{"id":32906,"date":"2023-05-11T16:06:03","date_gmt":"2023-05-11T09:06:03","guid":{"rendered":"http:\/\/noithathoaphat.in\/ctv\/?p=32906"},"modified":"2023-05-11T16:06:03","modified_gmt":"2023-05-11T09:06:03","slug":"tiem-phong-vac-xin-covid-19-cho-phu-nu-mang-thai","status":"publish","type":"post","link":"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/05\/11\/tiem-phong-vac-xin-covid-19-cho-phu-nu-mang-thai\/","title":{"rendered":"Ti\u00eam ph\u00f2ng v\u1eafc xin COVID-19 cho ph\u1ee5 n\u1eef mang thai"},"content":{"rendered":"<p><strong>Ng\u01b0\u1eddi mang thai b\u1ecb nhi\u1ec5m vi-r\u00fat corona g\u00e2y h\u1ed9i ch\u1ee9ng h\u00f4 h\u1ea5p c\u1ea5p t\u00ednh n\u1eb7ng 2 (SARS-CoV-2) c\u00f3 th\u1ec3 kh\u00f4ng c\u00f3 tri\u1ec7u ch\u1ee9ng ho\u1eb7c c\u00f3 tri\u1ec7u ch\u1ee9ng c\u1ee7a b\u1ec7nh do vi-r\u00fat n\u00e0y g\u00e2y ra: b\u1ec7nh vi-r\u00fat corona 2019 (Covid-19 ).<\/strong> <strong>Ti\u00eam ph\u00f2ng cho ng\u01b0\u1eddi d\u1ef1 \u0111\u1ecbnh c\u00f3 thai v\u00e0 ng\u01b0\u1eddi \u0111ang mang thai ho\u1eb7c m\u1edbi mang thai.<\/strong><\/p>\n<h2><strong>1. \u0110\u1ed1i t\u01b0\u1ee3ng ti\u00eam v\u1eafc xin\u00a0<\/strong><\/h2>\n<p id=\"xhash_H1205903553\" class=\"headingAnchor\">Ch\u00fang t\u00f4i khuy\u1ebfn ngh\u1ecb r\u1eb1ng t\u1ea5t c\u1ea3 nh\u1eefng ng\u01b0\u1eddi ch\u01b0a \u0111\u01b0\u1ee3c ti\u00eam ch\u1ee7ng v\u00e0 \u0111ang c\u00f3 k\u1ebf ho\u1ea1ch mang thai ho\u1eb7c nh\u1eefng ng\u01b0\u1eddi \u0111ang mang thai ho\u1eb7c m\u1edbi mang thai n\u00ean ti\u00eam v\u1eafc xin COVID-19 v\u00e0 nh\u1eefng ng\u01b0\u1eddi \u0111\u00e3 ti\u00eam v\u1eafc xin n\u00ean ti\u00eam nh\u1eafc l\u1ea1i, khi \u0111\u1ee7 \u0111i\u1ec1u ki\u1ec7n, theo quy \u0111\u1ecbnh.<\/p>\n<p>C\u00e1c nghi\u00ean c\u1ee9u d\u1ecbch t\u1ec5 h\u1ecdc l\u1edbn v\u00e0 ph\u00e2n t\u00edch t\u1ed5ng h\u1ee3p v\u1ec1 nh\u1eefng nghi\u00ean c\u1ee9u v\u1ec1 vi\u1ec7c ti\u00eam v\u1eafc-xin COVID-19 trong th\u1eddi k\u1ef3 mang thai \u0111\u00e3 kh\u00f4ng x\u00e1c \u0111\u1ecbnh \u0111\u01b0\u1ee3c nguy c\u01a1 gia t\u0103ng c\u1ee7a b\u1ea5t k\u1ef3 k\u1ebft qu\u1ea3 b\u1ea5t l\u1ee3i n\u00e0o. Kh\u00f4ng c\u00f3 b\u1eb1ng ch\u1ee9ng v\u1ec1 t\u00e1c \u0111\u1ed9ng c\u00f3 h\u1ea1i tr\u1ef1c ti\u1ebfp ho\u1eb7c gi\u00e1n ti\u1ebfp \u0111\u1ed1i v\u1edbi kh\u1ea3 n\u0103ng sinh s\u1ea3n, s\u1ef1 ph\u00e1t tri\u1ec3n c\u1ee7a ph\u00f4i\/thai nhi, k\u1ebft qu\u1ea3 mang thai, qu\u00e1 tr\u00ecnh sinh n\u1edf ho\u1eb7c s\u1ef1 ph\u00e1t tri\u1ec3n ng\u1eafn h\u1ea1n sau khi sinh c\u1ee7a con c\u00e1i.\u00a0C\u00e1c t\u00e1c d\u1ee5ng ph\u1ee5 t\u01b0\u01a1ng t\u1ef1 nhau \u1edf ph\u1ee5 n\u1eef mang thai v\u00e0 kh\u00f4ng mang thai, ngo\u1ea1i tr\u1eeb s\u1ef1 gia t\u0103ng nh\u1ecf v\u00e0 tho\u00e1ng qua nh\u1eefng thay \u0111\u1ed5i nh\u1ecf \u0111\u1ed1i v\u1edbi chu k\u1ef3 kinh nguy\u1ec7t \u1edf m\u1ed9t s\u1ed1 ph\u1ee5 n\u1eef kh\u00f4ng mang thai.<\/p>\n<p>Vi\u1ec7c ti\u00eam vaccine c\u00f3 t\u00e1c d\u1ee5ng:<\/p>\n<ul>\n<li class=\"bulletIndent2\">Gi\u1ea3m t\u1ef7 l\u1ec7 nhi\u1ec5m SARS-CoV-2 \u1edf m\u1eb9.<\/li>\n<li class=\"bulletIndent2\">Gi\u1ea3m t\u1ef7 l\u1ec7 m\u1eafc COVID-19 \u1edf ng\u01b0\u1eddi m\u1eb9 \u1edf b\u1ea5t k\u1ef3 m\u1ee9c \u0111\u1ed9 nghi\u00eam tr\u1ecdng n\u00e0o (\u0111\u1eb7c bi\u1ec7t l\u00e0 b\u1ec7nh nghi\u00eam tr\u1ecdng v\u00e0 nguy k\u1ecbch).<\/li>\n<li class=\"bulletIndent2\">Gi\u1ea3m t\u1eed vong chu sinh.<\/li>\n<li class=\"bulletIndent2\">Gi\u1ea3m t\u1ef7 l\u1ec7 nh\u1eadp vi\u1ec7n do COVID-19<\/li>\n<\/ul>\n<p><img decoding=\"async\" loading=\"lazy\" class=\"alignnone size-medium wp-image-32908 aligncenter\" src=\"http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/05\/Noi-dung-doan-van-ban-cua-ban-4-300x300.png\" alt=\"Ti\u00eam ph\u00f2ng v\u1eafc xin COVID-19 cho ph\u1ee5 n\u1eef mang thai\" width=\"300\" height=\"300\" srcset=\"http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/05\/Noi-dung-doan-van-ban-cua-ban-4-300x300.png 300w, http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/05\/Noi-dung-doan-van-ban-cua-ban-4-1024x1024.png 1024w, http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/05\/Noi-dung-doan-van-ban-cua-ban-4-150x150.png 150w, http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/05\/Noi-dung-doan-van-ban-cua-ban-4-768x768.png 768w, http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/05\/Noi-dung-doan-van-ban-cua-ban-4.png 1080w\" sizes=\"(max-width: 300px) 100vw, 300px\" \/><\/p>\n<h2><strong>2. Qu\u00e1 tr\u00ecnh mang thai \u1edf nh\u1eefng ng\u01b0\u1eddi \u0111\u01b0\u1ee3c ti\u00eam ph\u00f2ng<\/strong><\/h2>\n<p>Trong m\u1ed9t ph\u00e2n t\u00edch t\u1ed5ng h\u1ee3p 23 nghi\u00ean c\u1ee9u quan s\u00e1t bao g\u1ed3m g\u1ea7n 120.000 ph\u1ee5 n\u1eef mang thai \u0111\u00e3 \u0111\u01b0\u1ee3c ti\u00eam ph\u00f2ng COVID-19, hi\u1ec7u qu\u1ea3 c\u1ee7a v\u1eafc xin mRNA \u0111\u1ed1i v\u1edbi RT-PCR \u0111\u00e3 x\u00e1c nh\u1eadn nguy c\u01a1 thai ch\u1ebft l\u01b0u th\u1ea5p h\u01a1n 15% trong nh\u00f3m thu\u1ea7n t\u1eadp \u0111\u01b0\u1ee3c ti\u00eam ch\u1ee7ng (g\u1ed9p OR 0,85, 95% CI 0,73-0,99) v\u00e0 kh\u00f4ng c\u00f3 b\u1eb1ng ch\u1ee9ng v\u1ec1 nguy c\u01a1 s\u1ea3y thai, sinh non cao h\u01a1n, nh\u1eb9 c\u00e2n khi sinh, nhau bong non, thuy\u00ean t\u1eafc ph\u1ed5i, xu\u1ea5t huy\u1ebft sau sinh, t\u1eed vong m\u1eb9 ho\u1eb7c nh\u1eadp khoa ch\u0103m s\u00f3c \u0111\u1eb7c bi\u1ec7t cho b\u00e0 m\u1eb9 ho\u1eb7c tr\u1ebb s\u01a1 sinh trong nh\u00f3m thu\u1ea7n t\u1eadp \u0111\u01b0\u1ee3c ti\u00eam ch\u1ee7ng.<\/p>\n<p>Trong s\u1ed1 nh\u1eefng ng\u01b0\u1eddi mang thai m\u1eafc COVID-19, nguy c\u01a1 ti\u1ebfn tri\u1ec3n th\u00e0nh b\u1ec7nh n\u1eb7ng \u0111\u00e3 gi\u1ea3m 74% sau \u0111\u1ee3t ti\u00eam ch\u00ednh v\u00e0 91% sau \u0111\u1ee3t ti\u00eam nh\u1eafc l\u1ea1i. Ti\u00eam ph\u00f2ng ch\u1ec9 cung c\u1ea5p s\u1ef1 b\u1ea3o v\u1ec7 v\u1eeba ph\u1ea3i ch\u1ed1ng l\u1ea1i vi\u1ec7c b\u1ecb nhi\u1ec5m b\u1ec7nh (hi\u1ec7u qu\u1ea3 30%) v\u00e0 ch\u1ed1ng l\u1ea1i c\u00e1c tri\u1ec7u ch\u1ee9ng v\u1eeba ph\u1ea3i ph\u00e1t tri\u1ec3n (hi\u1ec7u qu\u1ea3 48%).<\/p>\n<p><strong>2.1 T\u00e1c d\u1ee5ng \u0111\u1ed1i v\u1edbi tr\u1ebb s\u01a1 sinh<\/strong><\/p>\n<p>Theo d\u1eef li\u1ec7u t\u1eeb 30 b\u1ec7nh vi\u1ec7n nhi khoa \u1edf Hoa K\u1ef3 trong th\u1eddi k\u1ef3 l\u01b0u h\u00e0nh bi\u1ebfn th\u1ec3 Delta v\u00e0 Omicron, vi\u1ec7c m\u1eb9 ho\u00e0n th\u00e0nh c\u1ea3 hai li\u1ec1u c\u1ee7a lo\u1ea1t v\u1eafc xin mRNA COVID-19 ch\u00ednh trong thai k\u1ef3 c\u00f3 li\u00ean quan \u0111\u1ebfn vi\u1ec7c gi\u1ea3m nguy c\u01a1 nh\u1eadp vi\u1ec7n do COVID-19 \u1edf tr\u1ebb s\u01a1 sinh &lt;6 th\u00e1ng tu\u1ed5i (hi\u1ec7u qu\u1ea3 c\u1ee7a v\u1eafc-xin l\u00e0 52%).\u00a0Hi\u1ec7u qu\u1ea3 c\u1ee7a v\u1eafc xin th\u1ea5p h\u01a1n trong qu\u00e1 tr\u00ecnh l\u01b0u h\u00e0nh bi\u1ebfn th\u1ec3 Omicron so v\u1edbi trong giai \u0111o\u1ea1n Delta chi\u1ebfm \u01b0u th\u1ebf (38 so v\u1edbi 80%) v\u00e0 cao h\u01a1n khi ti\u00eam li\u1ec1u v\u1eafc xin th\u1ee9 hai sau 20 tu\u1ea7n so v\u1edbi tr\u01b0\u1edbc 20 tu\u1ea7n (69 so v\u1edbi 38%).\u00a0Hi\u1ec7u qu\u1ea3 c\u1ee7a v\u1eafc-xin \u0111\u1ed1i v\u1edbi vi\u1ec7c nh\u1eadp ICU v\u00ec COVID-19 l\u00e0 70%, 90% tr\u1ebb s\u01a1 sinh \u0111\u01b0\u1ee3c nh\u1eadn v\u00e0o ICU v\u00ec COVID-19 \u0111\u01b0\u1ee3c sinh ra t\u1eeb nh\u1eefng b\u00e0 m\u1eb9 ch\u01b0a \u0111\u01b0\u1ee3c ti\u00eam ch\u1ee7ng v\u00e0 hai tr\u1ebb s\u01a1 sinh duy nh\u1ea5t t\u1eed vong \u0111\u01b0\u1ee3c sinh ra t\u1eeb nh\u1eefng b\u00e0 m\u1eb9 ch\u01b0a \u0111\u01b0\u1ee3c ti\u00eam ch\u1ee7ng.<\/p>\n<p><strong>2.2 L\u1ef1a ch\u1ecdn v\u1eafc xin<\/strong><\/p>\n<p>&#8211; V\u1eafc xin Pfizer\/BioNTech COVID-19, h\u00f3a tr\u1ecb hai: M\u1ed9t li\u1ec1u 30 mcg (l\u1ecd c\u00f3 n\u1eafp m\u00e0u x\u00e1m 0,3 mL). L\u1ef1a ch\u1ecdn li\u1ec1u b\u1ed5 sung \u0111\u1ed1i v\u1edbi b\u1ec7nh nh\u00e2n b\u1ecb suy gi\u1ea3m mi\u1ec5n d\u1ecbch t\u1eeb trung b\u00ecnh \u0111\u1ebfn n\u1eb7ng: M\u1ed9t li\u1ec1u h\u00f3a tr\u1ecb hai b\u1ed5 sung \u00edt nh\u1ea5t 2 th\u00e1ng sau li\u1ec1u h\u00f3a tr\u1ecb hai \u0111\u1ea7u ti\u00ean. T\u00e1c d\u1ee5ng ph\u1ee5 th\u01b0\u1eddng g\u1eb7p:<\/p>\n<ul>\n<li>Ph\u1ea3n \u1ee9ng t\u1ea1i ch\u1ed7 ti\u00eam<\/li>\n<li>Tri\u1ec7u ch\u1ee9ng to\u00e0n th\u00e2n (s\u1ed1t, \u1edbn l\u1ea1nh, m\u1ec7t m\u1ecfi, \u0111au c\u01a1, nh\u1ee9c \u0111\u1ea7u)<\/li>\n<\/ul>\n<p>&#8211; V\u1eafc xin Moderna COVID-19, h\u00f3a tr\u1ecb hai: M\u1ed9t 50 mcg (l\u1ecd 0,5 mL c\u00f3 n\u1eafp m\u00e0u xanh \u0111\u1eadm). L\u1ef1a ch\u1ecdn li\u1ec1u b\u1ed5 sung \u0111\u1ed1i\u00a0v\u1edbi b\u1ec7nh nh\u00e2n b\u1ecb suy gi\u1ea3m mi\u1ec5n d\u1ecbch t\u1eeb trung b\u00ecnh \u0111\u1ebfn n\u1eb7ng: M\u1ed9t li\u1ec1u h\u00f3a tr\u1ecb hai b\u1ed5 sung \u00edt nh\u1ea5t 2 th\u00e1ng sau li\u1ec1u h\u00f3a tr\u1ecb hai \u0111\u1ea7u ti\u00ean. T\u00e1c d\u1ee5ng ph\u1ee5 th\u01b0\u1eddng g\u1eb7p:<\/p>\n<ul>\n<li>Ph\u1ea3n \u1ee9ng t\u1ea1i ch\u1ed7 ti\u00eam<\/li>\n<li>Tri\u1ec7u ch\u1ee9ng to\u00e0n th\u00e2n (s\u1ed1t, \u1edbn l\u1ea1nh, m\u1ec7t m\u1ecfi, \u0111au c\u01a1, nh\u1ee9c \u0111\u1ea7u)<\/li>\n<\/ul>\n<p>&#8211; V\u1eafc xin Novavax COVID-19: Hai li\u1ec1u 5 mcg protein t\u0103ng \u0111\u1ed9t bi\u1ebfn\/50 mcg t\u00e1 d\u01b0\u1ee3c (0,5 mL) c\u00e1ch nhau 3 \u0111\u1ebfn 8 tu\u1ea7n. L\u1ef1a ch\u1ecdn li\u1ec1u b\u1ed5 sung \u0111\u1ed1i\u00a0v\u1edbi nh\u1eefng ng\u01b0\u1eddi t\u1eeb 18 tu\u1ed5i tr\u1edf l\u00ean ch\u01b0a ti\u00eam li\u1ec1u nh\u1eafc l\u1ea1i v\u00e0 kh\u00f4ng th\u1ec3 ho\u1eb7c kh\u00f4ng mu\u1ed1n ti\u00eam v\u1eafc xin mRNA: M\u1ed9t li\u1ec1u 5 mcg protein t\u0103ng \u0111\u1ed9t bi\u1ebfn\/50 mcg t\u00e1 d\u01b0\u1ee3c (0,5 mL) \u00edt nh\u1ea5t 6 th\u00e1ng sau li\u1ec1u c\u01a1 b\u1ea3n cu\u1ed1i c\u00f9ng. T\u00e1c d\u1ee5ng ph\u1ee5 th\u01b0\u1eddng g\u1eb7p:<\/p>\n<ul>\n<li>Ph\u1ea3n \u1ee9ng t\u1ea1i ch\u1ed7 ti\u00eam<\/li>\n<li>Tri\u1ec7u ch\u1ee9ng to\u00e0n th\u00e2n (s\u1ed1t, \u1edbn l\u1ea1nh, m\u1ec7t m\u1ecfi, \u0111au c\u01a1, nh\u1ee9c \u0111\u1ea7u)<\/li>\n<\/ul>\n<p><strong>2.3 Th\u1eddi gian ti\u00eam v\u1eafc xin<\/strong><\/p>\n<p>Nh\u1eefng ng\u01b0\u1eddi ch\u01b0a \u0111\u01b0\u1ee3c ti\u00eam ch\u1ee7ng d\u1ef1 \u0111\u1ecbnh mang thai v\u00e0 nh\u1eefng ng\u01b0\u1eddi \u0111ang mang thai ho\u1eb7c m\u1edbi mang thai n\u00ean ti\u00eam ph\u00f2ng \u0111\u1ea7y \u0111\u1ee7, b\u1ea5t k\u1ec3 tu\u1ed5i thai hay t\u00ecnh tr\u1ea1ng cho con b\u00fa. N\u00ean ti\u00eam nh\u1eafc l\u1ea1i khi c\u00e1 nh\u00e2n \u0111\u1ee7 \u0111i\u1ec1u ki\u1ec7n.\u00a0C\u00e1c v\u1ea5n \u0111\u1ec1 li\u00ean quan \u0111\u1ebfn v\u1eafc-xin t\u0103ng c\u01b0\u1eddng \u0111\u1ec1u gi\u1ed1ng nhau \u0111\u1ed1i v\u1edbi ng\u01b0\u1eddi mang thai v\u00e0 kh\u00f4ng mang thai. C\u00e1c v\u1ea5n \u0111\u1ec1 sau \u0111\u00e2y li\u00ean quan c\u1ee5 th\u1ec3 \u0111\u1ebfn nh\u1eefng ng\u01b0\u1eddi c\u00f3 k\u1ebf ho\u1ea1ch mang thai v\u00e0 nh\u1eefng ng\u01b0\u1eddi \u0111ang mang thai ho\u1eb7c m\u1edbi mang thai:<\/p>\n<p><strong>2.3.1 Giai \u0111o\u1ea1n s\u1edbm so v\u1edbi giai \u0111o\u1ea1n cu\u1ed1i thai k\u1ef3<\/strong><\/p>\n<ul>\n<li>Ti\u00eam v\u1eafc-xin c\u01a1 b\u1ea3n s\u1edbm trong thai k\u1ef3 mang l\u1ea1i nhi\u1ec1u l\u1ee3i \u00edch nh\u1ea5t cho b\u00e0 m\u1eb9 v\u00ec n\u00f3 l\u00e0m gi\u1ea3m nguy c\u01a1 b\u00e0 m\u1eb9 ph\u1ea3i nh\u1eadp vi\u1ec7n v\u00ec COVID-19, t\u1eed vong do COVID-19 v\u00e0 c\u00e1c bi\u1ebfn ch\u1ee9ng thai k\u1ef3 li\u00ean quan \u0111\u1ebfn COVID-19 trong nhi\u1ec1u tu\u1ea7n sau sinh. M\u1eb7c d\u00f9 m\u1ee9c \u0111\u1ed9 kh\u00e1ng th\u1ec3 c\u1ee7a thai nhi v\u00e0 tr\u1ebb s\u01a1 sinh d\u01b0\u1eddng nh\u01b0 cao h\u01a1n khi ti\u00eam v\u1eafc-xin c\u01a1 b\u1ea3n mu\u1ed9n h\u01a1n trong thai k\u1ef3,\u00a0nh\u01b0ng l\u1ee3i \u00edch ti\u1ec1m n\u0103ng n\u00e0y kh\u00f4ng v\u01b0\u1ee3t tr\u1ed9i so v\u1edbi l\u1ee3i \u00edch t\u1ed5ng th\u1ec3 c\u1ee7a thai k\u1ef3 (b\u00e0 m\u1eb9, thai nhi, tr\u1ebb s\u01a1 sinh) c\u1ee7a vi\u1ec7c ti\u00eam v\u1eafc-xin c\u00e0ng s\u1edbm c\u00e0ng t\u1ed1t ho\u1eb7c t\u00ednh \u0111\u1ebfn t\u00e1c d\u1ee5ng c\u1ee7a vi\u1ec7c ti\u00eam nh\u1eafc l\u1ea1i li\u1ec1u khi \u0111\u1ee7 \u0111i\u1ec1u ki\u1ec7n<\/li>\n<\/ul>\n<p><strong>2.3.2 Th\u1eddi k\u1ef3 ti\u1ec1n th\u1ee5 thai<\/strong><\/p>\n<p>&#8211; C\u00e1c lo\u1ea1i v\u1eafc-xin hi\u1ec7n c\u00f3 \u0111\u1ec3 ph\u00f2ng ng\u1eeba COVID-19 kh\u00f4ng \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn kh\u1ea3 n\u0103ng sinh s\u1ea3n ho\u1eb7c s\u1ef1 th\u00e0nh c\u00f4ng c\u1ee7a vi\u1ec7c \u0111i\u1ec1u tr\u1ecb v\u00f4 sinh, kh\u00f4ng c\u1ea7n ph\u1ea3i th\u1eed thai tr\u01b0\u1edbc khi ti\u00eam b\u1ea5t k\u1ef3 lo\u1ea1i v\u1eafc-xin COVID-19 n\u00e0o \u0111\u00e3 \u0111\u01b0\u1ee3c ph\u00ea duy\u1ec7t v\u00e0 kh\u00f4ng c\u1ea7n thi\u1ebft ph\u1ea3i tr\u00ec ho\u00e3n vi\u1ec7c mang thai sau khi ti\u00eam ph\u00f2ng.<\/p>\n<p><strong>2.3.3 S\u1eed d\u1ee5ng v\u1eafc-xin kh\u00f4ng ph\u1ea3i COVID-19 v\u00e0 globulin mi\u1ec5n d\u1ecbch kh\u00e1ng D<\/strong><\/p>\n<p>C\u00f3 th\u1ec3 s\u1eed d\u1ee5ng v\u1eafc-xin COVID-19 c\u00f9ng l\u00fac v\u1edbi c\u00e1c lo\u1ea1i v\u1eafc-xin kh\u00e1c th\u01b0\u1eddng \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng trong thai k\u1ef3 (v\u00ed d\u1ee5: c\u00fam, Tdap); kho\u1ea3ng th\u1eddi gian c\u00e1ch bi\u1ec7t gi\u1eefa c\u00e1c l\u1ea7n ti\u00eam ch\u1ee7ng l\u00e0 kh\u00f4ng c\u1ea7n thi\u1ebft. Anti-D immunoglobin kh\u00f4ng can thi\u1ec7p v\u00e0o \u0111\u00e1p \u1ee9ng mi\u1ec5n d\u1ecbch \u0111\u1ed1i v\u1edbi v\u1eafc-xin, v\u00ec v\u1eady th\u1eddi \u0111i\u1ec3m s\u1eed d\u1ee5ng \u0111\u1ec3 ph\u00f2ng ng\u1eeba mi\u1ec5n d\u1ecbch \u0111\u1ed3ng lo\u1ea1i d\u1ef1a tr\u00ean c\u00e1c ph\u00e1c \u0111\u1ed3 l\u00e2m s\u00e0ng ti\u00eau chu\u1ea9n.<\/p>\n<p><strong>2.3.4 Cho con b\u00fa<\/strong><\/p>\n<p>Vi\u1ec7c cho con b\u00fa\u00a0kh\u00f4ng \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn th\u1eddi gian ti\u00eam ph\u00f2ng. C\u00e1c kh\u00e1ng th\u1ec3 c\u1ee7a ng\u01b0\u1eddi m\u1eb9 \u0111i qua nhau thai v\u00e0 \u0111\u01b0\u1ee3c truy\u1ec1n v\u00e0o s\u1eefa m\u1eb9, t\u1ea1o ra kh\u1ea3 n\u0103ng mi\u1ec5n d\u1ecbch th\u1ee5 \u0111\u1ed9ng ch\u1ed1ng l\u1ea1i SARS-CoV-2 \u1edf tr\u1ebb s\u01a1 sinh.\u00a0C\u00e1c kh\u00e1ng th\u1ec3 b\u1ea3o v\u1ec7 \u0111\u00e3 \u0111\u01b0\u1ee3c ghi nh\u1eadn trong m\u00e1u cu\u1ed1ng r\u1ed1n 15 ng\u00e0y sau l\u1ea7n ti\u00eam v\u1eafc-xin mRNA \u0111\u1ea7u ti\u00ean c\u1ee7a m\u1eb9 v\u00e0 d\u01b0\u1eddng nh\u01b0 t\u1ed3n t\u1ea1i v\u00e0 b\u1ea3o v\u1ec7 tr\u1ebb s\u01a1 sinh trong \u00edt nh\u1ea5t s\u00e1u th\u00e1ng.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Ng\u01b0\u1eddi mang thai b\u1ecb nhi\u1ec5m vi-r\u00fat corona g\u00e2y h\u1ed9i ch\u1ee9ng h\u00f4 h\u1ea5p c\u1ea5p t\u00ednh n\u1eb7ng 2 (SARS-CoV-2) c\u00f3 th\u1ec3 kh\u00f4ng c\u00f3 tri\u1ec7u ch\u1ee9ng ho\u1eb7c c\u00f3 tri\u1ec7u ch\u1ee9ng c\u1ee7a b\u1ec7nh do vi-r\u00fat n\u00e0y g\u00e2y ra: b\u1ec7nh vi-r\u00fat corona 2019 (Covid-19 ). Ti\u00eam ph\u00f2ng cho ng\u01b0\u1eddi d\u1ef1 \u0111\u1ecbnh c\u00f3 thai v\u00e0 ng\u01b0\u1eddi \u0111ang mang thai ho\u1eb7c m\u1edbi [&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>Ti\u00eam ph\u00f2ng v\u1eafc xin COVID-19 cho ph\u1ee5 n\u1eef mang thai - Vinmec<\/title>\n<meta name=\"description\" content=\"Ti\u00eam ph\u00f2ng cho ng\u01b0\u1eddi d\u1ef1 \u0111\u1ecbnh c\u00f3 thai v\u00e0 ng\u01b0\u1eddi \u0111ang mang thai ho\u1eb7c m\u1edbi mang thai: th\u1eddi gian, \u0111\u1ed1i t\u01b0\u1ee3ng ti\u00eam ph\u00f2ng\" \/>\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=\"Ti\u00eam ph\u00f2ng v\u1eafc xin COVID-19 cho ph\u1ee5 n\u1eef mang thai - 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