{"id":29791,"date":"2023-05-08T12:58:53","date_gmt":"2023-05-08T05:58:53","guid":{"rendered":"http:\/\/noithathoaphat.in\/ctv\/?p=29791"},"modified":"2023-05-08T12:58:53","modified_gmt":"2023-05-08T05:58:53","slug":"thai-cham-phat-trien-trong-tu-cung-chan-doan-xu-tri","status":"publish","type":"post","link":"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/05\/08\/thai-cham-phat-trien-trong-tu-cung-chan-doan-xu-tri\/","title":{"rendered":"Thai ch\u1eadm ph\u00e1t tri\u1ec3n trong t\u1eed cung: Ch\u1ea9n \u0111o\u00e1n, x\u1eed tr\u00ed"},"content":{"rendered":"<p><strong>Kh\u00e1i ni\u1ec7m thai nh\u1eb9 c\u00e2n l\u00e0 khi thai \u0111\u1ee7 th\u00e1ng, tr\u1ecdng l\u01b0\u1ee3ng thai l\u00fac sinh d\u01b0\u1edbi 2500gr. Trong th\u1ef1c t\u1ebf, kh\u00e1i ni\u1ec7m thai ch\u1eadm ph\u00e1t tri\u1ec3n trong t\u1eed cung bao g\u1ed3m tr\u1ecdng l\u01b0\u1ee3ng thai t\u1ea1i th\u1eddi \u0111i\u1ec3m th\u0103m kh\u00e1m v\u00e0 s\u1ef1 ph\u00e1t tri\u1ec3n c\u1ee7a thai. \u0110\u1ec3 x\u00e1c \u0111\u1ecbnh thai th\u1ef1c s\u1ef1 c\u00f3 ch\u1eadm ph\u00e1t tri\u1ec3n ho\u1eb7c ng\u1eebng ph\u00e1t tri\u1ec3n th\u00ec ph\u1ea3i \u0111o k\u00edch th\u01b0\u1edbc v\u00e0 \u01b0\u1edbc l\u01b0\u1ee3ng tr\u1ecdng l\u01b0\u1ee3ng thai \u1edf \u00edt nh\u1ea5t 2 l\u1ea7n th\u0103m kh\u00e1m li\u00ean ti\u1ebfp c\u00e1ch nhau 01 tu\u1ea7n.<\/strong><\/p>\n<h2>1. Ch\u1ea9n \u0111o\u00e1n<\/h2>\n<p><strong>1.1 L\u00e2m s\u00e0ng <\/strong><\/p>\n<p>Kh\u00f4ng c\u00f3 d\u1ea5u hi\u1ec7u \u0111\u1eb7c tr\u01b0ng C\u00f3 th\u1ec3 c\u00f3 m\u1ed9t s\u1ed1 g\u1ee3i \u00fd:<\/p>\n<ul>\n<li>Ti\u1ec1n s\u1eed \u0111\u1ebb con ch\u1eadm ph\u00e1t tri\u1ec3n trong t\u1eed cung<\/li>\n<\/ul>\n<ul>\n<li>M\u1eb9 t\u0103ng c\u00e2n \u00edt h\u01a1n b\u00ecnh th\u01b0\u1eddng<\/li>\n<li>Chi\u1ec1u cao t\u1eed cung nh\u1ecf h\u01a1n tu\u1ed5i thai<\/li>\n<li>Ph\u00e1t hi\u1ec7n \u0111\u01b0\u1ee3c m\u1ed9t s\u1ed1 nguy\u00ean nh\u00e2n: HA cao, m\u1eb9 b\u1ecb b\u1ec7nh l\u00fd m\u1ea1n t\u00ednh\u2026<\/li>\n<\/ul>\n<p><img decoding=\"async\" loading=\"lazy\" class=\"alignnone size-medium wp-image-2398\" src=\"http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/perinatal-depression-300x168.jpg\" alt=\"minh-hoa-tram-cam-khi-mang-thai\" width=\"300\" height=\"168\" srcset=\"http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/perinatal-depression-300x168.jpg 300w, http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/perinatal-depression.jpg 640w\" sizes=\"(max-width: 300px) 100vw, 300px\" \/><\/p>\n<p>Thai ch\u1eadm ph\u00e1t tri\u1ec3n trong t\u1eed cung<\/p>\n<p><strong>1.2 Si\u00eau \u00e2m <\/strong><\/p>\n<p>L\u00e0 ph\u01b0\u01a1ng ph\u00e1p gi\u00fap ch\u1ea9n \u0111o\u00e1n h\u1eefu hi\u1ec7u<\/p>\n<p>So s\u00e1nh \u0111\u1ed1i chi\u1ebfu c\u00e1c k\u00edch th\u01b0\u1edbc c\u1ee7a thai nhi v\u1edbi k\u00edch th\u01b0\u1edbc chu\u1ea9n ( c\u00e1c ch\u1ec9 s\u1ed1 v\u1ec1 k\u00edch th\u01b0\u1edbc thai \u0111\u01b0\u1ee3c x\u00e2y d\u1ef1ng d\u1ef1a tr\u00ean c\u00e1c nghi\u00ean c\u1ee9u m\u00f4 t\u1ea3 c\u1eaft ngang) \u0111\u00e1nh gi\u00e1 thai ch\u1eadm ph\u00e1t tri\u1ec3n trong t\u1eed cung c\u00e2n \u0111\u1ed1i hay kh\u00f4ng c\u00e2n \u0111\u1ed1i<\/p>\n<p><strong><em>1.2.1 Ch\u1ec9 s\u1ed1:<\/em> <\/strong>\u0111\u01b0\u1eddng k\u00ednh l\u01b0\u1ee1ng \u0111\u1ec9nh<\/p>\n<p>70% c\u00e1c tr\u01b0\u1eddng h\u1ee3p thai ch\u1eadm ph\u00e1t tri\u1ec3n trong t\u1eed cung c\u00f3 k\u00edch th\u01b0\u1edbc \u0111\u01b0\u1eddng k\u00ednh l\u01b0\u1ee1ng \u0111\u1ec9nh nh\u1ecf h\u01a1n so v\u1edbi tu\u1ed5i thai<\/p>\n<p><strong><em>1.2.2 Ch\u1ec9 s\u1ed1:<\/em> <\/strong>chu vi b\u1ee5ng<\/p>\n<p>\u0110\u00e2y l\u00e0 m\u1ed9t ch\u1ec9 s\u1ed1 th\u01b0\u1eddng \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng nh\u1ea5t \u0111\u1ec3 d\u1ef1 \u0111o\u00e1n thai ch\u1eadm ph\u00e1t tri\u1ec3n trong t\u1eed cung. Chu vi b\u1ee5ng c\u00f3 gi\u00e1 tr\u1ecb d\u1ef1 \u0111o\u00e1n thai ch\u1eadm ph\u00e1t tri\u1ec3n trong t\u1eed cung cao h\u01a1n ch\u1ec9 s\u1ed1 \u0111\u01b0\u1eddng k\u00ednh l\u01b0\u1ee1ng k\u00ednh, chu vi \u0111\u1ea7u v\u00e0 chi\u1ec1u d\u00e0i x\u01b0\u01a1ng \u0111\u00f9i.<\/p>\n<p>T\u1ed1c \u0111\u1ed9 t\u0103ng tr\u01b0\u1edfng c\u1ee7a \u0111\u01b0\u1eddng k\u00ednh chu vi b\u1ee5ng \u0111\u00f3ng vai tr\u00f2 quan tr\u1ecdng trong ch\u1ea9n \u0111o\u00e1n thai ch\u1eadm ph\u00e1t tri\u1ec3n trong t\u1eed cung \u1edf m\u1ed9t s\u1ed1 tr\u01b0\u1eddng h\u1ee3p ng\u01b0\u1eddi m\u1eb9 kh\u00f4ng nh\u1edb ch\u00ednh x\u00e1c ng\u00e0y kinh, kh\u00f4ng \u0111\u00e1nh gi\u00e1 \u0111\u01b0\u1ee3c tu\u1ed5i thai, n\u1ebfu t\u1ed1c \u0111\u1ed9 t\u0103ng c\u1ee7a chu vi b\u1ee5ng d\u01b0\u1edbi 10 mm trong 15 ng\u00e0y th\u00ec c\u00f3 th\u1ec3 ngh\u0129 t\u1edbi thai ch\u1eadm ph\u00e1t tri\u1ec3n trong t\u1eed cung.<\/p>\n<p><strong><em>1.2.3 Ch\u1ec9 s\u1ed1:<\/em> <\/strong>chi\u1ec1u d\u00e0i x\u01b0\u01a1ng \u0111\u00f9i<\/p>\n<p>Ch\u1ec9 s\u1ed1 n\u00e0y kh\u00f4ng c\u00f3 gi\u00e1 tr\u1ecb \u0111\u1eb7c bi\u1ec7t trong ch\u1ea9n \u0111o\u00e1n thai ch\u1eadm ph\u00e1t tri\u1ec3n trong t\u1eed cung.<\/p>\n<p><strong><em>1.2.4 T\u00ecnh tr\u1ea1ng n\u01b0\u1edbc \u1ed1i <\/em><\/strong><\/p>\n<p>C\u00f3 \u0111\u1ebfn 90% c\u00e1c tr\u01b0\u1eddng h\u1ee3p thai ch\u1eadm ph\u00e1t tri\u1ec3n trong t\u1eed cung c\u00f3 t\u00ecnh tr\u1ea1ng thi\u1ec3u \u1ed1i, ng\u01b0\u1ee3c l\u1ea1i n\u1ebfu k\u00e8m theo \u0111a \u1ed1i th\u00ec ph\u1ea3i ngh\u0129 t\u1edbi c\u00e1c nguy\u00ean nh\u00e2n thai b\u1ea5t th\u01b0\u1eddng nh\u01b0 r\u1ed1i lo\u1ea1n NST, b\u1ec7nh l\u00fd gen..<\/p>\n<p><strong><em>1.2.5 \u0110\u1ed9 tr\u01b0\u1edfng th\u00e0nh b\u00e1nh rau<\/em><\/strong><\/p>\n<p>Kh\u00f4ng c\u00f3 nhi\u1ec1u gi\u00e1 tr\u1ecb trong ch\u1ea9n \u0111o\u00e1n v\u00e0 d\u1ef1 b\u00e1o thai ch\u1eadm ph\u00e1t tri\u1ec3n trong t\u1eed cung.<\/p>\n<h4><em>1.2.6 \u01af\u1edbc l\u01b0\u1ee3ng tr\u1ecdng l\u01b0\u1ee3ng thai<\/em><em>\u00a0 <\/em><\/h4>\n<p>R\u1ea5t kh\u00f3 \u0111\u1ec3 c\u00f3 m\u1ed9t c\u00f4ng th\u1ee9c t\u00ednh ch\u00ednh x\u00e1c tr\u1ecdng l\u01b0\u1ee3ng thai nhi trong t\u1eed cung, ch\u00fang ta ch\u1ec9 c\u00f3 th\u1ec3 \u01b0\u1edbc \u0111o\u00e1n tr\u1ecdng l\u01b0\u1ee3ng thai trong kho\u1ea3ng c\u1ed9ng tr\u1eeb 10 % c\u1ee7a gi\u00e1 tr\u1ecb trung b\u00ecnh, \u0111\u1ed1i chi\u1ebfu v\u1edbi bi\u1ec3u \u0111\u1ed3 ph\u00e1t tri\u1ec3n tr\u1ecdng l\u01b0\u1ee3ng thai theo tu\u1ed5i thai \u0111\u1ec3 ch\u1ea9n \u0111o\u00e1n thai ch\u1eadm ph\u00e1t tri\u1ec3n trong t\u1eed cung. Ngo\u00e0i ra c n m\u1ed9t s\u1ed1 ch\u1ec9 s\u1ed1 tham kh\u1ea3o kh\u00e1c nh\u01b0: chu vi \u0111\u00f9i, t\u1ef7 l\u1ec7 gi\u1eefa chi\u1ec1u d\u00e0i x\u01b0\u01a1ng \u0111\u00f9i v\u00e0 chu vi \u0111\u00f9i, t\u1ef7 l\u1ec7 gi\u1eefa chu vi \u0111\u1ea7u v\u00e0 chu vi b\u1ee5ng\u2026<\/p>\n<p><strong><em>1.2.7. Ch\u1ec9 s\u1ed1 Doppler \u0111\u1ed9ng m\u1ea1ch <\/em><\/strong><\/p>\n<ul>\n<li>Doppler \u0111\u1ed9ng m\u1ea1ch r\u1ed1n v\u00e0 \u0111\u1ed9ng m\u1ea1ch t\u1eed cung b\u00ecnh th\u01b0\u1eddng : \u00cdt nguy c\u01a1 bi\u1ebfn ch\u1ee9ng trong th\u1eddi k\u1ef3 chu sinh, th\u01b0\u1eddng g\u1eb7p trong thai ch\u1eadm ph\u00e1t tri\u1ec3n trong t\u1eed cung do nguy\u00ean nh\u00e2n b\u1ea5t th\u01b0\u1eddng NST<\/li>\n<li>Doppler \u0111\u1ed9ng m\u1ea1ch t\u1eed cung b\u1ea5t th\u01b0\u1eddng: l\u00e0 d\u1ea5u hi\u1ec7u b\u1ec7nh l\u00fd h\u1ec7 tu\u1ea7n ho\u00e0n c\u1ee7a ng\u01b0\u1eddi m\u1eb9, s\u1ea3n ph\u1ee5 c\u00f3 nguy c\u01a1 ti\u1ec1n s\u1ea3n gi\u1eadt v\u00e0 r\u1ed1i lo\u1ea1n t\u0103ng huy\u1ebft \u00e1p trong nh\u1eefng th\u00e1ng cu\u1ed1i d\u1eabn t\u1edbi thai ch\u1eadm ph\u00e1t tri\u1ec3n trong t\u1eed cung, nguy c\u01a1 thai ch\u1ebft l\u01b0u trong t\u1eed cung. Theo d\u00f5i huy\u1ebft \u00e1p \u0111\u1ecbnh k\u1ef3, s\u1ed1 l\u01b0\u1ee3ng ti\u1ec3u c\u1ea7u, ch\u1ee9c n\u0103ng gan th\u1eadn nh\u1eb1m ph\u00e1t hi\u1ec7n s\u1edbm nguy c\u01a1 cho m\u1eb9 v\u00e0 thai \u0111\u1ec3 c\u00f3 quy\u1ebft \u0111\u1ecbnh ch\u1ea5m d\u1ee9t thai ngh\u00e9n \u1edf th\u1eddi \u0111i\u1ec3m th\u00edch h\u1ee3p.<\/li>\n<\/ul>\n<h2>2 X\u1eed tr\u00ed thai ch\u1eadm ph\u00e1t tri\u1ec3n trong t\u1eed cung<\/h2>\n<ul>\n<li>Hi\u1ec7n nay ch\u01b0a c\u00f3 ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb h\u1eefu hi\u1ec7u<\/li>\n<li>Ph\u1ea3i theo d\u00f5i r\u1ea5t ch\u1eb7t ch\u1ebd v\u00e0 t\u01b0 v\u1ea5n k\u1ef9 cho s\u1ea3n ph\u1ee5 v\u00e0 gia \u0111\u00ecnh<\/li>\n<li>\u0110i\u1ec1u tr\u1ecb THA v\u1edbi nh\u1eefng tr\u01b0\u1eddng h\u1ee3p x\u00e1c \u0111\u1ecbnh thai ch\u1eadm ph\u00e1t tri\u1ec3n trong t\u1eed cung do m\u1eb9 r\u1ed1i lo\u1ea1n THA thai k\u1ef3.<\/li>\n<li>Ch\u1ebf \u0111\u1ed9 ngh\u1ec9 ng\u01a1i, h\u1ea1n ch\u1ebf lao \u0111\u1ed9ng n\u1eb7ng<\/li>\n<\/ul>\n<p>C\u1ea3i thi\u1ec7n cung c\u1ea5p oxy cho m\u1eb9 v\u00e0 truy\u1ec1n dung d\u1ecbch \u0111\u01b0\u1eddng t\u0103ng th\u1ec3 t\u00edch tu\u1ea7n ho\u00e0n \u0111\u01b0\u1ee3c khuy\u1ebfn c\u00e1o cho m\u1ed9t s\u1ed1 tr\u01b0\u1eddng h\u1ee3p thai ch\u1eadm ph\u00e1t tri\u1ec3n trong t\u1eed cung n\u1eb7ng \u1edf cu\u1ed1i qu\u00fd 2 c\u1ee7a thai k\u1ef3, tuy nhi\u00ean ph\u01b0\u01a1ng ph\u00e1p n\u00e0y c\u0169ng kh\u00f4ng cho k\u1ebft qu\u1ea3 kh\u1ea3 quan.<\/p>\n<ul>\n<li>T\u00ecm nguy\u00ean nh\u00e2n: n\u1ebfu x\u00e1c \u0111\u1ecbnh thai b\u1ea5t th\u01af\u1eddng nhi\u1ec5m s\u1eafc th\u1ec3, \u0111a d\u1ecb t\u1eadt, nhi\u1ec5m CMV th\u00ec n\u00ean \u0111\u00ecnh ch\u1ec9 thai ngh\u00e9n. N\u1ebfu ch\u1ec9 c\u00f3 1 d\u1ecb t\u1eadt \u0111\u01a1n \u0111\u1ed9c th\u00ec h\u1ed9i ch\u1ea9n v\u1edbi c\u00e1c trung t\u00e2m ch\u1ea9n \u0111o\u00e1n tr\u01b0\u1edbc sinh, v\u1edbi b\u00e1c s\u1ef9 ph\u1eabu thu\u1eadt nhi \u0111\u1ec3 c\u00f3 h\u01b0\u1edbng x\u1eed tr\u00ed ngay sau khi sinh.<\/li>\n<li>D\u00f9ng corticoid cho tu\u1ed5i thai t\u1eeb 28 \u0111\u1ebfn h\u1ebft 34 tu\u1ea7n: Bethamethasone 12mg, 2 li\u1ec1u ti\u00eam b\u1eafp c\u00e1ch nhau 24h. Ho\u1eb7c Dexamethasone 6mg\/l\u1ea7n, ti\u00eam b\u1eafp 4 l\u1ea7n c\u00e1ch nhau 12h.<\/li>\n<li>Theo d\u00f5i li\u00ean t\u1ee5c nh\u1ecbp tim thai b\u1eb1ng Monitoring s\u1ea3n khoa:<\/li>\n<\/ul>\n<p>+ Theo d\u00f5i t\u1eeb tu\u1ed5i thai 26 tu\u1ea7n<\/p>\n<p>+ \u0110\u00e1nh gi\u00e1 \u0111\u1ed9 dao \u0111\u1ed9ng c\u1ee7a tim thai v\u00e0 bi\u1ebfn \u0111\u1ed5i c\u1ee7a nh\u1ecbp tim thai.<\/p>\n<ul>\n<li>Theo d\u00f5i kh\u00f4ng can thi\u1ec7p: nh\u1ecbp tim thai dao \u0111\u1ed9ng k\u00e9m, thai d\u01b0\u1edbi 28 tu\u1ea7n, c\u00e2n n\u1eb7ng d\u01af\u1edbi 800gr<\/li>\n<li>\u0110\u00ecnh ch\u1ec9 thai ngh\u00e9n ( \u0110CTN) ch\u1ec9 \u0111\u1eb7t ra sau khi c\u00e2n nh\u1eafc tu\u1ed5i thai, t\u00ecnh tr\u1ea1ng c\u1ee7a ng\u01b0\u1eddi m\u1eb9, ti\u1ec1n s\u1eed s\u1ea3n khoa, v\u00e0 \u0111\u1eb7c bi\u1ec7t l\u00e0 c\u00e1c b\u1ec7nh l\u00fd k\u00e8m theo k\u1ebft h\u1ee3p v\u1edbi m\u1ed9t s\u1ed1 bi\u1ebfn \u0111\u1ed5i tr\u00ean Monitoring.<\/li>\n<\/ul>\n<p><strong>\u0110\u00ecnh ch\u1ec9 thai ngh\u00e9n\u00a0\u0111\u1eb7t ra trong m\u1ed9t s\u1ed1 tr\u01b0\u1eddng h\u1ee3p sau:<\/strong><\/p>\n<p>+ Tu\u1ed5i thai tr\u00ean 31 tu\u1ea7n khi nh\u1ecbp tim thai dao \u0111\u1ed9ng k\u00e9m, dao \u0111\u1ed9ng \u0111\u1ed9 kh\u00f4ng li\u00ean t\u1ee5c qua m\u1ed9t s\u1ed1 l\u1ea7n theo d\u00f5i, nh\u1ecbp ch\u1eadm \u0111\u01a1n \u0111\u1ed9c, k\u00e9o d\u00e0i, l\u1eb7p l\u1ea1i nhi\u1ec1u l\u1ea7n<\/p>\n<p>+ Tu\u1ed5i thai t\u1eeb 34 tu\u1ea7n khi Doppler \u0111\u1ed9ng m\u1ea1ch r\u1ed1n v\u1edbi d\u00f2ng t\u00e2m tr\u01b0\u01a1ng b\u1eb1ng kh\u00f4ng v\u00e0 b\u1ea5t th\u01b0\u1eddng Doppler \u0111\u1ed9ng m\u1ea1ch n\u00e3o, thai c\u00f3 bi\u1ec3u hi\u1ec7n ng\u1eebng ti\u1ebfn tri\u1ec3n<\/p>\n<p>+ Tu\u1ed5i thai t\u1eeb 37 tu\u1ea7n khi b\u1ea5t th\u01b0\u1eddng Doppler \u0111\u1ed9ng m\u1ea1ch r\u1ed1n, \u0111\u1ed9ng m\u1ea1ch n\u00e3o, monitor.<\/p>\n<p>L\u01b0u \u00fd: Doppler \u0111\u1ed9ng m\u1ea1ch r\u1ed1n b\u00ecnh th\u01af\u1eddng ki\u1ec3m tra l\u1ea1i sau 8 ng\u00e0y, \u0111\u00e1nh gi\u00e1 s\u1ef1 ph\u00e1t tri\u1ec3n thai 15 ng\u00e0y m\u1ed9t l\u1ea7n. Doppler \u0111\u1ed9ng m\u1ea1ch r\u1ed1n b\u1ea5t th\u01b0\u1eddng nh\u01b0ng t\u1ed1c \u0111\u1ed9 d\u00f2ng t\u00e2m tr\u01b0\u01a1ng ch\u01b0a b\u1eb1ng kh\u00f4ng, theo d\u00f5i nh\u1ecbp tim thai li\u00ean t\u1ee5c tr\u00ean Monitoring 3 l\u1ea7n m\u1ed9t tu\u1ea7n v\u00e0 \u0111\u00e1nh gi\u00e1 s\u1ef1 ph\u00e1t tri\u1ec3n thai, k\u1ebft h\u1ee3p Doppler \u0111\u1ed9ng m\u1ea1ch n\u00e3o.<\/p>\n<p>C\u00e1ch th\u1ee9c \u0111\u1ebb: tr\u01b0\u1eddng h\u1ee3p chuy\u1ec3n d\u1ea1 t\u1ef1 nhi\u00ean ho\u1eb7c \u0111\u00ecnh ch\u1ec9 thai ngh\u00e9n n\u1ebfu kh\u00f4ng c\u00f3 ch\u1ed1ng ch\u1ec9 \u0111\u1ecbnh \u0111\u1ebb \u0111\u01b0\u1eddng d\u01b0\u1edbi th\u00ec theo d\u00f5i nh\u01b0 m\u1ed9t cu\u1ed9c \u0111\u1ebb th\u01b0\u1eddng.<\/p>\n<p>Tr\u01b0\u1eddng h\u1ee3p suy thai, \u1ed1i gi\u1ea3m, c\u00f3 th\u00eam c\u00e1c y\u1ebfu t\u1ed1 b\u1ea5t l\u1ee3i kh\u00e1c nh\u01b0 ng\u00f4i ng\u01b0\u1ee3c, rau b\u00e1m th\u1ea5p\u2026 th\u00ec m\u1ed5 l\u1ea5y thai v\u00e0 lu\u00f4n ph\u1ea3i c\u00f3 b\u00e1c s\u1ef9 h\u1ed3i s\u1ee9c s\u01a1 sinh tham gia v\u00e0o th\u1eddi \u0111i\u1ec3m l\u1ea5y thai.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Kh\u00e1i ni\u1ec7m thai nh\u1eb9 c\u00e2n l\u00e0 khi thai \u0111\u1ee7 th\u00e1ng, tr\u1ecdng l\u01b0\u1ee3ng thai l\u00fac sinh d\u01b0\u1edbi 2500gr. Trong th\u1ef1c t\u1ebf, kh\u00e1i ni\u1ec7m thai ch\u1eadm ph\u00e1t tri\u1ec3n trong t\u1eed cung bao g\u1ed3m tr\u1ecdng l\u01b0\u1ee3ng thai t\u1ea1i th\u1eddi \u0111i\u1ec3m th\u0103m kh\u00e1m v\u00e0 s\u1ef1 ph\u00e1t tri\u1ec3n c\u1ee7a thai. \u0110\u1ec3 x\u00e1c \u0111\u1ecbnh thai th\u1ef1c s\u1ef1 c\u00f3 ch\u1eadm ph\u00e1t tri\u1ec3n [&hellip;]<\/p>\n","protected":false},"author":49,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":[],"categories":[13,33],"tags":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v20.4 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Thai ch\u1eadm ph\u00e1t tri\u1ec3n trong t\u1eed cung: Ch\u1ea9n \u0111o\u00e1n, x\u1eed tr\u00ed - Vinmec<\/title>\n<meta name=\"description\" content=\"Thai ch\u1eadm ph\u00e1t tri\u1ec3n trong t\u1eed cung bao g\u1ed3m tr\u1ecdng l\u01b0\u1ee3ng thai t\u1ea1i th\u1eddi \u0111i\u1ec3m th\u0103m kh\u00e1m v\u00e0 s\u1ef1 ph\u00e1t tri\u1ec3n c\u1ee7a thai.\" \/>\n<meta name=\"robots\" content=\"noindex, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Thai ch\u1eadm ph\u00e1t tri\u1ec3n trong t\u1eed cung: Ch\u1ea9n \u0111o\u00e1n, x\u1eed tr\u00ed - 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