0103ng c\u01b0\u1eddng s\u1ee9c \u0111\u1ec1 kh\u00e1ng.<\/p>\n\n\n\n<p>T\u1eadp th\u1ec3 d\u1ee5c nh\u1eb9 nh\u00e0ng: Th\u1ef1c hi\u1ec7n c\u00e1c b\u00e0i t\u1eadp ph\u00f9 h\u1ee3p v\u1edbi thai k\u1ef3 \u0111\u1ec3 duy tr\u00ec s\u1ee9c kh\u1ecfe t\u1ed5ng th\u1ec3.<\/p>\n\n\n\n<p>Tr\u00e1nh ti\u1ebfp x\u00fac v\u1edbi ngu\u1ed3n l\u00e2y nhi\u1ec5m<\/p>\n\n\n\n<p>H\u1ea1n ch\u1ebf \u0111\u1ebfn n\u01a1i \u0111\u00f4ng ng\u01b0\u1eddi: Tr\u00e1nh c\u00e1c khu v\u1ef1c \u0111\u00f4ng \u0111\u00fac, \u0111\u1eb7c bi\u1ec7t trong m\u00f9a c\u00fam.<\/p>\n\n\n\n<p>Tr\u00e1nh ti\u1ebfp x\u00fac v\u1edbi ng\u01b0\u1eddi b\u1ec7nh: N\u1ebfu c\u00f3 ng\u01b0\u1eddi trong gia \u0111\u00ecnh ho\u1eb7c m\u00f4i tr\u01b0\u1eddng l\u00e0m vi\u1ec7c b\u1ecb c\u00fam, c\u1ed1 g\u1eafng gi\u1eef kho\u1ea3ng c\u00e1ch v\u00e0 th\u1ef1c hi\u1ec7n c\u00e1c bi\u1ec7n ph\u00e1p ph\u00f2ng ng\u1eeba.<\/p>\n\n\n\n<p><strong>4. X\u1eed l\u00fd khi b\u1ecb c\u00fam trong thai k\u1ef3<\/strong><\/p>\n\n\n\n<p>N\u1ebfu ph\u1ee5 n\u1eef mang thai nghi ng\u1edd ho\u1eb7c x\u00e1c nh\u1eadn b\u1ecb c\u00fam, c\u1ea7n th\u1ef1c hi\u1ec7n c\u00e1c b\u01b0\u1edbc sau:<\/p>\n\n\n\n<p>Tham kh\u1ea3o \u00fd ki\u1ebfn b\u00e1c s\u0129: Li\u00ean h\u1ec7 v\u1edbi c\u01a1 s\u1edf y t\u1ebf \u0111\u1ec3 \u0111\u01b0\u1ee3c t\u01b0 v\u1ea5n v\u00e0 \u0111i\u1ec1u tr\u1ecb k\u1ecbp th\u1eddi.<\/p>\n\n\n\n<p>S\u1eed d\u1ee5ng thu\u1ed1c kh\u00e1ng virus: Trong m\u1ed9t s\u1ed1 tr\u01b0\u1eddng h\u1ee3p, b\u00e1c s\u0129 c\u00f3 th\u1ec3 ch\u1ec9 \u0111\u1ecbnh thu\u1ed1c kh\u00e1ng virus \u0111\u1ec3 gi\u1ea3m tri\u1ec7u ch\u1ee9ng v\u00e0 nguy c\u01a1 bi\u1ebfn ch\u1ee9ng.<\/p>\n\n\n\n<p>Theo d\u00f5i tri\u1ec7u ch\u1ee9ng: N\u1ebfu c\u00f3 d\u1ea5u hi\u1ec7u n\u1eb7ng nh\u01b0 kh\u00f3 th\u1edf, \u0111au ng\u1ef1c, ho\u1eb7c s\u1ed1t cao kh\u00f4ng gi\u1ea3m, c\u1ea7n \u0111\u1ebfn b\u1ec7nh vi\u1ec7n ngay l\u1eadp t\u1ee9c.<\/p>\n\n\n\n<p><strong>5. L\u1ee3i \u00edch c\u1ee7a vi\u1ec7c ti\u00eam ph\u00f2ng c\u00fam trong thai k\u1ef3<\/strong><\/p>\n\n\n\n<p>Ti\u00eam ph\u00f2ng c\u00fam l\u00e0 m\u1ed9t trong nh\u1eefng bi\u1ec7n ph\u00e1p b\u1ea3o v\u1ec7 quan tr\u1ecdng nh\u1ea5t cho ph\u1ee5 n\u1eef mang thai v\u00e0 thai nhi. C\u00e1c t\u1ed5 ch\u1ee9c y t\u1ebf h\u00e0ng \u0111\u1ea7u nh\u01b0 T\u1ed5 ch\u1ee9c Y t\u1ebf Th\u1ebf gi\u1edbi (WHO), Trung t\u00e2m Ki\u1ec3m so\u00e1t v\u00e0 Ph\u00f2ng ng\u1eeba D\u1ecbch b\u1ec7nh Hoa K\u1ef3 (CDC) v\u00e0 Hi\u1ec7p h\u1ed9i S\u1ea3n ph\u1ee5 khoa Hoa K\u1ef3 (ACOG) \u0111\u1ec1u khuy\u1ebfn c\u00e1o ph\u1ee5 n\u1eef mang thai n\u00ean ti\u00eam ph\u00f2ng c\u00fam \u1edf b\u1ea5t k\u1ef3 giai \u0111o\u1ea1n n\u00e0o c\u1ee7a thai k\u1ef3. V\u1eafc-xin c\u00fam kh\u00f4ng ch\u1ec9 gi\u00fap ph\u00f2ng b\u1ec7nh m\u00e0 c\u00f2n mang l\u1ea1i nhi\u1ec1u l\u1ee3i \u00edch quan tr\u1ecdng cho m\u1eb9 v\u00e0 b\u00e9.<\/p>\n\n\n\n<p><strong>5.1. B\u1ea3o v\u1ec7 s\u1ee9c kh\u1ecfe c\u1ee7a m\u1eb9 b\u1ea7u<\/strong><\/p>\n\n\n\n<p>Gi\u1ea3m nguy c\u01a1 m\u1eafc c\u00fam v\u00e0 bi\u1ebfn ch\u1ee9ng nghi\u00eam tr\u1ecdng<\/p>\n\n\n\n<p>H\u1ec7 mi\u1ec5n d\u1ecbch suy gi\u1ea3m trong thai k\u1ef3 khi\u1ebfn ph\u1ee5 n\u1eef mang thai c\u00f3 nguy c\u01a1 b\u1ecb c\u00fam n\u1eb7ng h\u01a1n so v\u1edbi ng\u01b0\u1eddi b\u00ecnh th\u01b0\u1eddng.<\/p>\n\n\n\n<p>Nguy c\u01a1 nh\u1eadp vi\u1ec7n do c\u00fam \u1edf ph\u1ee5 n\u1eef mang thai cao g\u1ea5p 2-3 l\u1ea7n so v\u1edbi ph\u1ee5 n\u1eef kh\u00f4ng mang thai<\/p>\n\n\n\n<p>C\u00fam c\u00f3 th\u1ec3 g\u00e2y vi\u00eam ph\u1ed5i, suy h\u00f4 h\u1ea5p, s\u1ed1c nhi\u1ec5m tr\u00f9ng, th\u1eadm ch\u00ed t\u1eed vong, \u0111\u1eb7c bi\u1ec7t trong tam c\u00e1 nguy\u1ec7t th\u1ee9 hai v\u00e0 ba.<\/p>\n\n\n\n<p>Gi\u1ea3m nguy c\u01a1 sinh non v\u00e0 bi\u1ebfn ch\u1ee9ng thai k\u1ef3<\/p>\n\n\n\n<p>C\u00fam c\u00f3 th\u1ec3 k\u00edch th\u00edch co b\u00f3p t\u1eed cung, g\u00e2y s\u1ea3y thai, sinh non ho\u1eb7c thai ch\u1ebft l\u01b0u.<\/p>\n\n\n\n<p>Ph\u1ee5 n\u1eef mang thai m\u1eafc c\u00fam c\u00f3 nguy c\u01a1 cao b\u1ecb t\u0103ng huy\u1ebft \u00e1p thai k\u1ef3 v\u00e0 ti\u1ec1n s\u1ea3n gi\u1eadt<\/p>\n\n\n\n<p>Ti\u00eam v\u1eafc-xin c\u00fam gi\u00fap gi\u1ea3m 36% nguy c\u01a1 nh\u1eadp vi\u1ec7n do bi\u1ebfn ch\u1ee9ng c\u00fam \u1edf m\u1eb9 b\u1ea7u<\/p>\n\n\n\n<p><strong>5.2. B\u1ea3o v\u1ec7 s\u1ee9c kh\u1ecfe thai nhi<\/strong><\/p>\n\n\n\n<p>Gi\u1ea3m nguy c\u01a1 d\u1ecb t\u1eadt b\u1ea9m sinh<\/p>\n\n\n\n<p>N\u1ebfu m\u1eb9 b\u1ecb c\u00fam trong 3 th\u00e1ng \u0111\u1ea7u, thai nhi c\u00f3 nguy c\u01a1 b\u1ecb d\u1ecb t\u1eadt \u1ed1ng th\u1ea7n kinh, tim b\u1ea9m sinh v\u00e0 h\u1edf h\u00e0m \u1ebfch.<\/p>\n\n\n\n<p>V\u1eafc-xin c\u00fam kh\u00f4ng g\u00e2y h\u1ea1i cho thai nhi m\u00e0 c\u00f2n gi\u00fap b\u1ea3o v\u1ec7 b\u00e9 kh\u1ecfi c\u00e1c \u1ea3nh h\u01b0\u1edfng c\u1ee7a virus c\u00fam.<\/p>\n\n\n\n<p>Gi\u1ea3m nguy c\u01a1 sinh non v\u00e0 nh\u1eb9 c\u00e2n<\/p>\n\n\n\n<p>Tr\u1ebb s\u01a1 sinh c\u1ee7a m\u1eb9 b\u1ecb c\u00fam c\u00f3 nguy c\u01a1 cao b\u1ecb sinh non (tr\u01b0\u1edbc 37 tu\u1ea7n) ho\u1eb7c nh\u1eb9 c\u00e2n (&lt;2.5kg).<\/p>\n\n\n\n<p>M\u1ed9t nghi\u00ean c\u1ee9u tr\u00ean 100.000 ph\u1ee5 n\u1eef mang thai cho th\u1ea5y ti\u00eam v\u1eafc-xin c\u00fam gi\u00fap gi\u1ea3m 15-20% nguy c\u01a1 sinh non v\u00e0 thai nh\u1eb9 c\u00e2n.<\/p>\n\n\n\n<p>B\u1ea3o v\u1ec7 b\u00e9 sau khi ch\u00e0o \u0111\u1eddi<\/p>\n\n\n\n<p>Tr\u1ebb s\u01a1 sinh d\u01b0\u1edbi 6 th\u00e1ng tu\u1ed5i kh\u00f4ng th\u1ec3 ti\u00eam v\u1eafc-xin c\u00fam, nh\u01b0ng kh\u00e1ng th\u1ec3 t\u1eeb m\u1eb9 truy\u1ec1n sang con qua nhau thai gi\u00fap b\u1ea3o v\u1ec7 b\u00e9 trong 6 th\u00e1ng \u0111\u1ea7u \u0111\u1eddi.<\/p>\n\n\n\n<p>M\u1ed9t nghi\u00ean c\u1ee9u c\u1ee7a JAMA Pediatrics (2022) cho th\u1ea5y v\u1eafc-xin c\u00fam l\u00e0m gi\u1ea3m 70% nguy c\u01a1 nh\u1eadp vi\u1ec7n do c\u00fam \u1edf tr\u1ebb d\u01b0\u1edbi 6 th\u00e1ng tu\u1ed5i.<\/p>\n\n\n\n<p><strong>5.3. An to\u00e0n khi ti\u00eam ph\u00f2ng c\u00fam trong thai k\u1ef3<\/strong><\/p>\n\n\n\n<p>Kh\u00f4ng g\u00e2y d\u1ecb t\u1eadt thai nhi ho\u1eb7c \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn s\u1ef1 ph\u00e1t tri\u1ec3n c\u1ee7a b\u00e9<\/p>\n\n\n\n<p>V\u1eafc-xin c\u00fam \u0111\u00e3 \u0111\u01b0\u1ee3c ch\u1ee9ng minh an to\u00e0n cho m\u1eb9 v\u00e0 b\u00e9 trong nhi\u1ec1u nghi\u00ean c\u1ee9u l\u00e2m s\u00e0ng tr\u00ean h\u00e0ng tri\u1ec7u ph\u1ee5 n\u1eef mang thai.<\/p>\n\n\n\n<p>Kh\u00f4ng c\u00f3 b\u1eb1ng ch\u1ee9ng cho th\u1ea5y v\u1eafc-xin c\u00fam g\u00e2y s\u1ea3y thai, d\u1ecb t\u1eadt b\u1ea9m sinh, ho\u1eb7c \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn tr\u00ed tu\u1ec7 c\u1ee7a tr\u1ebb sau sinh.<\/p>\n\n\n\n<p>C\u00f3 th\u1ec3 ti\u00eam \u1edf b\u1ea5t k\u1ef3 giai \u0111o\u1ea1n n\u00e0o c\u1ee7a thai k\u1ef3<\/p>\n\n\n\n<p>V\u1eafc-xin c\u00fam c\u00f3 th\u1ec3 ti\u00eam v\u00e0o b\u1ea5t k\u1ef3 th\u1eddi \u0111i\u1ec3m n\u00e0o trong thai k\u1ef3, nh\u01b0ng ti\u00eam tr\u01b0\u1edbc m\u00f9a c\u00fam (t\u1eeb th\u00e1ng 9 &#8211; 3) s\u1ebd c\u00f3 hi\u1ec7u qu\u1ea3 b\u1ea3o v\u1ec7 cao nh\u1ea5t.<\/p>\n\n\n\n<p>WHO v\u00e0 CDC khuy\u1ebfn c\u00e1o ph\u1ee5 n\u1eef mang thai n\u00ean ti\u00eam v\u1eafc-xin c\u00fam c\u00e0ng s\u1edbm c\u00e0ng t\u1ed1t trong m\u00f9a c\u00fam.<\/p>\n\n\n\n<p>Kh\u00f4ng g\u00e2y t\u00e1c d\u1ee5ng ph\u1ee5 nghi\u00eam tr\u1ecdng<\/p>\n\n\n\n<p>C\u00e1c t\u00e1c d\u1ee5ng ph\u1ee5 sau ti\u00eam v\u1eafc-xin c\u00fam r\u1ea5t nh\u1eb9, th\u01b0\u1eddng ch\u1ec9 g\u1ed3m \u0111au t\u1ea1i ch\u1ed7 ti\u00eam, s\u1ed1t nh\u1eb9, ho\u1eb7c \u0111au c\u01a1 tho\u00e1ng qua.<\/p>\n\n\n\n<p>V\u1eafc-xin c\u00fam d\u1ea1ng ti\u00eam kh\u00f4ng ch\u1ee9a virus s\u1ed1ng n\u00ean kh\u00f4ng th\u1ec3 g\u00e2y b\u1ec7nh c\u00fam.<\/p>\n\n\n\n<p><strong>5.4. Hi\u1ec7u qu\u1ea3 c\u1ee7a v\u1eafc-xin c\u00fam theo c\u00e1c nghi\u00ean c\u1ee9u g\u1ea7n \u0111\u00e2y<\/strong><\/p>\n\n\n\n<p>Nghi\u00ean c\u1ee9u: L\u1ee3i \u00edch c\u1ee7a v\u1eafc-xin c\u00fam<\/p>\n\n\n\n<p>CDC (2023) Gi\u1ea3m 36% nguy c\u01a1 nh\u1eadp vi\u1ec7n do c\u00fam \u1edf m\u1eb9 b\u1ea7u<\/p>\n\n\n\n<p>WHO (2022) Gi\u1ea3m 70% nguy c\u01a1 nh\u1eadp vi\u1ec7n do c\u00fam \u1edf tr\u1ebb s\u01a1 sinh<\/p>\n\n\n\n<p>JAMA Pediatrics (2022)Gi\u1ea3m 15-20% nguy c\u01a1 sinh non v\u00e0 thai nh\u1eb9 c\u00e2n<\/p>\n\n\n\n<p>NEJM (2021) Gi\u1ea3m 50% nguy c\u01a1 m\u1eb9 b\u1ecb vi\u00eam ph\u1ed5i do c\u00fam<\/p>\n\n\n\n<p><strong>5.5. C\u00e1c l\u01b0u \u00fd khi ti\u00eam ph\u00f2ng c\u00fam<\/strong><\/p>\n\n\n\n<p>Ti\u00eam v\u1eafc-xin c\u00fam b\u1ea5t k\u1ef3 th\u1eddi \u0111i\u1ec3m n\u00e0o trong thai k\u1ef3<\/p>\n\n\n\n<p>Ti\u00eam v\u1eafc-xin c\u00fam b\u1ea5t ho\u1ea1t (d\u1ea1ng ti\u00eam), kh\u00f4ng s\u1eed d\u1ee5ng v\u1eafc-xin c\u00fam d\u1ea1ng x\u1ecbt m\u0169i<\/p>\n\n\n\n<p>Kh\u00f4ng ti\u00eam v\u1eafc-xin c\u00fam n\u1ebfu c\u00f3 ti\u1ec1n s\u1eed d\u1ecb \u1ee9ng n\u1eb7ng v\u1edbi v\u1eafc-xin tr\u01b0\u1edbc \u0111\u00f3<\/p>\n\n\n\n<p>Ti\u00eam ph\u00f2ng c\u00fam c\u00f9ng v\u1eafc-xin ho g\u00e0 \u0111\u1ec3 b\u1ea3o v\u1ec7 t\u1ed1i \u0111a cho b\u00e9<\/p>\n\n\n\n<p><strong>T\u00e0i Li\u1ec7u Tham Kh\u1ea3o<\/strong><\/p>\n\n\n\n<p>1<em>. Centers for Disease Control and Prevention (CDC). (2023). Influenza (Flu) &amp; Pregnancy.<\/em><\/p>\n\n\n\n<p><em>2. World Health Organization (WHO). (2022). Influenza Vaccination in Pregnancy: WHO Recommendations.<\/em><\/p>\n\n\n\n<p>3. <em>American College of Obstetricians and Gynecologists (ACOG). (2022). Vaccinating Pregnant Women Against Influenza: Clinical Guidelines.<\/em><\/p>\n\n\n\n<p>4. <em>JAMA Pediatrics. (2022). Effect of Maternal Influenza Vaccination on Infant Health: A Systematic Review. JAMA Pediatrics, 176(4), 251-263. doi:10.1001\/jamapediatrics.2022.0012<\/em><\/p>\n\n\n\n<p>5. <em>The New England Journal of Medicine (NEJM). (2021). Influenza and Pregnancy Outcomes: A Systematic Review and Meta-Analysis. N Engl J Med, 385(10), 895-907. doi:10.1056\/NEJMra210175<\/em><\/p>\n\n\n\n<div class=\"wp-block-uagb-image uagb-block-586b77e0 wp-block-uagb-image--layout-default wp-block-uagb-image--effect-static wp-block-uagb-image--align-none\"><figure class=\"wp-block-uagb-image__figure\"><img decoding=\"async\" src=\"https:\/\/bvndgiadinh.org.vn\/wp-content\/uploads\/2025\/02\/36.png\" alt=\"\" class=\"uag-image-8397\" width=\"1080\" height=\"1080\" title=\"36\" loading=\"lazy\" role=\"img\" \/><\/figure><\/div>\n","protected":false},"excerpt":{"rendered":"<p>C\u00fam l\u00e0 m\u1ed9t b\u1ec7nh nhi\u1ec5m tr\u00f9ng h\u00f4 h\u1ea5p c\u1ea5p t\u00ednh do virus c\u00fam g\u00e2y ra, th\u01b0\u1eddng xu\u1ea5t hi\u1ec7n v\u00e0o m\u00f9a \u0111\u00f4ng xu\u00e2n. B\u1ec7nh l\u00e2y lan ch\u1ee7 y\u1ebfu qua c\u00e1c gi\u1ecdt b\u1eafn nh\u1ecf khi ng\u01b0\u1eddi b\u1ec7nh ho, h\u1eaft h\u01a1i ho\u1eb7c n\u00f3i chuy\u1ec7n v\u00e0 c\u00f3 th\u1ec3 l\u00e2y truy\u1ec1n qua ti\u1ebfp x\u00fac v\u1edbi b\u1ec1 m\u1eb7t b\u1ecb nhi\u1ec5m virus. 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Kh\u00e1nh Nh\u1eadt","author_link":"https:\/\/bvndgiadinh.org.vn\/?author=5"},"uagb_comment_info":0,"uagb_excerpt":"C\u00fam l\u00e0 m\u1ed9t b\u1ec7nh nhi\u1ec5m tr\u00f9ng h\u00f4 h\u1ea5p c\u1ea5p t\u00ednh do virus c\u00fam g\u00e2y ra, th\u01b0\u1eddng xu\u1ea5t hi\u1ec7n v\u00e0o m\u00f9a \u0111\u00f4ng xu\u00e2n. B\u1ec7nh l\u00e2y lan ch\u1ee7 y\u1ebfu qua c\u00e1c gi\u1ecdt b\u1eafn nh\u1ecf khi ng\u01b0\u1eddi b\u1ec7nh ho, h\u1eaft h\u01a1i ho\u1eb7c n\u00f3i chuy\u1ec7n v\u00e0 c\u00f3 th\u1ec3 l\u00e2y truy\u1ec1n qua ti\u1ebfp x\u00fac v\u1edbi b\u1ec1 m\u1eb7t b\u1ecb nhi\u1ec5m virus.&hellip;","_links":{"self":[{"href":"https:\/\/bvndgiadinh.org.vn\/index.php?rest_route=\/wp\/v2\/posts\/8396","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/bvndgiadinh.org.vn\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/bvndgiadinh.org.vn\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/bvndgiadinh.org.vn\/index.php?rest_route=\/wp\/v2\/users\/5"}],"replies":[{"embeddable":true,"href":"https:\/\/bvndgiadinh.org.vn\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=8396"}],"version-history":[{"count":1,"href":"https:\/\/bvndgiadinh.org.vn\/index.php?rest_route=\/wp\/v2\/posts\/8396\/revisions"}],"predecessor-version":[{"id":8399,"href":"https:\/\/bvndgiadinh.org.vn\/index.php?rest_route=\/wp\/v2\/posts\/8396\/revisions\/8399"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/bvndgiadinh.org.vn\/index.php?rest_route=\/wp\/v2\/media\/8397"}],"wp:attachment":[{"href":"https:\/\/bvndgiadinh.org.vn\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=8396"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/bvndgiadinh.org.vn\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=8396"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/bvndgiadinh.org.vn\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=8396"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}