{"id":15220,"date":"2024-10-24T21:52:21","date_gmt":"2024-10-24T14:52:21","guid":{"rendered":"https:\/\/phongkhamdaihocypnt.edu.vn\/wp\/?p=15220"},"modified":"2024-10-24T21:54:57","modified_gmt":"2024-10-24T14:54:57","slug":"sinh-con-sau-tuoi-35-van-de-can-luu-y","status":"publish","type":"post","link":"https:\/\/phongkhamdaihocypnt.edu.vn\/wp\/sinh-con-sau-tuoi-35-van-de-can-luu-y\/","title":{"rendered":"SINH CON SAU TU\u1ed4I 35: V\u1ea4N \u0110\u1ec0 C\u1ea6N L\u01afU \u00dd"},"content":{"rendered":"

SINH CON SAU TU\u1ed4I 35: V\u1ea4N \u0110\u1ec0 C\u1ea6N L\u01afU \u00dd<\/strong><\/p>\n

Vi\u1ec7c sinh con l\u00e0 m\u1ed9t trong nh\u1eefng quy\u1ebft \u0111\u1ecbnh quan tr\u1ecdng trong cu\u1ed9c \u0111\u1eddi c\u1ee7a m\u1ed7i ng\u01b0\u1eddi ph\u1ee5 n\u1eef, v\u00e0 tu\u1ed5i t\u00e1c c\u00f3 th\u1ec3 \u1ea3nh h\u01b0\u1edfng l\u1edbn \u0111\u1ebfn qu\u00e1 tr\u00ecnh mang thai v\u00e0 sinh n\u1edf. Trong nh\u1eefng n\u0103m g\u1ea7n \u0111\u00e2y, xu h\u01b0\u1edbng ph\u1ee5 n\u1eef sinh con mu\u1ed9n, \u0111\u1eb7c bi\u1ec7t l\u00e0 sau tu\u1ed5i 35, ng\u00e0y c\u00e0ng tr\u1edf n\u00ean ph\u1ed5 bi\u1ebfn do nhi\u1ec1u y\u1ebfu t\u1ed1 nh\u01b0 s\u1ef1 ph\u00e1t tri\u1ec3n ngh\u1ec1 nghi\u1ec7p, t\u00e0i ch\u00ednh \u1ed5n \u0111\u1ecbnh v\u00e0 s\u1ef1 thay \u0111\u1ed5i trong quan ni\u1ec7m v\u1ec1 gia \u0111\u00ecnh. Tuy nhi\u00ean, vi\u1ec7c mang thai \u1edf \u0111\u1ed9 tu\u1ed5i n\u00e0y c\u0169ng \u0111i k\u00e8m v\u1edbi m\u1ed9t s\u1ed1 v\u1ea5n \u0111\u1ec1 s\u1ee9c kh\u1ecfe v\u00e0 r\u1ee7i ro ti\u1ec1m \u1ea9n m\u00e0 c\u00e1c b\u00e0 m\u1eb9 c\u1ea7n l\u01b0u \u00fd.<\/p>\n

C\u00e1c nghi\u00ean c\u1ee9u cho th\u1ea5y ph\u1ee5 n\u1eef tr\u00ean 35 tu\u1ed5i c\u00f3 th\u1ec3 ph\u1ea3i \u0111\u1ed1i m\u1eb7t v\u1edbi nguy c\u01a1 cao h\u01a1n v\u1ec1 m\u1ed9t s\u1ed1 bi\u1ebfn ch\u1ee9ng, ch\u1eb3ng h\u1ea1n nh\u01b0 ti\u1ec3u \u0111\u01b0\u1eddng thai k\u1ef3, huy\u1ebft \u00e1p cao v\u00e0 nguy c\u01a1 sinh non. B\u00ean c\u1ea1nh \u0111\u00f3, ch\u1ea5t l\u01b0\u1ee3ng tr\u1ee9ng c\u0169ng c\u00f3 th\u1ec3 gi\u1ea3m s\u00fat theo tu\u1ed5i t\u00e1c, d\u1eabn \u0111\u1ebfn kh\u00f3 kh\u0103n trong vi\u1ec7c th\u1ee5 thai ho\u1eb7c t\u0103ng nguy c\u01a1 d\u1ecb t\u1eadt b\u1ea9m sinh. V\u00ec v\u1eady, vi\u1ec7c chu\u1ea9n b\u1ecb t\u00e2m l\u00fd v\u00e0 s\u1ee9c kh\u1ecfe tr\u01b0\u1edbc khi mang thai l\u00e0 r\u1ea5t quan tr\u1ecdng.<\/p>\n

Trong b\u00e0i vi\u1ebft n\u00e0y, ch\u00fang ta s\u1ebd c\u00f9ng t\u00ecm hi\u1ec3u c\u00e1c v\u1ea5n \u0111\u1ec1 c\u1ea7n l\u01b0u \u00fd cho ph\u1ee5 n\u1eef sinh con sau tu\u1ed5i 35, t\u1eeb nh\u1eefng y\u1ebfu t\u1ed1 s\u1ee9c kh\u1ecfe, dinh d\u01b0\u1ee1ng, cho \u0111\u1ebfn s\u1ef1 chu\u1ea9n b\u1ecb t\u00e2m l\u00fd. M\u1ee5c ti\u00eau l\u00e0 gi\u00fap c\u00e1c b\u00e0 m\u1eb9 t\u01b0\u01a1ng lai c\u00f3 c\u00e1i nh\u00ecn to\u00e0n di\u1ec7n v\u00e0 chu\u1ea9n b\u1ecb t\u1ed1t nh\u1ea5t.<\/p>\n

G\u00e1nh n\u1eb7ng sinh con mu\u1ed9n kh\u00f4ng ch\u1ec9 l\u00e0 m\u1ed9t th\u00e1ch th\u1ee9c v\u1ec1 m\u1eb7t s\u1ee9c kh\u1ecfe m\u00e0 c\u00f2n l\u00e0 \u00e1p l\u1ef1c t\u00e2m l\u00fd v\u00e0 x\u00e3 h\u1ed9i \u0111\u1ed1i v\u1edbi nhi\u1ec1u ph\u1ee5 n\u1eef. \u1ede \u0111\u1ed9 tu\u1ed5i 35 tr\u1edf l\u00ean, ph\u1ee5 n\u1eef th\u01b0\u1eddng ph\u1ea3i \u0111\u1ed1i m\u1eb7t v\u1edbi nguy c\u01a1 cao h\u01a1n v\u1ec1 c\u00e1c bi\u1ebfn ch\u1ee9ng trong thai k\u1ef3, nh\u01b0 \u0111\u00e1i th\u00e1o \u0111\u01b0\u1eddng thai k\u1ef3, t\u0103ng huy\u1ebft \u00e1p v\u00e0 nguy c\u01a1 sinh non. \u0110i\u1ec1u n\u00e0y c\u00f3 th\u1ec3 t\u1ea1o ra lo l\u1eafng v\u00e0 c\u0103ng th\u1eb3ng, \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn s\u1ee9c kh\u1ecfe tinh th\u1ea7n c\u1ee7a h\u1ecd. B\u00ean c\u1ea1nh \u0111\u00f3, \u00e1p l\u1ef1c t\u1eeb gia \u0111\u00ecnh v\u00e0 x\u00e3 h\u1ed9i v\u1ec1 vi\u1ec7c sinh con c\u0169ng c\u00f3 th\u1ec3 gia t\u0103ng. Ngo\u00e0i ra, vi\u1ec7c c\u00e2n b\u1eb1ng gi\u1eefa c\u00f4ng vi\u1ec7c v\u00e0 tr\u00e1ch nhi\u1ec7m gia \u0111\u00ecnh trong giai \u0111o\u1ea1n n\u00e0y c\u0169ng tr\u1edf th\u00e0nh m\u1ed9t g\u00e1nh n\u1eb7ng l\u1edbn. T\u1ea5t c\u1ea3 nh\u1eefng y\u1ebfu t\u1ed1 n\u00e0y g\u00f3p ph\u1ea7n l\u00e0m cho h\u00e0nh tr\u00ecnh mang thai tr\u1edf n\u00ean ph\u1ee9c t\u1ea1p h\u01a1n, \u0111\u00f2i h\u1ecfi ph\u1ee5 n\u1eef c\u1ea7n c\u00f3 s\u1ef1 chu\u1ea9n b\u1ecb k\u1ef9 l\u01b0\u1ee1ng c\u1ea3 v\u1ec1 th\u1ec3 ch\u1ea5t l\u1eabn tinh th\u1ea7n.<\/p>\n

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Ph\u1ee5 n\u1eef mang thai tr\u00ean 35 tu\u1ed5i c\u00f3 th\u1ec3 g\u1eb7p ph\u1ea3i nhi\u1ec1u th\u00e1ch th\u1ee9c v\u1ec1 m\u1eb7t s\u1ee9c kh\u1ecfe v\u00e0 t\u00e2m l\u00fd. Ngu\u1ed3n: Internet<\/em><\/p>\n

V\u1edbi thai c\u1ee7a c\u00e1c s\u1ea3n ph\u1ee5 l\u1edbn tu\u1ed5i, nhi\u1ec1u r\u1ee7i ro s\u1ee9c kh\u1ecfe \u0111\u00e1ng lo ng\u1ea1i gia t\u0103ng. \u0110\u1ea7u ti\u00ean, t\u1ec9 l\u1ec7 s\u1ea3y thai c\u00f3 xu h\u01b0\u1edbng t\u0103ng l\u00ean theo tu\u1ed5i m\u1eb9. C\u00e1c nghi\u00ean c\u1ee9u cho th\u1ea5y ph\u1ee5 n\u1eef l\u1edbn tu\u1ed5i d\u1ec5 g\u1eb7p ph\u1ea3i c\u00e1c v\u1ea5n \u0111\u1ec1 v\u1ec1 s\u1ee9c kh\u1ecfe v\u00e0 ph\u00e1t tri\u1ec3n c\u1ee7a thai nhi, l\u00e0m cho nguy c\u01a1 s\u1ea3y thai tr\u1edf n\u00ean cao h\u01a1n.<\/p>\n

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Kh\u1ea3 n\u0103ng th\u1ee5 thai \u1edf ph\u1ee5 n\u1eef theo tu\u1ed5i. <\/em><\/p>\n

Ngu\u1ed3n: Hi\u1ec7p h\u1ed9i Sinh s\u1ea3n v\u00e0 Ph\u00f4i h\u1ecdc ch\u00e2u \u00c2u<\/em><\/p>\n

Th\u00eam v\u00e0o \u0111\u00f3, thai ch\u1ebft l\u01b0u trong qu\u00fd 3 c\u1ee7a thai k\u1ef3 c\u0169ng t\u0103ng theo tu\u1ed5i m\u1eb9, th\u01b0\u1eddng li\u00ean quan \u0111\u1ebfn s\u1ef1 suy gi\u1ea3m ch\u1ea5t l\u01b0\u1ee3ng no\u00e3n v\u00e0 c\u00e1c bi\u1ebfn ch\u1ee9ng s\u1ee9c kh\u1ecfe kh\u00e1c. Sinh non v\u00e0 tr\u1ebb nh\u1eb9 c\u00e2n c\u0169ng l\u00e0 nh\u1eefng v\u1ea5n \u0111\u1ec1 ph\u1ed5 bi\u1ebfn h\u01a1n \u1edf c\u00e1c thai ph\u1ee5 l\u1edbn tu\u1ed5i. Nh\u1eefng y\u1ebfu t\u1ed1 n\u00e0y kh\u00f4ng ch\u1ec9 \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn s\u1ef1 ph\u00e1t tri\u1ec3n c\u1ee7a thai nhi m\u00e0 c\u00f2n c\u00f3 th\u1ec3 d\u1eabn \u0111\u1ebfn c\u00e1c h\u1ec7 l\u1ee5y s\u1ee9c kh\u1ecfe l\u00e2u d\u00e0i cho tr\u1ebb. Kh\u00f4ng ch\u1ec9 v\u1eady, c\u00e1c thai ph\u1ee5 l\u1edbn tu\u1ed5i c\u00f2n ph\u1ea3i \u0111\u1ed1i m\u1eb7t v\u1edbi nhi\u1ec1u r\u1ee7i ro s\u1ee9c kh\u1ecfe ri\u00eang. T\u1ec9 l\u1ec7 \u0111\u00e1i th\u00e1o \u0111\u01b0\u1eddng thai k\u1ef3 gia t\u0103ng trong nh\u00f3m n\u00e0y, c\u00f3 th\u1ec3 g\u00e2y \u1ea3nh h\u01b0\u1edfng nghi\u00eam tr\u1ecdng \u0111\u1ebfn c\u1ea3 m\u1eb9 v\u00e0 thai nhi. Ngo\u00e0i ra, nhau ti\u1ec1n \u0111\u1ea1o – t\u00ecnh tr\u1ea1ng m\u00e0 nhau thai n\u1eb1m \u1edf v\u1ecb tr\u00ed th\u1ea5p trong t\u1eed cung – c\u0169ng t\u0103ng l\u00ean, g\u00e2y ra nguy c\u01a1 ch\u1ea3y m\u00e1u v\u00e0 c\u00e1c bi\u1ebfn ch\u1ee9ng kh\u00e1c. Ng\u00f4i thai b\u1ea5t th\u01b0\u1eddng, n\u01a1i thai nhi kh\u00f4ng n\u1eb1m \u1edf v\u1ecb tr\u00ed thu\u1eadn l\u1ee3i \u0111\u1ec3 sinh, c\u0169ng th\u01b0\u1eddng g\u1eb7p h\u01a1n. Nh\u1eefng r\u1ee7i ro n\u00e0y \u0111\u00f2i h\u1ecfi s\u1ef1 theo d\u00f5i ch\u1eb7t ch\u1ebd v\u00e0 can thi\u1ec7p y t\u1ebf k\u1ecbp th\u1eddi \u0111\u1ec3 \u0111\u1ea3m b\u1ea3o an to\u00e0n cho c\u1ea3 m\u1eb9 v\u00e0 b\u00e9.<\/p>\n

Gi\u1ea3i ph\u00e1p ch\u1ee7 \u0111\u1ed9ng sinh s\u1ea3n l\u00e0 m\u1ed9t y\u1ebfu t\u1ed1 quan tr\u1ecdng gi\u00fap c\u00e1c c\u1eb7p \u0111\u00f4i chu\u1ea9n b\u1ecb t\u1ed1t cho vi\u1ec7c c\u00f3 con. \u0110\u1ea7u ti\u00ean, vi\u1ec7c c\u00f3 k\u1ebf ho\u1ea1ch sinh con s\u1edbm l\u00e0 r\u1ea5t c\u1ea7n thi\u1ebft. Khi x\u00e1c \u0111\u1ecbnh th\u1eddi \u0111i\u1ec3m th\u00edch h\u1ee3p \u0111\u1ec3 mang thai, c\u00e1c c\u1eb7p \u0111\u00f4i c\u00f3 th\u1ec3 t\u1ed1i \u01b0u h\u00f3a kh\u1ea3 n\u0103ng sinh s\u1ea3n, \u0111\u1eb7c bi\u1ec7t l\u00e0 \u0111\u1ed1i v\u1edbi ph\u1ee5 n\u1eef, khi kh\u1ea3 n\u0103ng sinh s\u1ea3n th\u01b0\u1eddng gi\u1ea3m d\u1ea7n theo tu\u1ed5i t\u00e1c.<\/p>\n

B\u00ean c\u1ea1nh \u0111\u00f3, vi\u1ec7c \u0111\u00e1nh gi\u00e1 kh\u1ea3 n\u0103ng sinh s\u1ea3n th\u00f4ng qua ch\u1ec9 s\u1ed1 d\u1ef1 tr\u1eef bu\u1ed3ng tr\u1ee9ng (AMH) c\u0169ng \u0111\u00f3ng vai tr\u00f2 quan tr\u1ecdng. AMH\u00a0(Anti-mullerian Hormone) l\u00e0 m\u1ed9t hormone \u0111\u01b0\u1ee3c ti\u1ebft tr\u1ef1c ti\u1ebfp b\u1edfi c\u00e1c t\u1ebf b\u00e0o h\u1ea1t c\u1ee7a nang no\u00e3n bu\u1ed3ng tr\u1ee9ng v\u00e0 c\u00f3 li\u00ean quan v\u1edbi s\u1ed1 l\u01b0\u1ee3ng nang no\u00e3n nguy\u00ean th\u1ee7y trong bu\u1ed3ng tr\u1ee9ng [2]<\/sup><\/strong>, t\u1eeb \u0111\u00f3 cung c\u1ea5p th\u00f4ng tin r\u00f5 r\u00e0ng v\u1ec1 kh\u1ea3 n\u0103ng sinh s\u1ea3n c\u1ee7a ph\u1ee5 n\u1eef. AMH b\u00ecnh th\u01b0\u1eddng \u1edf ph\u1ee5 n\u1eef d\u01b0\u1edbi 38 tu\u1ed5i kho\u1ea3ng t\u1eeb 2,0 \u0111\u1ebfn 6,8 ng\/mL. N\u1ebfu n\u1ed3ng \u0111\u1ed9 n\u00e0y c\u1ef1c th\u1ea5p d\u01b0\u1edbi 0,5 ng\/mL th\u00ec kh\u1ea3 n\u0103ng mang thai l\u00e0 v\u00f4 c\u00f9ng kh\u00f3 kh\u0103n. C\u00f2n n\u1ebfu AMH qu\u00e1 cao tr\u00ean 10 ng\/ mL th\u00ec s\u1ebd d\u1ec5 b\u1ecb b\u1ec7nh bu\u1ed3ng tr\u1ee9ng \u0111a nang [1]<\/sup><\/strong><\/p>\n

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Bi\u1ec3u \u0111\u1ed3 ch\u1ec9 s\u1ed1 AMH theo \u0111\u1ed9 tu\u1ed5i<\/em><\/p>\n

Ngu\u1ed3n: Renew Healthcare<\/em><\/p>\n

Vi\u1ec7c chu\u1ea9n b\u1ecb tr\u01b0\u1edbc khi mang thai l\u00e0 kh\u00f4ng th\u1ec3 thi\u1ebfu. \u0110i\u1ec1u n\u00e0y bao g\u1ed3m vi\u1ec7c duy tr\u00ec l\u1ed1i s\u1ed1ng l\u00e0nh m\u1ea1nh, b\u1ed5 sung dinh d\u01b0\u1ee1ng c\u1ea7n thi\u1ebft v\u00e0 kh\u00e1m s\u1ee9c kh\u1ecfe t\u1ed5ng qu\u00e1t. S\u1ef1 chu\u1ea9n b\u1ecb k\u1ef9 l\u01b0\u1ee1ng kh\u00f4ng ch\u1ec9 gi\u00fap t\u0103ng c\u01b0\u1eddng s\u1ee9c kh\u1ecfe c\u1ee7a m\u1eb9 m\u00e0 c\u00f2n t\u1ea1o \u0111i\u1ec1u ki\u1ec7n thu\u1eadn l\u1ee3i cho s\u1ef1 ph\u00e1t tri\u1ec3n c\u1ee7a thai nhi. T\u1ea5t c\u1ea3 nh\u1eefng gi\u1ea3i ph\u00e1p n\u00e0y k\u1ebft h\u1ee3p l\u1ea1i s\u1ebd gi\u00fap c\u00e1c c\u1eb7p \u0111\u00f4i ch\u1ee7 \u0111\u1ed9ng h\u01a1n trong h\u00e0nh tr\u00ecnh sinh s\u1ea3n c\u1ee7a m\u00ecnh.<\/p>\n

Gi\u1ea3i ph\u00e1p qu\u1ea3n l\u00fd thai k\u1ef3 bao g\u1ed3m vi\u1ec7c ch\u0103m s\u00f3c to\u00e0n di\u1ec7n v\u00e0 gi\u00e1m s\u00e1t ch\u1eb7t ch\u1ebd s\u1ee9c kh\u1ecfe c\u1ee7a c\u1ea3 m\u1eb9 v\u00e0 thai nhi trong su\u1ed1t qu\u00e1 tr\u00ecnh mang thai, bao g\u1ed3m c\u00e1c l\u1ea7n th\u0103m kh\u00e1m \u0111\u1ecbnh k\u1ef3 v\u00e0 theo d\u00f5i s\u1ef1 ph\u00e1t tri\u1ec3n c\u1ee7a thai nhi c\u0169ng nh\u01b0 t\u00ecnh tr\u1ea1ng s\u1ee9c kh\u1ecfe c\u1ee7a ng\u01b0\u1eddi m\u1eb9.<\/p>\n

S\u00e0ng l\u1ecdc ti\u1ec1n s\u1ea3n gi\u1eadt v\u00e0 s\u1ea3n gi\u1eadt (TSG-SG) th\u00f4ng qua c\u00e1c x\u00e9t nghi\u1ec7m nh\u01b0 PLGF, si\u00eau \u00e2m v\u00e0 \u0111o huy\u1ebft \u00e1p trung b\u00ecnh (MAP) \u0111\u00f3ng vai tr\u00f2 quan tr\u1ecdng trong vi\u1ec7c ph\u00e1t hi\u1ec7n s\u1edbm c\u00e1c nguy c\u01a1 v\u00e0 can thi\u1ec7p k\u1ecbp th\u1eddi. Ph\u01b0\u01a1ng ph\u00e1p ph\u00f2ng ng\u1eeba hi\u1ec7u qu\u1ea3 nh\u1ea5t l\u00e0 d\u1ef1 ph\u00f2ng c\u1ea5p m\u1ed9t, nh\u1eb1m ng\u0103n ch\u1eb7n t\u00ecnh tr\u1ea1ng ti\u1ec1n s\u1ea3n gi\u1eadt v\u00e0 s\u1ea3n gi\u1eadt tr\u01b0\u1edbc khi x\u1ea3y ra trong thai k\u1ef3. G\u1ea7n \u0111\u00e2y, Qu\u1ef9 Y h\u1ecdc Thai nhi (FMF) \u0111\u00e3 ph\u00e1t tri\u1ec3n m\u1ed9t m\u00f4 h\u00ecnh d\u1ef1 b\u00e1o ti\u1ec1n s\u1ea3n gi\u1eadt, d\u1ef1a tr\u00ean nhi\u1ec1u y\u1ebfu t\u1ed1 nh\u01b0 nguy c\u01a1 n\u1ec1n c\u1ee7a m\u1eb9, \u0111\u1ed9ng m\u1ea1ch t\u1eed cung, PAPP-A, PLGF… gi\u00fap t\u1ea7m so\u00e1t s\u1edbm b\u1ec7nh t\u1eeb qu\u00fd I v\u1edbi \u0111\u1ed9 ch\u00ednh x\u00e1c l\u00ean \u0111\u1ebfn 93% [3]<\/sup><\/strong>.<\/p>\n

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Tri\u1ec7u ch\u1ee9ng c\u1ee7a Ti\u1ec1n s\u1ea3n gi\u1eadt. <\/em><\/p>\n

Ngu\u1ed3n: BV S\u1ea3n Nhi Qu\u1ea3ng Ninh<\/em><\/p>\n

T\u1ed5ng k\u1ebft l\u1ea1i, vi\u1ec7c sinh con, \u0111\u1eb7c bi\u1ec7t sau tu\u1ed5i 35, \u0111ang tr\u1edf th\u00e0nh xu h\u01b0\u1edbng ph\u1ed5 bi\u1ebfn do c\u00e1c y\u1ebfu t\u1ed1 nh\u01b0 s\u1ef1 nghi\u1ec7p v\u00e0 t\u00e0i ch\u00ednh. Tuy nhi\u00ean, \u0111i\u1ec1u n\u00e0y c\u0169ng mang l\u1ea1i nhi\u1ec1u r\u1ee7i ro s\u1ee9c kh\u1ecfe, nh\u01b0 ti\u1ec3u \u0111\u01b0\u1eddng thai k\u1ef3, huy\u1ebft \u00e1p cao, v\u00e0 nguy c\u01a1 sinh non. Ph\u1ee5 n\u1eef l\u1edbn tu\u1ed5i th\u01b0\u1eddng g\u1eb7p kh\u00f3 kh\u0103n trong vi\u1ec7c th\u1ee5 thai v\u00e0 d\u1ec5 ph\u1ea3i \u0111\u1ed1i m\u1eb7t v\u1edbi c\u00e1c bi\u1ebfn ch\u1ee9ng nghi\u00eam tr\u1ecdng. \u0110\u1ec3 gi\u1ea3m thi\u1ec3u r\u1ee7i ro, c\u00e1c c\u1eb7p \u0111\u00f4i c\u1ea7n chu\u1ea9n b\u1ecb k\u1ef9 l\u01b0\u1ee1ng c\u1ea3 v\u1ec1 t\u00e2m l\u00fd v\u00e0 th\u1ec3 ch\u1ea5t, bao g\u1ed3m vi\u1ec7c \u0111\u00e1nh gi\u00e1 kh\u1ea3 n\u0103ng sinh s\u1ea3n v\u00e0 duy tr\u00ec l\u1ed1i s\u1ed1ng l\u00e0nh m\u1ea1nh.<\/p>\n

T\u00c0I LI\u1ec6U THAM KH\u1ea2O:<\/strong><\/p>\n

[1]. L\u00ea Xu\u00e2n Nguy\u00ean – Trung t\u00e2m H\u1ed7 tr\u1ee3 sinh s\u1ea3n BV\u0110K T\u00e2m Anh TP.HCM. (2022). X\u00c9T NGHI\u1ec6M AMH: CH\u1ec8 S\u1ed0 BAO NHI\u00caU L\u00c0 B\u00ccNH TH\u01af\u1edcNG \u2013 CAO \u2013 TH\u1ea4P? Truy c\u1eadp ng\u00e0y 06\/10\/2024, t\u1eeb: https:\/\/tamanhhospital.vn\/xet-nghiem-amh\/#chi-so-amh-bao-nhieu-la-binh-thuong<\/a><\/p>\n

[2]. Khoa Sinh h\u00f3a – B\u1ec7nh vi\u1ec7n Trung \u01b0\u01a1ng Qu\u00e2n \u0111\u1ed9i 108. (2017). M\u1ed9t s\u1ed1 \u0111i\u1ec1u c\u1ea7n bi\u1ebft v\u1ec1 x\u00e9t nghi\u1ec7m AMH. Truy c\u1eadp ng\u00e0y 06\/10\/2024, t\u1eeb https:\/\/benhvien108.vn\/mot-so-dieu-can-biet-ve-xet-nghiem-amh.htm<\/a><\/p>\n

[3]. B\u00f9i Th\u1ecb H\u1ed3ng Nhu- B\u1ec7nh vi\u1ec7n T\u1eeb D\u0169. (2021). S\u00e0ng l\u1ecdc v\u00e0 \u0111i\u1ec1u tr\u1ecb d\u1ef1 ph\u00f2ng c\u1ea5p 1 b\u1ec7nh l\u00fd Ti\u1ec1n s\u1ea3n gi\u1eadt. Truy c\u1eadp ng\u00e0y 06\/10\/2024, t\u1eeb: https:\/\/tudu.com.vn\/vn\/y-hoc-thuong-thuc\/suc-khoe-phu-nu\/lam-me-an-toan\/cham-soc-ba-me-mang-thai\/sang-loc-va-dieu-tri-du-phong-cap-1-benh-ly-tien-san-giat\/<\/a><\/p>\n","protected":false},"excerpt":{"rendered":"

SINH CON SAU TU\u1ed4I 35: V\u1ea4N \u0110\u1ec0 C\u1ea6N L\u01afU \u00dd Vi\u1ec7c sinh con l\u00e0 m\u1ed9t trong nh\u1eefng quy\u1ebft \u0111\u1ecbnh quan tr\u1ecdng trong cu\u1ed9c \u0111\u1eddi c\u1ee7a m\u1ed7i ng\u01b0\u1eddi ph\u1ee5 n\u1eef, v\u00e0 tu\u1ed5i t\u00e1c c\u00f3 th\u1ec3 \u1ea3nh h\u01b0\u1edfng l\u1edbn \u0111\u1ebfn qu\u00e1 tr\u00ecnh mang thai v\u00e0 sinh n\u1edf. Trong nh\u1eefng n\u0103m g\u1ea7n \u0111\u00e2y, xu h\u01b0\u1edbng ph\u1ee5 n\u1eef sinh […]<\/p>\n","protected":false},"author":75,"featured_media":15221,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[4],"tags":[],"class_list":["post-15220","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-thong-tin-suc-khoe"],"acf":[],"_links":{"self":[{"href":"https:\/\/phongkhamdaihocypnt.edu.vn\/wp\/wp-json\/wp\/v2\/posts\/15220","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/phongkhamdaihocypnt.edu.vn\/wp\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/phongkhamdaihocypnt.edu.vn\/wp\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/phongkhamdaihocypnt.edu.vn\/wp\/wp-json\/wp\/v2\/users\/75"}],"replies":[{"embeddable":true,"href":"https:\/\/phongkhamdaihocypnt.edu.vn\/wp\/wp-json\/wp\/v2\/comments?post=15220"}],"version-history":[{"count":1,"href":"https:\/\/phongkhamdaihocypnt.edu.vn\/wp\/wp-json\/wp\/v2\/posts\/15220\/revisions"}],"predecessor-version":[{"id":15233,"href":"https:\/\/phongkhamdaihocypnt.edu.vn\/wp\/wp-json\/wp\/v2\/posts\/15220\/revisions\/15233"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/phongkhamdaihocypnt.edu.vn\/wp\/wp-json\/wp\/v2\/media\/15221"}],"wp:attachment":[{"href":"https:\/\/phongkhamdaihocypnt.edu.vn\/wp\/wp-json\/wp\/v2\/media?parent=15220"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/phongkhamdaihocypnt.edu.vn\/wp\/wp-json\/wp\/v2\/categories?post=15220"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/phongkhamdaihocypnt.edu.vn\/wp\/wp-json\/wp\/v2\/tags?post=15220"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}