{"id":9080,"date":"2025-04-04T10:06:52","date_gmt":"2025-04-04T03:06:52","guid":{"rendered":"https:\/\/bvndgiadinh.org.vn\/?p=9080"},"modified":"2025-04-04T10:08:17","modified_gmt":"2025-04-04T03:08:17","slug":"truyen-thong-giao-duc-suc-khoemo-lay-thai-an-toan","status":"publish","type":"post","link":"https:\/\/bvndgiadinh.org.vn\/?p=9080","title":{"rendered":"TRUY\u1ec0N TH\u00d4NG GI\u00c1O D\u1ee4C S\u1ee8C KH\u1eceE M\u1ed4 L\u1ea4Y THAI AN TO\u00c0N"},"content":{"rendered":"\n<p><strong>Mang thai v\u00e0 sinh con l\u00e0 thi\u00ean ch\u1ee9c thi\u00eang li\u00eang c\u1ee7a ng\u01b0\u1eddi ph\u1ee5 n\u1eef, l\u00e0 chuy\u1ebfn \u201cv\u01b0\u1ee3t c\u1ea1n\u201d c\u00f3 th\u1ec3 thu\u1eadn l\u1ee3i nh\u01b0ng c\u0169ng c\u00f3 th\u1ec3 g\u1eb7p ph\u1ea3i nh\u1eefng nguy c\u01a1 ti\u1ec1m \u1ea9n, \u0111e d\u1ecda t\u00ednh m\u1ea1ng c\u1ea3 thai ph\u1ee5 l\u1eabn thai nhi. Trong nhi\u1ec1u tr\u01b0\u1eddng h\u1ee3p, m\u1ed5 l\u1ea5y thai l\u00e0 gi\u1ea3i ph\u00e1p gi\u00fap thai nhi ch\u00e0o \u0111\u1eddi \u0111\u01b0\u1ee3c thu\u1eadn l\u1ee3i h\u01a1n, m\u1eb9 b\u1ea7u c\u0169ng kh\u00f4ng ph\u1ea3i ch\u1ecbu nhi\u1ec1u \u0111au \u0111\u1edbn nh\u01b0 khi sinh th\u01b0\u1eddng<\/strong><\/p>\n\n\n\n<p><strong>1. M\u1ed5 l\u1ea5y thai l\u00e0 g\u00ec?<\/strong><\/p>\n\n\n\n<p>M\u1ed5 l\u1ea5y thai (c\u00f2n g\u1ecdi l\u00e0 m\u1ed5 b\u1eaft con, sinh m\u1ed5) l\u00e0 m\u1ed9t th\u1ee7 thu\u1eadt ph\u1eabu thu\u1eadt \u0111\u01b0\u1ee3c th\u1ef1c hi\u1ec7n \u0111\u1ec3 \u0111\u01b0a em b\u00e9 ra kh\u1ecfi b\u1ee5ng m\u1eb9 qua m\u1ed9t \u0111\u01b0\u1eddng r\u1ea1ch \u1edf b\u1ee5ng v\u00e0 t\u1eed cung. \u0110\u00e2y l\u00e0 m\u1ed9t th\u1ee7 thu\u1eadt ph\u1ed5 bi\u1ebfn gi\u00fap \u0111\u1ea3m b\u1ea3o an to\u00e0n cho m\u1eb9 v\u00e0 b\u00e9 khi sinh th\u01b0\u1eddng kh\u00f4ng an to\u00e0n ho\u1eb7c kh\u00f4ng th\u1ec3 th\u1ef1c hi\u1ec7n.<\/p>\n\n\n\n<p><strong>2. Khi n\u00e0o c\u1ea7n m\u1ed5 l\u1ea5y thai?<\/strong><\/p>\n\n\n\n<p>Theo <strong>T\u1ed5 ch\u1ee9c Y t\u1ebf Th\u1ebf gi\u1edbi (WHO)<\/strong> v\u00e0 <strong>Hi\u1ec7p h\u1ed9i S\u1ea3n Ph\u1ee5 khoa Hoa K\u1ef3 (ACOG)<\/strong>, m\u1ed5 l\u1ea5y thai n\u00ean \u0111\u01b0\u1ee3c th\u1ef1c hi\u1ec7n trong c\u00e1c tr\u01b0\u1eddng h\u1ee3p sau:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Thai nhi qu\u00e1 to, ng\u00f4i thai b\u1ea5t th\u01b0\u1eddng (ng\u00f4i m\u00f4ng, ng\u00f4i ngang\u2026)<\/li>\n\n\n\n<li>M\u1eb9 c\u00f3 b\u1ec7nh l\u00fd nh\u01b0 ti\u1ec1n s\u1ea3n gi\u1eadt, nhau ti\u1ec1n \u0111\u1ea1o, v\u1ee1 t\u1eed cung\u2026<\/li>\n\n\n\n<li>Chuy\u1ec3n d\u1ea1 k\u00e9o d\u00e0i, kh\u00f4ng ti\u1ebfn tri\u1ec3n<\/li>\n\n\n\n<li>Suy thai c\u1ea5p (gi\u1ea3m nh\u1ecbp tim thai nghi\u00eam tr\u1ecdng)<\/li>\n\n\n\n<li>\u0110\u00e3 t\u1eebng m\u1ed5 l\u1ea5y thai tr\u01b0\u1edbc \u0111\u00f3 v\u00e0 kh\u00f4ng \u0111\u1ee7 \u0111i\u1ec1u ki\u1ec7n sinh th\u01b0\u1eddng sau m\u1ed5<\/li>\n<\/ul>\n\n\n\n<p><strong>L\u01b0u \u00fd:<\/strong> Kh\u00f4ng n\u00ean l\u1ef1a ch\u1ecdn sinh m\u1ed5 n\u1ebfu kh\u00f4ng c\u00f3 ch\u1ec9 \u0111\u1ecbnh y khoa, v\u00ec c\u00f3 th\u1ec3 l\u00e0m t\u0103ng nguy c\u01a1 bi\u1ebfn ch\u1ee9ng.<\/p>\n\n\n\n<p><strong>3. Chu\u1ea9n b\u1ecb tr\u01b0\u1edbc m\u1ed5<\/strong><\/p>\n\n\n\n<p>Nh\u1eefng \u0111i\u1ec1u sau c\u1ea7n chu\u1ea9n b\u1ecb cho ng\u01b0\u1eddi b\u1ec7nh<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Gi\u1ea3i th\u00edch cho ng\u01b0\u1eddi b\u1ec7nh<\/li>\n\n\n\n<li>Ng\u01b0\u1eddi b\u1ec7nh nh\u1ecbn \u0103n 8 gi\u1edd tr\u01b0\u1edbc cu\u1ed9c m\u1ed5 (\u0111\u1ed1i v\u1edbi ng\u01b0\u1eddi b\u1ec7nh m\u1ed5 ch\u01b0\u01a1ng tr\u00ecnh)<\/li>\n\n\n\n<li>\u0110\u1eb7t\u00a0m\u00e1y monitor s\u1ea3n khoa\u00a0theo d\u00f5i tim thai v\u00e0\u00a0<a href=\"https:\/\/vi.wikipedia.org\/w\/index.php?title=C%C6%A1n_g%C3%B2&amp;action=edit&amp;redlink=1\">c\u01a1n g\u00f2<\/a>\u00a0c\u1ee7a m\u1eb9<\/li>\n\n\n\n<li>Chu\u1ea9n b\u1ecb \u0111\u01b0\u1eddng truy\u1ec1n\u00a0<a href=\"https:\/\/vi.wikipedia.org\/wiki\/T%C4%A9nh_m%E1%BA%A1ch\">t\u0129nh m\u1ea1ch<\/a><\/li>\n\n\n\n<li>D\u1ef1 tr\u00f9\u00a0<a href=\"https:\/\/vi.wikipedia.org\/wiki\/M%C3%A1u\">m\u00e1u<\/a><\/li>\n\n\n\n<li>C\u00e1c chu\u1ea9n b\u1ecb kh\u00e1c cho m\u1ed9t cu\u1ed9c m\u1ed5 b\u1ee5ng<\/li>\n\n\n\n<li>M\u1ed9t s\u1ed1\u00a0<a href=\"https:\/\/vi.wikipedia.org\/w\/index.php?title=X%C3%A9t_nghi%E1%BB%87m_y_khoa&amp;action=edit&amp;redlink=1\">x\u00e9t nghi\u1ec7m<\/a>\u00a0c\u1ea7n l\u00e0m:\u00a0<a href=\"https:\/\/vi.wikipedia.org\/wiki\/C%C3%B4ng_th%E1%BB%A9c_m%C3%A1u\">c\u00f4ng th\u1ee9c m\u00e1u<\/a>,\u00a0<a href=\"https:\/\/vi.wikipedia.org\/wiki\/Nh%C3%B3m_m%C3%A1u\">nh\u00f3m m\u00e1u<\/a>,\u00a0<a href=\"https:\/\/vi.wikipedia.org\/w\/index.php?title=%C4%90%C3%B4ng_c%E1%BA%A7m_m%C3%A1u&amp;action=edit&amp;redlink=1\">\u0111\u00f4ng c\u1ea7m m\u00e1u<\/a><\/li>\n<\/ul>\n\n\n\n<p><strong>4. L\u1ee3i \u00edch v\u00e0 nguy c\u01a1 c\u1ee7a m\u1ed5 l\u1ea5y thai<\/strong><\/p>\n\n\n\n<p><strong>L\u1ee3i \u00edch<\/strong> :<\/p>\n\n\n\n<p>&#8211; An to\u00e0n cho m\u1eb9 v\u00e0 b\u00e9 khi sinh th\u01b0\u1eddng kh\u00f3 kh\u0103n<\/p>\n\n\n\n<p>&#8211; Ch\u1ee7 \u0111\u1ed9ng \u0111\u01b0\u1ee3c th\u1eddi gian sinh<\/p>\n\n\n\n<p>&#8211; Tr\u00e1nh \u0111\u01b0\u1ee3c m\u1ed9t s\u1ed1 tai bi\u1ebfn s\u1ea3n khoa<strong><\/strong><\/p>\n\n\n\n<p><strong>Nguy c\u01a1<\/strong><\/p>\n\n\n\n<p>&#8211; Nhi\u1ec5m tr\u00f9ng v\u1ebft m\u1ed5, ch\u1ea3y m\u00e1u nhi\u1ec1u<\/p>\n\n\n\n<p>&#8211; Th\u1eddi gian h\u1ed3i ph\u1ee5c l\u00e2u h\u01a1n sinh th\u01b0\u1eddng<\/p>\n\n\n\n<p>&#8211; Nguy c\u01a1 bi\u1ebfn ch\u1ee9ng cho l\u1ea7n mang thai sau<strong><\/strong><\/p>\n\n\n\n<p><strong>5. Quy tr\u00ecnh m\u1ed5 l\u1ea5y thai<\/strong><\/p>\n\n\n\n<p>Quy tr\u00ecnh m\u1ed5 l\u1ea5y thai g\u1ed3m 6 b\u01b0\u1edbc ch\u00ednh:<\/p>\n\n\n\n<p><strong>B\u01b0\u1edbc 1:<\/strong> G\u00e2y t\u00ea\/g\u00e2y m\u00ea &#8211; th\u01b0\u1eddng l\u00e0 g\u00e2y t\u00ea t\u1ee7y s\u1ed1ng<\/p>\n\n\n\n<p><strong>B\u01b0\u1edbc 2:<\/strong> R\u1ea1ch da v\u00f9ng b\u1ee5ng d\u01b0\u1edbi<\/p>\n\n\n\n<p><strong>B\u01b0\u1edbc 3:<\/strong> R\u1ea1ch t\u1eed cung<\/p>\n\n\n\n<p><strong>B\u01b0\u1edbc 4:<\/strong> L\u1ea5y thai nhi ra ngo\u00e0i<\/p>\n\n\n\n<p><strong>B\u01b0\u1edbc 5:<\/strong> L\u1ea5y nhau thai<\/p>\n\n\n\n<p><strong>B\u01b0\u1edbc 6:<\/strong> Kh\u00e2u \u0111\u00f3ng t\u1eed cung v\u00e0 th\u00e0nh b\u1ee5ng<\/p>\n\n\n\n<p><strong>6. Tai bi\u1ebfn<\/strong><\/p>\n\n\n\n<p><strong>Tai bi\u1ebfn trong l\u00fac m\u1ed5<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>R\u00e1ch t\u1eed cung (th\u01b0\u1eddng \u1edf \u0111o\u1ea1n d\u01b0\u1edbi t\u1eed cung khi m\u1ed5 t\u1eed cung \u1edf \u0111o\u1ea1n d\u01b0\u1edbi)<\/li>\n\n\n\n<li>T\u1ed5n th\u01b0\u01a1ng\u00a0<a href=\"https:\/\/vi.wikipedia.org\/wiki\/B%C3%A0ng_quang\">b\u00e0ng quang<\/a>,\u00a0<a href=\"https:\/\/vi.wikipedia.org\/wiki\/Ni%E1%BB%87u_qu%E1%BA%A3n\">ni\u1ec7u qu\u1ea3n<\/a>,\u00a0<a href=\"https:\/\/vi.wikipedia.org\/wiki\/Ru%E1%BB%99t\">ru\u1ed9t<\/a>&#8230;<\/li>\n\n\n\n<li>Ch\u1ea3y m\u00e1u do ph\u1ea1m ph\u1ea3i\u00a0<a href=\"https:\/\/vi.wikipedia.org\/wiki\/%C4%90%E1%BB%99ng_m%E1%BA%A1ch\">\u0111\u1ed9ng m\u1ea1ch<\/a>\u00a0t\u1eed cung, do \u0111\u1edd t\u1eed cung<\/li>\n\n\n\n<li>M\u1ea5t tr\u01b0\u01a1ng l\u1ef1c t\u1eed cung &#8211; \u0111\u1edd t\u1eed cung: g\u1eb7p \u1edf s\u1ea3n ph\u1ee5\u00a0<a href=\"https:\/\/vi.wikipedia.org\/w\/index.php?title=%C4%90a_s%E1%BA%A3n&amp;action=edit&amp;redlink=1\">\u0111a s\u1ea3n<\/a>,\u00a0<a href=\"https:\/\/vi.wikipedia.org\/w\/index.php?title=%C4%90a_%E1%BB%91i&amp;action=edit&amp;redlink=1\">\u0111a \u1ed1i<\/a>, s\u1ea3n ph\u1ee5 tr\u01b0\u1edbc \u0111\u00f3 \u0111\u00e3 chuy\u1ec3n d\u1ea1 k\u00e9o d\u00e0i kh\u00f3 kh\u0103n. Khi \u1ea5y nguy c\u01a1 s\u1ebd m\u1ea5t m\u00e1u nhi\u1ec1u h\u01a1n<\/li>\n\n\n\n<li>C\u00e1c tai bi\u1ebfn do g\u00e2y m\u00ea<\/li>\n<\/ul>\n\n\n\n<p><strong>Bi\u1ebfn ch\u1ee9ng sau m\u1ed5<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><a href=\"https:\/\/vi.wikipedia.org\/wiki\/Nhi%E1%BB%85m_tr%C3%B9ng\">Nhi\u1ec5m tr\u00f9ng<\/a>: nhi\u1ec5m tr\u00f9ng trong c\u01a1 t\u1eed cung (endomyometritis), nhi\u1ec5m tr\u00f9ng v\u1ebft m\u1ed5&#8230;<\/li>\n\n\n\n<li><a href=\"https:\/\/vi.wikipedia.org\/wiki\/Nhi%E1%BB%85m_tr%C3%B9ng_%C4%91%C6%B0%E1%BB%9Dng_ti%E1%BB%83u\">Nhi\u1ec5m tr\u00f9ng \u0111\u01b0\u1eddng ti\u1ec3u<\/a><\/li>\n\n\n\n<li><a href=\"https:\/\/vi.wikipedia.org\/wiki\/Tho%C3%A1t_v%E1%BB%8B\">Tho\u00e1t v\u1ecb<\/a>\u00a0th\u00e0nh b\u1ee5ng<\/li>\n\n\n\n<li>D\u00ednh ru\u1ed9t<\/li>\n\n\n\n<li><a href=\"https:\/\/vi.wikipedia.org\/wiki\/L%E1%BA%A1c_n%E1%BB%99i_m%E1%BA%A1c_t%E1%BB%AD_cung\">L\u1ea1c n\u1ed9i m\u1ea1c t\u1eed cung<\/a><\/li>\n\n\n\n<li>C\u00e1c bi\u1ebfn ch\u1ee9ng do\u00a0<a href=\"https:\/\/vi.wikipedia.org\/w\/index.php?title=Thuy%C3%AAn_t%E1%BA%AFc_t%C4%A9nh_m%E1%BA%A1ch&amp;action=edit&amp;redlink=1\">thuy\u00ean t\u1eafc t\u0129nh m\u1ea1ch<\/a>\u00a0khi n\u1eb1m h\u1eadu ph\u1eabu l\u00e2u&#8230;<\/li>\n<\/ul>\n\n\n\n<p><strong>Tai bi\u1ebfn cho con<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>\u1ea2nh h\u01b0\u1edfng b\u1edfi thu\u1ed1c m\u00ea<\/li>\n\n\n\n<li>Ch\u1ea1m th\u01b0\u01a1ng khi ph\u1eabu thu\u1eadt<\/li>\n\n\n\n<li>H\u00edt ph\u1ea3i n\u01b0\u1edbc \u1ed1i<\/li>\n<\/ul>\n\n\n\n<p><strong>7. Ph\u1ee5c h\u1ed3i sau m\u1ed5 l\u1ea5y thai<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Ngh\u1ec9 ng\u01a1i, \u0103n u\u1ed1ng \u0111\u1ea7y \u0111\u1ee7 dinh d\u01b0\u1ee1ng<\/li>\n\n\n\n<li>V\u1eadn \u0111\u1ed9ng nh\u1eb9 sau 6 &#8211; 12 gi\u1edd<\/li>\n\n\n\n<li>V\u1ec7 sinh v\u1ebft m\u1ed5 \u0111\u00fang c\u00e1ch \u0111\u1ec3 tr\u00e1nh nhi\u1ec5m tr\u00f9ng<\/li>\n\n\n\n<li>Theo d\u00f5i d\u1ea5u hi\u1ec7u b\u1ea5t th\u01b0\u1eddng nh\u01b0 s\u1ed1t, \u0111au nhi\u1ec1u, ch\u1ea3y m\u00e1u<\/li>\n<\/ul>\n\n\n\n<p><strong>8<\/strong><strong>. Khuy\u1ebfn c\u00e1o t\u1eeb WHO &amp; ACOG<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>T\u1ef7 l\u1ec7 m\u1ed5 l\u1ea5y thai n\u00ean duy tr\u00ec \u1edf m\u1ee9c &lt;15% t\u1ed5ng s\u1ed1 ca sinh (theo WHO)<\/li>\n\n\n\n<li>M\u1ed5 l\u1ea5y thai kh\u00f4ng n\u00ean \u0111\u01b0\u1ee3c th\u1ef1c hi\u1ec7n theo y\u00eau c\u1ea7u n\u1ebfu kh\u00f4ng c\u00f3 l\u00fd do y khoa r\u00f5 r\u00e0ng<\/li>\n\n\n\n<li>Ph\u1ee5 n\u1eef \u0111\u00e3 t\u1eebng m\u1ed5 l\u1ea5y thai v\u1eabn c\u00f3 th\u1ec3 sinh th\u01b0\u1eddng n\u1ebfu \u0111\u1ee7 \u0111i\u1ec1u ki\u1ec7n v\u00e0 \u0111\u01b0\u1ee3c theo d\u00f5i s\u00e1t<\/li>\n<\/ul>\n\n\n\n<p>Ng\u00e0y nay, sinh m\u1ed5&nbsp;l\u00e0 bi\u1ec7n ph\u00e1p r\u1ea5t ph\u1ed5 bi\u1ebfn \u0111\u1ec3 gi\u00fap thai nhi ch\u00e0o \u0111\u1eddi thu\u1eadn l\u1ee3i, tr\u00e1nh nh\u1eefng bi\u1ebfn ch\u1ee9ng nguy hi\u1ec3m c\u00f3 th\u1ec3 \u0111e d\u1ecda c\u1ea3 m\u1eb9 l\u1eabn con trong qu\u00e1 tr\u00ecnh m\u1eb9 b\u1ea7u \u201cv\u01b0\u1ee3t c\u1ea1n\u201d. L\u01b0u \u00fd l\u00e0 vi\u1ec7c thai ph\u1ee5 sinh m\u1ed5 hay sinh th\u01b0\u1eddng kh\u00f4ng ph\u1ea3i l\u00e0 quy\u1ebft \u0111\u1ecbnh t\u1eeb ph\u00eda thai ph\u1ee5 m\u00e0 ph\u1ea3i t\u1eeb ph\u00eda b\u00e1c s\u0129 s\u1ea3n khoa sau khi c\u00e2n nh\u1eafc c\u00e1c y\u1ebfu t\u1ed1 nguy c\u01a1 \u0111\u1ec3 \u0111\u01b0a ra h\u01b0\u1edbng th\u1ef1c hi\u1ec7n nh\u1eb1m \u0111\u1ea3m b\u1ea3o qu\u00e1 tr\u00ecnh sinh \u0111\u01b0\u1ee3c an to\u00e0n.<\/p>\n\n\n\n<p>\u201cM\u1ed5 l\u1ea5y thai l\u00e0 m\u1ed9t bi\u1ec7n ph\u00e1p an to\u00e0n khi c\u1ea7n thi\u1ebft &#8211; H\u00e3y sinh m\u1ed5 v\u00ec l\u00fd do y khoa, kh\u00f4ng v\u00ec s\u1edf th\u00edch c\u00e1 nh\u00e2n\u201d<\/p>\n\n\n\n<p class=\"has-text-align-right\"><strong>BS.CKII Nguy\u1ec5n Th\u1ecb Minh Huy\u1ec1n, Ph\u00f3 tr\u01b0\u1edfng khoa S\u1ea3n th\u01b0\u1eddng, B\u1ec7nh vi\u1ec7n Nh\u00e2n d\u00e2n Gia \u0110\u1ecbnh<\/strong><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Mang thai v\u00e0 sinh con l\u00e0 thi\u00ean ch\u1ee9c thi\u00eang li\u00eang c\u1ee7a ng\u01b0\u1eddi ph\u1ee5 n\u1eef, l\u00e0 chuy\u1ebfn \u201cv\u01b0\u1ee3t c\u1ea1n\u201d c\u00f3 th\u1ec3 thu\u1eadn l\u1ee3i nh\u01b0ng c\u0169ng c\u00f3 th\u1ec3 g\u1eb7p ph\u1ea3i nh\u1eefng nguy c\u01a1 ti\u1ec1m \u1ea9n, \u0111e d\u1ecda t\u00ednh m\u1ea1ng c\u1ea3 thai ph\u1ee5 l\u1eabn thai nhi. Trong nhi\u1ec1u tr\u01b0\u1eddng h\u1ee3p, m\u1ed5 l\u1ea5y thai l\u00e0 gi\u1ea3i ph\u00e1p gi\u00fap thai 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