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T P CHÍ CH CC NT S 33/2020 chemotherapy, Proceedings of the National Academy of Sciences, 114(9), pp 1688-1697 10 Landersoe, S K., Forman, J L., Birch Petersen, K., Larsen, E C., Nøhr, B., Hvidman, H W., & Nyboe Andersen, A (2020) Ovarian reserve markers in women using various hormonal contraceptives, The European Journal of Contraception & Reproductive Health Care, 25(1), pp 65-71 11 Polyzos, N P., Drakopoulos, P., Parra, J., Pellicer, A., Santos-Ribeiro, S., Tournaye, H., & Garcia-Velasco, J (2018), Cumulative live birth rates according to the number of oocytes retrieved after the first ovarian stimulation for in vitro fertilization/intracytoplasmic sperm injection: a multicenter multinational analysis including 15,000 women Fertility and sterility, 110(4), 661-670 12 Tarín, J J., Pascual, E., Pérez-Hoyos, S., Gómez, R., García-Pérez, M A., & Cano, A (2020), Cumulative probabilities of live birth across multiple complete IVF/ICSI cycles: a call for attention, Journal of Assisted Reproduction and Genetics, 37(1), pp 141-148 (Ngày nh n bài: 21/9/2020 - Ngày 0/2020) M TS M C N LÂM SÀNG VÀ K T QU K T C C THAI K THAI TO T I B Chung C m Ng c1*,Võ Hu nh Trang2, Phan H u Thúy Nga2 B nh vi C nT ih cC *Email: ngockhai09@gmail.com TÓM T T tv : Trong su t trình mang thai tr ng thai nhi ln v c th y thu c thai ph u Tr u t quan tr th y thu c cân nh c l a ch nh phòng tai bi n c a m sau sanh M c tiêu nghiên c u: Tìm hi u m t s mc t qu k t c c thai k thai to u: Nghiên c u c c th c hi n 322 thai ph thai to v i tu i thai t 37 tu n tr lên t i b nh vi C K t qu nghiên c u: Có 322 thai ph gram tham gia nghiên c m c n lâm sàng k t c c thai k nh, chi c i, Hemoglobin Glucose máu, Apgar phút sau sinh, tình tr ng m bé sau sinh K t lu n: i gian g n bi c thai to s ki m c tai bi n c a m sau sinh T khóa: Thai to ABSTRACT PARACLINICAL AND OUTCOME OF MACROSOMIA AT CAN THO CENTRAL GENERAL HOSPITAL Chung Cam Ngoc1*, Võ Huynh Trang2, Phan Huu Thuy Nga2 Can Tho Central General Hospital Can Tho University of Medicine and Pharmacy Background: During pregnancy, fetal weight is always a top concern of physicians and pregnant women Fetal weight is also an important factor for physicians to consider choosing the wrong way to give birth to prevent complications of the mother and baby after birth Objectives: 129 T P CHÍ CH CC NT S 33/2020 To understand some subclinical features and evaluating the outcome of macrosomia in Can Tho Central General Hospital Materials and methods: A cross-sectional study was conducted 322 the women in prenancy from 37 weeks or more at Can Tho Central General Hospital Results: There major pregnancy outcome included biparietal diameter, femur length, abdominal circumference, hemoglobin and glucose, first-minute Apgar, maternal and fetal complications Conclusion: Fetal macrosomia tends to increase, controlling fetal macrosomia will control complications for mother and baby after birth Keywords: fetal macrosomia TV Trong su t trình mang thai tr ng thai nhi v c th y thu c thai ph u Tr u t quan tr th y thu c cân nh c l a ch nh phòng tai bi n c a m sau sanh Tr ng ng tr i th n d c a nh ng h gram ng trung bình c a tr c ta hi n kho iv 4000 gram tr c g i thai to, Vi t Nam sinh t 3500 gram tr c cho thai to t qu nghiên c u c a Nguy n Ng c Thoa (2013) [3], ghi nh n t ih c H Chí Minh có 10,7% s n ph sanh 3800 gram T i Hu theo k t qu c 18,5 % H u qu c a thai to sinh s l m l l sanh giúp b ng th thu t s n khoa N t cung ch d c, vi m lúc chuy n d s thai, quan tr ng nh t k ng m m vai l p h i S n Ph khoa Hoa K (ACOG) [5], t l sanh khó thai to k t vai 0,6% 1,4% Trên th c t lâm sàng v n có m t t l u v Vi t Nam h n ch c hi n nghiên c u nh m hai m c tiêu: (1) Kh m c n lâm sàng thai to t qu k t c c thai k thai to II U ng nghiên c u ng nghiên c u: T t c s n ph ng tr gram Tiêu chu n ch n m u: T t c s n ph có tu i thai t 37 tu n tr ng tr n sinh t i b nh vi C ý tham gia nghiên c u Tiêu chu n lo i tr : n, b r i lo n tâm th n, m l y thai ch ng u Thi t k nghiên c u: Mơ t c t ngang có phân tích 130 ng thai c ng ng, có T P CHÍ C m u CH CC NT S 33/2020 c tính theo công th c: n Z 21 /2 p(1 p) d2 p = 0,779 t l m l y thai nhóm thai to, theo nghiên c u c c Tâm t i B nh vi n Ph S n C c c m u 264,6 v i d = 0,05, d trù m tm c n=318, th c t c 322 m u n m u: Ch n m u thu n ti n l t theo th t s ng N i dung nghiên c u Kh m c n lâm sàng c a thai to thông tin cá nhân: tu i m , a ch , dân t c, ngh nghi h cv ng hemoglobin, glucose máu, tình tr ng chuy n d ng c a m bé sau sanh t qu k t c c thai k thai to qua ch s i s khác bi t ng kê p
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