{"id":3581,"date":"2014-08-27T00:47:49","date_gmt":"2014-08-27T00:47:49","guid":{"rendered":"https:\/\/lpfch.org\/special-delivery-a-focus-on-obstetrics\/"},"modified":"2024-10-23T16:57:44","modified_gmt":"2024-10-23T16:57:44","slug":"special-delivery-a-focus-on-obstetrics","status":"publish","type":"post","link":"https:\/\/lpfch.org\/vi\/impact-stories\/special-delivery-a-focus-on-obstetrics\/","title":{"rendered":"Sinh n\u1edf \u0111\u1eb7c bi\u1ec7t: T\u1eadp trung v\u00e0o s\u1ea3n khoa"},"content":{"rendered":"

B\u1ec7nh vi\u1ec7n Nhi \u0111\u1ed3ng Lucile Packard hi\u1ec3u r\u1eb1ng m\u1ed9t kh\u1edfi \u0111\u1ea7u kh\u1ecfe m\u1ea1nh cho tr\u1ebb em b\u1eaft \u0111\u1ea7u t\u1eeb vi\u1ec7c ch\u0103m s\u00f3c chu \u0111\u00e1o cho c\u00e1c b\u00e0 m\u1eb9 t\u01b0\u01a1ng lai. Nh\u1eefng c\u00e2u chuy\u1ec7n sau \u0111\u00e2y v\u1ec1 b\u1ed1n ph\u1ee5 n\u1eef \u0111\u1ecba ph\u01b0\u01a1ng, m\u1ed7i ng\u01b0\u1eddi \u0111\u00e3 \u0111\u1ebfn B\u1ec7nh vi\u1ec7n v\u00e0o m\u1ed9t ng\u00e0y m\u00f9a xu\u00e2n n\u00e0y, h\u00e9 l\u1ed9 c\u00e1ch B\u1ec7nh vi\u1ec7n Nhi \u0111\u1ed3ng Packard th\u00fac \u0111\u1ea9y vi\u1ec7c ch\u0103m s\u00f3c cho c\u1ea3 b\u00e0 m\u1eb9 v\u00e0 tr\u1ebb s\u01a1 sinh, v\u00e0 t\u00e1c \u0111\u1ed9ng \u0111\u1ebfn cu\u1ed9c s\u1ed1ng c\u1ee7a h\u00e0ng tr\u0103m gia \u0111\u00ecnh m\u1ed7i ng\u00e0y.<\/p>\n

Michelle Craig<\/h2>\n

Tr\u00ean t\u1ea7ng hai, t\u1ea1i Khoa S\u1ea3n, Michelle Craig v\u1eeba sinh con \u0111\u1ea7u l\u00f2ng, Avery, m\u1ed9t b\u00e9 trai kh\u1ecfe m\u1ea1nh. C\u00f4 v\u00e0 ch\u1ed3ng, Mike Horowitz, v\u00f4 c\u00f9ng vui m\u1eebng, t\u1ef1 h\u00e0o\u2014v\u00e0 nh\u1eb9 nh\u00f5m. S\u1ef1 ra \u0111\u1eddi c\u1ee7a Avery l\u00e0 m\u1ed9t k\u1ebft th\u00fac h\u1ea1nh ph\u00fac v\u00e0 \u0111\u01b0\u1ee3c mong \u0111\u1ee3i t\u1eeb l\u00e2u cho m\u1ed9t h\u00e0nh tr\u00ecnh \u0111\u1ea7y \u0111au kh\u1ed5.<\/p>\n

Hai th\u00e1ng tr\u01b0\u1edbc, Michelle \u0111ang k\u1ebft th\u00fac ng\u00e0y l\u00e0m vi\u1ec7c t\u1ea1i Google th\u00ec \u0111\u1ed9t nhi\u00ean b\u1ecb ch\u1ea3y m\u00e1u r\u1ea5t nhi\u1ec1u. Mang thai b\u1ea3y th\u00e1ng, c\u00f4 b\u1ecb xu\u1ea5t huy\u1ebft nghi\u00eam tr\u1ecdng v\u00e0 \u0111\u01b0\u1ee3c \u0111\u01b0a \u0111\u1ebfn B\u1ec7nh vi\u1ec7n Nhi Packard.<\/p>\n

Cho \u0111\u1ebfn ng\u00e0y h\u00f4m \u0111\u00f3, thai k\u1ef3 c\u1ee7a Michelle v\u1eabn di\u1ec5n ra b\u00ecnh th\u01b0\u1eddng. Vi\u1ec7c ch\u1ea3y m\u00e1u x\u1ea3y ra m\u00e0 kh\u00f4ng c\u00f3 b\u1ea5t k\u1ef3 d\u1ea5u hi\u1ec7u b\u00e1o tr\u01b0\u1edbc n\u00e0o, khi\u1ebfn c\u1ea3 t\u00ednh m\u1ea1ng c\u1ee7a c\u00f4 v\u00e0 \u0111\u1ee9a b\u00e9 \u0111\u1ec1u b\u1ecb \u0111e d\u1ecda.<\/p>\n

\u0110\u1ed9i ng\u0169 ch\u0103m s\u00f3c c\u1ee7a Michelle \u0111\u00e3 ng\u0103n ch\u1eb7n c\u00e1c c\u01a1n co th\u1eaft s\u1edbm v\u00e0 ch\u1ea9n \u0111o\u00e1n c\u00f4 b\u1ecb bong nhau thai, trong \u0111\u00f3 nhau thai t\u00e1ch kh\u1ecfi t\u1eed cung s\u1edbm. C\u00f4 \u0111\u00e3 m\u1ea5t g\u1ea7n m\u1ed9t l\u00edt m\u00e1u, m\u1ed9t l\u01b0\u1ee3ng m\u00e1u l\u1edbn b\u1ea5t th\u01b0\u1eddng ngay c\u1ea3 khi so s\u00e1nh v\u1edbi c\u00e1c tr\u01b0\u1eddng h\u1ee3p nguy c\u01a1 cao kh\u00e1c \u0111\u01b0\u1ee3c ghi nh\u1eadn t\u1ea1i B\u1ec7nh vi\u1ec7n Nhi Packard.<\/p>\n

D\u1ef1a tr\u00ean m\u1ee9c \u0111\u1ed9 nghi\u00eam tr\u1ecdng v\u00e0 s\u1ef1 xu\u1ea5t huy\u1ebft \u0111\u1ed9t ng\u1ed9t, c\u00e1c b\u00e1c s\u0129 c\u1ee7a Michelle lo ng\u1ea1i r\u1eb1ng nguy c\u01a1 x\u1ea3y ra bi\u1ebfn c\u1ed1 b\u1ea5t ng\u1edd l\u00e0 qu\u00e1 l\u1edbn khi\u1ebfn c\u00f4 kh\u00f4ng th\u1ec3 v\u1ec1 nh\u00e0, v\u00e0 s\u1ebd g\u00e2y ra qu\u00e1 nhi\u1ec1u nguy hi\u1ec3m cho c\u00f4 v\u00e0 em b\u00e9. Kh\u00f4ng bi\u1ebft chuy\u1ec7n g\u00ec s\u1ebd x\u1ea3y ra n\u1ebfu c\u00f4 kh\u00f4ng k\u1ecbp quay l\u1ea1i b\u1ec7nh vi\u1ec7n.<\/p>\n

\u201cTr\u01b0\u1eddng h\u1ee3p c\u1ee7a Michelle cho th\u1ea5y ranh gi\u1edbi mong manh m\u00e0 ch\u00fang t\u00f4i ph\u1ea3i \u0111\u1ed1i m\u1eb7t trong s\u1ea3n khoa nguy c\u01a1 cao, khi ph\u1ea3i x\u1eed l\u00fd hai sinh m\u1ea1ng,\u201d b\u00e1c s\u0129 Yasser El-Sayed, b\u00e1c s\u0129 s\u1ea3n khoa v\u00e0 ph\u00f3 khoa y h\u1ecdc b\u00e0 m\u1eb9 - thai nhi c\u1ee7a Michelle, cho bi\u1ebft. \u201cKh\u1ea3 n\u0103ng ch\u1ea9n \u0111o\u00e1n, ch\u1ee9 ch\u01b0a n\u00f3i \u0111\u1ebfn vi\u1ec7c ki\u1ec3m so\u00e1t, nh\u1eefng g\u00ec s\u1ebd x\u1ea3y ra v\u1edbi m\u1ed9t sinh linh \u0111ang ph\u00e1t tri\u1ec3n c\u1ee7a ch\u00fang t\u00f4i th\u1ef1c s\u1ef1 kh\u00e1 h\u1ea1n ch\u1ebf. Do kh\u00f4ng th\u1ec3 d\u1ef1 \u0111o\u00e1n tr\u01b0\u1edbc \u0111\u01b0\u1ee3c \u0111i\u1ec1u g\u00ec s\u1ebd x\u1ea3y ra, ch\u00fang t\u00f4i \u0111\u00e3 quy\u1ebft \u0111\u1ecbnh gi\u1eef c\u00f4 \u1ea5y \u1edf l\u1ea1i b\u1ec7nh vi\u1ec7n trong su\u1ed1t thai k\u1ef3.\u201d<\/p>\n

\u201cC\u00e1c b\u00e1c s\u0129 \u0111\u00e3 n\u00f3i r\u1ea5t r\u00f5 r\u00e0ng r\u1eb1ng Michelle \u0111ang trong t\u00ecnh tr\u1ea1ng nguy k\u1ecbch,\u201d Mike nh\u1edb l\u1ea1i. \u201cT\u00f4i th\u1eadm ch\u00ed c\u00f2n kh\u00f3 l\u00f2ng r\u1eddi xa c\u00f4 \u1ea5y, v\u00e0 b\u1ea5t k\u1ef3 cu\u1ed9c g\u1ecdi n\u00e0o t\u1eeb c\u00f4 \u1ea5y c\u0169ng khi\u1ebfn t\u00f4i su\u00fdt l\u00ean c\u01a1n \u0111au tim v\u00ec t\u00f4i lo s\u1ee3 \u0111i\u1ec1u t\u1ed3i t\u1ec7 nh\u1ea5t s\u1ebd x\u1ea3y ra.\u201d<\/p>\n

Nh\u01b0ng nh\u01b0 Michelle ch\u1ec9 ra, t\u1ea5t c\u1ea3 h\u1ecd \u0111\u1ec1u mong \u0111\u1ee3i em b\u00e9 s\u1ebd s\u1edbm ch\u00e0o \u0111\u1eddi. "T\u00f4i kh\u00f4ng bi\u1ebft th\u1eddi gian n\u1eb1m vi\u1ec7n c\u1ee7a m\u00ecnh s\u1ebd k\u00e9o d\u00e0i bao l\u00e2u", c\u00f4 n\u00f3i th\u00eam.<\/p>\n

Ng\u00e0y tr\u00f4i qua, tu\u1ea7n tr\u00f4i qua, r\u1ed3i th\u00e1ng tr\u00f4i qua. T\u1ed5ng c\u1ed9ng, Michelle \u0111\u00e3 ch\u1ecbu \u0111\u1ef1ng 66 ng\u00e0y d\u00e0i \u0111\u1eb1ng \u0111\u1eb5ng t\u1ea1i Packard d\u01b0\u1edbi s\u1ef1 gi\u00e1m s\u00e1t ch\u1eb7t ch\u1ebd. \u0110\u1ec3 xua tan s\u1ef1 nh\u00e0m ch\u00e1n, Mike \u0111\u1ebfn th\u0103m c\u00f4 ba l\u1ea7n m\u1ed9t ng\u00e0y, mang \u0111\u1ed3 \u0103n nh\u00e0 h\u00e0ng \u0111\u1ebfn, \u0111\u1ea9y c\u00f4 l\u00ean s\u00e2n th\u01b0\u1ee3ng h\u00edt th\u1edf kh\u00f4ng kh\u00ed trong l\u00e0nh, v\u00e0 c\u1ed1 g\u1eafng gi\u00fap c\u00f4 ph\u1ea5n ch\u1ea5n. C\u00e1c y t\u00e1 \u0111\u00e3 nhanh ch\u00f3ng h\u01b0\u1edbng d\u1eabn h\u1ecd c\u00e1ch ch\u0103m s\u00f3c tr\u1ebb s\u01a1 sinh, v\u00ec vi\u1ec7c Michelle n\u1eb1m vi\u1ec7n khi\u1ebfn h\u1ecd kh\u00f4ng th\u1ec3 tham gia c\u00e1c l\u1edbp h\u1ecdc chu\u1ea9n b\u1ecb cho s\u1ef1 ra \u0111\u1eddi c\u1ee7a em b\u00e9.<\/p>\n

Nh\u1edd s\u1ef1 theo d\u00f5i ch\u1eb7t ch\u1ebd c\u1ee7a \u0111\u1ed9i ng\u0169 s\u1ea3n khoa nguy c\u01a1 cao, Michelle \u0111\u00e3 c\u00f3 th\u1ec3 mang thai Avery \u0111\u1ee7 th\u00e1ng. B\u00e9 n\u1eb7ng 8 pound 4 ounce.<\/p>\n

\u201cCh\u00fang t\u00f4i ho\u00e0n to\u00e0n cho\u00e1ng ng\u1ee3p,\u201d Mike n\u00f3i sau khi Avery ch\u00e0o \u0111\u1eddi sau bao ng\u00e0y mong \u0111\u1ee3i. \u201cQu\u1ea3 l\u00e0 m\u1ed9t ch\u1eb7ng \u0111\u01b0\u1eddng d\u00e0i, t\u1eeb \u0111\u00eam \u0111\u1ea7u ti\u00ean ch\u00fang t\u00f4i \u1edf \u0111\u00e2y, lo l\u1eafng. Th\u1eb1ng b\u00e9 ho\u00e0n h\u1ea3o tuy\u1ec7t \u0111\u1ed1i - 10 ng\u00f3n tay v\u00e0 10 ng\u00f3n ch\u00e2n - v\u00e0 to l\u1edbn n\u1eefa.\u201d<\/p>\n

Leslie Ballinger, Woodside<\/h2>\n

Cu\u1ed1i h\u00e0nh lang, ngay b\u00ean ngo\u00e0i Khoa Ch\u0103m s\u00f3c \u0110\u1eb7c bi\u1ec7t S\u01a1 sinh (NICU), Leslie Ballinger \u0111ang c\u1ed1 g\u1eafng l\u1ea5y l\u1ea1i b\u00ecnh t\u0129nh. L\u00e0 m\u1ed9t nh\u00e0 t\u00e0i tr\u1ee3 trung th\u00e0nh cho B\u1ec7nh vi\u1ec7n Nhi Packard, Leslie \u0111ang tham quan B\u1ec7nh vi\u1ec7n c\u00f9ng m\u1ed9t ng\u01b0\u1eddi b\u1ea1n, ng\u01b0\u1eddi m\u00e0 c\u00f4 hy v\u1ecdng c\u0169ng s\u1ebd \u1ee7ng h\u1ed9. Nh\u01b0ng khi chuy\u1ebfn tham quan c\u1ee7a h\u1ecd \u0111\u1ebfn l\u1ed1i v\u00e0o NICU, Leslie kh\u00f4ng th\u1ec3 t\u1ef1 m\u00ecnh v\u00e0o \u0111\u01b0\u1ee3c. Ngay c\u1ea3 sau 23 n\u0103m, vi\u1ec7c b\u1ecb bao quanh b\u1edfi nh\u1eefng \u0111\u1ee9a tr\u1ebb s\u01a1 sinh y\u1ebfu \u1edbt v\u00e0 nh\u1eefng m\u00e0n h\u00ecnh theo d\u00f5i li\u00ean t\u1ee5c k\u00eau b\u00edp b\u00edp v\u1eabn l\u00e0 \u0111i\u1ec1u qu\u00e1 kh\u00f3 kh\u0103n \u0111\u1ed1i v\u1edbi c\u00f4.<\/p>\n

N\u0103m 1988, con trai \u0111\u1ea7u l\u00f2ng c\u1ee7a Leslie, Court, ch\u00e0o \u0111\u1eddi t\u1ea1i B\u1ec7nh vi\u1ec7n Stanford, sinh non ba th\u00e1ng. Trong th\u1eddi gian mang thai, Leslie \u0111\u01b0\u1ee3c ch\u1ea9n \u0111o\u00e1n m\u1eafc h\u1ed9i ch\u1ee9ng HELLP, m\u1ed9t bi\u1ebfn ch\u1ee9ng c\u1ee7a ti\u1ec1n s\u1ea3n gi\u1eadt (huy\u1ebft \u00e1p cao do thai k\u1ef3). Em b\u00e9 ch\u00e0o \u0111\u1eddi s\u1edbm h\u01a1n d\u1ef1 ki\u1ebfn r\u1ea5t nhi\u1ec1u v\u00e0 kh\u00f4ng h\u1ec1 c\u00f3 d\u1ea5u hi\u1ec7u b\u00e1o tr\u01b0\u1edbc.<\/p>\n

Court \u0111\u00e3 tr\u1ea3i qua t\u00e1m tu\u1ea7n \u0111\u1ea7u \u0111\u1eddi trong ph\u00f2ng ch\u0103m s\u00f3c \u0111\u1eb7c bi\u1ec7t d\u00e0nh cho tr\u1ebb s\u01a1 sinh (NICU). Vi\u1ec7c c\u1eadu b\u00e9 s\u1ed1ng s\u00f3t qu\u1ea3 l\u00e0 \u0111i\u1ec1u phi th\u01b0\u1eddng.<\/p>\n

Leslie v\u00e0 ch\u1ed3ng c\u00f4, Doug, v\u1eabn c\u00f2n nh\u1edb nh\u01b0 in nh\u1eefng m\u00e0n h\u00ecnh li\u00ean t\u1ee5c k\u00eau b\u00edp b\u00edp v\u00e0 \u00e1nh \u0111\u00e8n ch\u00f3i l\u00f2a c\u1ee7a NICU. Th\u1eddi \u0111\u00f3, cha m\u1eb9 th\u01b0\u1eddng kh\u00f4ng \u0111\u01b0\u1ee3c ph\u00e9p ti\u1ebfp x\u00fac v\u1edbi con sinh non. Phi\u00ean t\u00f2a \u0111\u1ea7u ti\u00ean \u0111\u01b0\u1ee3c t\u1ed5 ch\u1ee9c v\u00e0o m\u1ed9t bu\u1ed5i t\u1ed1i d\u01b0\u1edbi s\u1ef1 gi\u00e1m s\u00e1t c\u1ee7a Doug\u2014l\u00fac \u0111\u00f3 b\u00e9 \u0111\u01b0\u1ee3c s\u00e1u tu\u1ea7n tu\u1ed5i.<\/p>\n

Ti\u1ebfn s\u0129 David Stevenson, Gi\u00e1o s\u01b0 Nhi khoa Harold K. Faber, cho bi\u1ebft r\u1ea5t nhi\u1ec1u th\u1ee9 \u0111\u00e3 thay \u0111\u1ed5i k\u1ec3 t\u1eeb \u0111\u00f3. C\u00f3 nh\u1eefng c\u00f4ng c\u1ee5 ch\u1ea9n \u0111o\u00e1n, m\u00e0n h\u00ecnh theo d\u00f5i v\u00e0 ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb t\u1ed1t h\u01a1n. \u00c1nh s\u00e1ng trong NICU hi\u1ec7n \u0111\u01b0\u1ee3c \u0111i\u1ec1u ch\u1ec9nh theo chu k\u1ef3 ng\u00e0y v\u00e0 \u0111\u00eam, cha m\u1eb9 \u0111\u01b0\u1ee3c khuy\u1ebfn kh\u00edch ch\u1ea1m v\u00e0o, b\u1ebf v\u00e0 tr\u00f2 chuy\u1ec7n v\u1edbi con, v\u00e0 m\u1ecdi n\u1ed7 l\u1ef1c \u0111\u1ec1u \u0111\u01b0\u1ee3c th\u1ef1c hi\u1ec7n \u0111\u1ec3 mang l\u1ea1i cho tr\u1ebb s\u01a1 sinh nh\u1eefng kho\u1ea3nh kh\u1eafc ngh\u1ec9 ng\u01a1i y\u00ean b\u00ecnh h\u01a1n.<\/p>\n

Khi c\u00f2n nh\u1ecf, Court \u0111\u01b0\u1ee3c ch\u1ea9n \u0111o\u00e1n m\u1eafc ch\u1ee9ng b\u1ea1i n\u00e3o, m\u1ed9t b\u1ec7nh v\u1ec1 m\u1eaft g\u1ecdi l\u00e0 l\u00e1c m\u1eaft, v\u00e0 g\u1eb7p kh\u00f3 kh\u0103n trong h\u1ecdc t\u1eadp. C\u1eadu b\u00e9 bi\u1ebft b\u00f2 v\u00e0 bi\u1ebft \u0111i mu\u1ed9n h\u01a1n nh\u1eefng \u0111\u1ee9a tr\u1ebb kh\u00e1c, nh\u01b0ng \u0111\u00e3 v\u01b0\u1ee3t qua \u0111\u01b0\u1ee3c nhi\u1ec1u v\u1ea5n \u0111\u1ec1 v\u1ec1 c\u01a1 li\u00ean quan \u0111\u1ebfn b\u1ea1i n\u00e3o v\u00e0 l\u00e0 m\u1ed9t \u0111\u1ee9a tr\u1ebb m\u1edbi bi\u1ebft \u0111i vui v\u1ebb v\u00e0 n\u0103ng \u0111\u1ed9ng. Nh\u01b0ng khi b\u1eaft \u0111\u1ea7u \u0111i h\u1ecdc, c\u1eadu b\u00e9 b\u1eaft \u0111\u1ea7u g\u1eb7p kh\u00f3 kh\u0103n. C\u1eadu m\u1ea5t nhi\u1ec1u th\u1eddi gian h\u01a1n nh\u1eefng h\u1ecdc sinh kh\u00e1c \u0111\u1ec3 gi\u1ea3i c\u00f9ng m\u1ed9t b\u00e0i to\u00e1n. V\u00e0 c\u1eadu b\u00e9 c\u1ea7n \u0111\u01b0\u1ee3c tr\u1ecb li\u1ec7u ng\u00f4n ng\u1eef \u0111\u1ec3 kh\u1eafc ph\u1ee5c t\u1eadt n\u00f3i l\u1eafp v\u1ee5ng v\u1ec1 khi\u1ebfn c\u1eadu b\u00e9 nh\u00fat nh\u00e1t v\u00e0 lo l\u1eafng khi \u1edf b\u00ean ng\u01b0\u1eddi kh\u00e1c. Khi c\u00f2n l\u00e0 m\u1ed9t thi\u1ebfu ni\u00ean, ch\u1ee9ng lo \u00e2u x\u00e3 h\u1ed9i khi\u1ebfn c\u1eadu kh\u00f3 x\u00e2y d\u1ef1ng t\u00ecnh b\u1ea1n, v\u00e0 c\u1eadu b\u00e9 c\u00f3 c\u00e1i nh\u00ecn ti\u00eau c\u1ef1c v\u1ec1 nh\u1eefng g\u00ec m\u00ecnh c\u00f3 th\u1ec3 \u0111\u1ea1t \u0111\u01b0\u1ee3c trong cu\u1ed9c s\u1ed1ng.<\/p>\n

Leslie v\u1eabn c\u00f2n nh\u1edb c\u1ea3m gi\u00e1c h\u1ee5t h\u1eabng v\u00e0 \u0111au \u0111\u1edbn khi ch\u1ee9ng ki\u1ebfn con m\u00ecnh v\u1eadt l\u1ed9n. C\u00f3 r\u1ea5t \u00edt s\u1ef1 h\u1ed7 tr\u1ee3 d\u00e0nh cho c\u00e1c b\u1eadc cha m\u1eb9 nu\u00f4i d\u1ea1y con c\u00e1i c\u00f3 nhu c\u1ea7u \u0111\u1eb7c bi\u1ec7t v\u00e0 \u0111ang c\u1ed1 g\u1eafng t\u00ecm hi\u1ec3u c\u00e1c d\u1ecbch v\u1ee5 ph\u1ee9c t\u1ea1p. \u0110\u1ec3 \u0111\u1ea3m b\u1ea3o vi\u1ec7c ch\u0103m s\u00f3c theo d\u00f5i v\u00e0 \u0111i\u1ec1u ph\u1ed1i t\u1ed1t h\u01a1n \u0111\u01b0\u1ee3c cung c\u1ea5p cho c\u00e1c gia \u0111\u00ecnh kh\u00e1c \u0111ang g\u1eb7p ph\u1ea3i nh\u1eefng th\u00e1ch th\u1ee9c t\u01b0\u01a1ng t\u1ef1, Leslie v\u00e0 Doug \u0111\u00e3 h\u1ed7 tr\u1ee3 D\u1ecbch v\u1ee5 Sau \u0111\u1ea1i h\u1ecdc cho Tr\u1ebb sinh non t\u1ea1i Packard, gi\u00fap c\u00e1c b\u1eadc cha m\u1eb9 ti\u1ebfp c\u1eadn d\u1ecbch v\u1ee5 ch\u0103m s\u00f3c li\u00ean t\u1ee5c cho tr\u1ebb sinh non.<\/p>\n

N\u0103m 2004, gia \u0111\u00ecnh Ballinger, c\u00f9ng v\u1edbi cha m\u1eb9 c\u1ee7a Leslie, Ann v\u00e0 Bill Swindells, \u0111\u00e3 \u0111\u01b0a kho\u1ea3n \u0111\u1ea7u t\u01b0 c\u1ee7a h\u1ecd ti\u1ebfn th\u00eam m\u1ed9t b\u01b0\u1edbc n\u1eefa b\u1eb1ng c\u00e1ch th\u00e0nh l\u1eadp Ch\u01b0\u01a1ng tr\u00ecnh Gi\u00e1o s\u01b0 Ballinger-Swindells v\u1ec1 Nhi khoa Ph\u00e1t tri\u1ec3n v\u00e0 H\u00e0nh vi. M\u00f3n qu\u00e0 c\u1ee7a h\u1ecd \u0111\u00e3 d\u1eabn \u0111\u1ebfn vi\u1ec7c tuy\u1ec3n d\u1ee5ng Ti\u1ebfn s\u0129, B\u00e1c s\u0129 Heidi Feldman, gi\u00e1o s\u01b0 nhi khoa, \u0111\u1ec3 ch\u1ec9 \u0111\u1ea1o ch\u01b0\u01a1ng tr\u00ecnh Nhi khoa Ph\u00e1t tri\u1ec3n-H\u00e0nh vi m\u1edbi t\u1ea1i B\u1ec7nh vi\u1ec7n Nhi Packard.<\/p>\n

\u201cGia \u0111\u00ecnh Ballinger th\u1ef1c s\u1ef1 \u0111\u00e3 \u0111i \u0111\u1ea7u trong vi\u1ec7c gi\u00fap ch\u00fang t\u00f4i ph\u00e1t tri\u1ec3n c\u00e1c ph\u00f2ng kh\u00e1m theo d\u00f5i nguy c\u01a1 cao v\u00e0 x\u00e2y d\u1ef1ng m\u1ed1i quan h\u1ec7 v\u1edbi c\u1ed9ng \u0111\u1ed3ng,\u201d Stevenson nh\u1eadn x\u00e9t. \u201cGi\u1edd \u0111\u00e2y, khi tr\u1ebb r\u1eddi nh\u00e0 tr\u1ebb, c\u00e1c em c\u00f3 th\u1ec3 t\u00ecm \u0111\u1ebfn s\u1ef1 h\u1ed7 tr\u1ee3 \u0111\u1ec3 v\u01b0\u1ee3t qua nh\u1eefng th\u00e1ch th\u1ee9c m\u00e0 c\u00e1c em c\u00f3 th\u1ec3 g\u1eb7p ph\u1ea3i.\u201d<\/p>\n

May m\u1eafn thay, tr\u01b0\u1eddng trung h\u1ecdc l\u00e0 m\u1ed9t b\u01b0\u1edbc ngo\u1eb7t \u0111\u1ed1i v\u1edbi Court. Anh theo h\u1ecdc t\u1ea1i m\u1ed9t tr\u01b0\u1eddng \u1edf B\u1edd \u0110\u00f4ng, n\u01a1i anh g\u1eb7p g\u1ee1 nh\u1eefng h\u1ecdc sinh kh\u00e1c c\u0169ng \u0111ang \u0111\u1ed1i m\u1eb7t v\u1edbi nh\u1eefng th\u00e1ch th\u1ee9c t\u01b0\u01a1ng t\u1ef1, v\u00e0 cu\u1ed1i c\u00f9ng \u0111\u00e3 b\u1eaft \u0111\u1ea7u tho\u00e1t kh\u1ecfi v\u1ecf b\u1ecdc c\u1ee7a m\u00ecnh.<\/p>\n

Court hi\u1ec7n \u0111ang r\u1ea5t tr\u01b0\u1edfng th\u00e0nh. M\u1eb7c d\u00f9 k\u00fd \u1ee9c v\u1ec1 NICU v\u1eabn c\u00f2n in \u0111\u1eadm trong t\u00e2m tr\u00ed Leslie, c\u00f4 hy v\u1ecdng m\u1ecdi th\u1ee9 s\u1ebd d\u1ec5 d\u00e0ng h\u01a1n v\u1edbi c\u00e1c gia \u0111\u00ecnh kh\u00e1c khi con c\u00e1i h\u1ecd l\u1edbn l\u00ean.<\/p>\n

Eva Lagunas, Th\u00e0nh ph\u1ed1 Redwood<\/h2>\n

B\u00ean trong NICU, Eva Lagunas r\u1ea1ng r\u1ee1 ni\u1ec1m t\u1ef1 h\u00e0o. C\u00f4 v\u00e0o chia s\u1ebb \u1ea3nh con trai \u00fat David Luna. C\u00f4 ch\u00e0o \u0111\u00f3n c\u00e1c y t\u00e1 b\u1eb1ng nh\u1eefng c\u00e1i \u00f4m. "H\u1ecd nh\u01b0 gia \u0111\u00ecnh t\u00f4i v\u1eady", c\u00f4 n\u00f3i.<\/p>\n

David \u0111\u00e3 ti\u1ebfn b\u1ed9 r\u1ea5t nhi\u1ec1u k\u1ec3 t\u1eeb nh\u1eefng ng\u00e0y th\u00e1ng n\u1eb1m trong ph\u00f2ng ch\u0103m s\u00f3c \u0111\u1eb7c bi\u1ec7t d\u00e0nh cho tr\u1ebb s\u01a1 sinh (NICU). Sinh n\u0103m 2009 \u1edf tu\u1ea7n th\u1ee9 26, David n\u1eb7ng ch\u01b0a \u0111\u1ebfn 1,1 kg. B\u00e9 m\u1eafc h\u1ed9i ch\u1ee9ng suy h\u00f4 h\u1ea5p, ng\u01b0ng th\u1edf khi sinh non, tr\u00e0o ng\u01b0\u1ee3c d\u1ea1 d\u00e0y th\u1ef1c qu\u1ea3n v\u00e0 xu\u1ea5t huy\u1ebft n\u00e3o nghi\u00eam tr\u1ecdng. Khi \u0111\u01b0\u1ee3c hai tu\u1ea7n tu\u1ed5i, c\u00e2n n\u1eb7ng c\u1ee7a b\u00e9 \u0111\u00e3 gi\u1ea3m xu\u1ed1ng c\u00f2n m\u1ed9t n\u1eeda so v\u1edbi l\u00fac m\u1edbi sinh, v\u00e0 c\u00e1c b\u00e1c s\u0129 \u0111\u00e3 n\u00f3i v\u1edbi Eva v\u00e0 ch\u1ed3ng c\u00f4, Miguel Luna, r\u1eb1ng n\u1ebfu David s\u1ed1ng s\u00f3t, b\u00e9 c\u00f3 th\u1ec3 b\u1ecb suy gi\u1ea3m th\u1ecb l\u1ef1c v\u00e0 th\u00ednh l\u1ef1c nghi\u00eam tr\u1ecdng, v\u00e0 c\u00f3 th\u1ec3 kh\u00f4ng bao gi\u1edd \u0111i l\u1ea1i \u0111\u01b0\u1ee3c.<\/p>\n

Ph\u1ea3i m\u1ea5t b\u1ed1n th\u00e1ng sau, Eva v\u00e0 Miguel m\u1edbi c\u00f3 th\u1ec3 \u0111\u01b0a c\u1eadu b\u00e9 v\u1ec1 nh\u00e0 l\u1ea7n \u0111\u1ea7u ti\u00ean.<\/p>\n

H\u00f4m nay, c\u00e1c y t\u00e1 v\u00f4 c\u00f9ng kinh ng\u1ea1c tr\u01b0\u1edbc s\u1ef1 ti\u1ebfn tri\u1ec3n c\u1ee7a David. S\u1ee9c kh\u1ecfe c\u1ee7a b\u00e9 r\u1ea5t t\u1ed1t, v\u00e0 m\u1eb7c d\u00f9 c\u00f3 ph\u1ea7n ch\u1eadm ph\u00e1t tri\u1ec3n, nh\u01b0ng gi\u1edd b\u00e9 \u0111\u00e3 bi\u1ebft \u0111i, b\u1eaft \u0111\u1ea7u n\u00f3i v\u00e0 d\u1ea7n d\u1ea7n h\u1ecdc \u0111\u01b0\u1ee3c c\u00e1c k\u1ef9 n\u0103ng kh\u00e1c. Eva t\u1ef1 h\u00e0o k\u1ec3 r\u1eb1ng b\u00e9 th\u00edch \u0103n - t\u1ea5t c\u1ea3 m\u1ecdi th\u1ee9 tr\u1eeb b\u00ed ng\u00f2i - v\u00e0 th\u1eadm ch\u00ed c\u00f2n cao h\u01a1n m\u1ed9t ch\u00fat so v\u1edbi m\u1ed9t ng\u01b0\u1eddi h\u00e0ng x\u00f3m c\u00f9ng tu\u1ed5i.<\/p>\n

C\u00f4 cho bi\u1ebft, ph\u1ea3i m\u1ea5t r\u1ea5t nhi\u1ec1u quy\u1ebft t\u00e2m, n\u1ed7 l\u1ef1c v\u00e0 c\u1ea7u nguy\u1ec7n \u0111\u1ec3 con trai c\u00f4 c\u00f3 \u0111\u01b0\u1ee3c ng\u00e0y h\u00f4m nay. David \u0111\u00e3 tr\u1ea3i qua li\u1ec7u ph\u00e1p chuy\u00ean s\u00e2u \u0111\u1ec3 h\u1ecdc c\u00e1c ch\u1ee9c n\u0103ng c\u01a1 b\u1ea3n nh\u01b0 c\u1ea7m n\u1eafm v\u00e0 n\u00f3i chuy\u1ec7n.<\/p>\n

May m\u1eafn thay, David \u0111\u00e3 \u0111\u01b0\u1ee3c h\u01b0\u1edfng l\u1ee3i t\u1eeb kho\u1ea3n \u0111\u1ea7u t\u01b0 h\u00e0o ph\u00f3ng c\u1ee7a gia \u0111\u00ecnh Ballinger v\u00e0o n\u0103m 2004. Ng\u00e0y nay, ch\u01b0\u01a1ng tr\u00ecnh Nhi khoa Ph\u00e1t tri\u1ec3n - H\u00e0nh vi c\u1ee7a Packard cung c\u1ea5p cho c\u00e1c gia \u0111\u00ecnh nh\u01b0 gia \u0111\u00ecnh David s\u1ef1 h\u1ed7 tr\u1ee3 c\u00f3 c\u1ea5u tr\u00fac, theo d\u00f5i v\u00e0 ph\u1ed1i h\u1ee3p m\u00e0 h\u1ecd c\u1ea7n \u0111\u1ec3 gi\u1ea3i quy\u1ebft c\u00e1c khuy\u1ebft t\u1eadt c\u1ee7a con m\u00ecnh.<\/p>\n

\u201cDavid g\u1eb7p m\u1ed9t s\u1ed1 kh\u00f3 kh\u0103n nh\u01b0ng \u0111\u00e3 l\u00e0m t\u1ed1t,\u201d Feldman nh\u1eadn x\u00e9t. \u201c\u0110i\u1ec1u quan tr\u1ecdng l\u00e0 ch\u00fang ta ph\u1ea3i k\u1ebft n\u1ed1i nh\u1eefng gia \u0111\u00ecnh nh\u01b0 anh \u1ea5y v\u1edbi c\u00e1c d\u1ecbch v\u1ee5, t\u1ea1i Packard ho\u1eb7c t\u1ea1i c\u1ed9ng \u0111\u1ed3ng g\u1ea7n nh\u00e0 h\u1ecd, \u0111\u1ec3 theo d\u00f5i v\u00e0 h\u1ed7 tr\u1ee3 s\u1ef1 ph\u00e1t tri\u1ec3n c\u1ee7a h\u1ecd.\u201d<\/p>\n

V\u1ec1 ph\u1ea7n m\u00ecnh, Eva \u0111\u00e3 t\u1eadn d\u1ee5ng t\u1ed1i \u0111a c\u00e1c ngu\u1ed3n l\u1ef1c s\u1eb5n c\u00f3 \u0111\u1ec3 gi\u00fap David ph\u00e1t tri\u1ec3n. L\u1ecbch tr\u00ecnh b\u1eadn r\u1ed9n h\u00e0ng tu\u1ea7n c\u1ee7a h\u1ecd bao g\u1ed3m ba bu\u1ed5i tr\u1ecb li\u1ec7u ngh\u1ec1 nghi\u1ec7p v\u00e0 v\u1eadt l\u00fd tr\u1ecb li\u1ec7u th\u00f4ng qua D\u1ecbch v\u1ee5 Tr\u1ebb em California, hai bu\u1ed5i t\u1ea1i m\u1ed9t ch\u01b0\u01a1ng tr\u00ecnh can thi\u1ec7p s\u1edbm n\u01a1i David \u0111\u01b0\u1ee3c giao l\u01b0u v\u1edbi c\u00e1c tr\u1ebb kh\u00e1c, v\u00e0 c\u00e1c bu\u1ed5i th\u0103m kh\u00e1m t\u1ea1i nh\u00e0 c\u1ee7a chuy\u00ean gia tr\u1ecb li\u1ec7u ng\u00f4n ng\u1eef v\u00e0 gi\u00e1o vi\u00ean \u0111\u1ec3 x\u00e2y d\u1ef1ng v\u1ed1n t\u1eeb v\u1ef1ng v\u00e0 nh\u1eadn th\u1ee9c cho David. C\u00f4 lu\u00f4n gi\u1eef th\u00e1i \u0111\u1ed9 t\u00edch c\u1ef1c, nh\u01b0ng kh\u00f4ng ng\u1ea1i l\u00ean ti\u1ebfng n\u1ebfu c\u1ea3m th\u1ea5y nhu c\u1ea7u c\u1ee7a con trai ch\u01b0a \u0111\u01b0\u1ee3c \u0111\u00e1p \u1ee9ng. Khi c\u1ea3m th\u1ea5y m\u1ed9t ch\u01b0\u01a1ng tr\u00ecnh n\u00e0o \u0111\u00f3 kh\u00f4ng ph\u00f9 h\u1ee3p v\u1edbi con, c\u00f4 l\u1eadp t\u1ee9c t\u00ecm ki\u1ebfm m\u1ed9t ch\u01b0\u01a1ng tr\u00ecnh ph\u00f9 h\u1ee3p h\u01a1n.<\/p>\n

\u201cCh\u00fang ta ph\u1ea3i l\u00e0 ti\u1ebfng n\u00f3i c\u1ee7a con em m\u00ecnh,\u201d Eva n\u00f3i.<\/p>\n

H\u00f4m nay, c\u00f4 \u1ea5y th\u00eam \u1ea3nh c\u1ee7a David l\u00ean t\u01b0\u1eddng NICU v\u00e0 d\u00e0nh ch\u00fat th\u1eddi gian \u0111\u1ed9ng vi\u00ean nh\u1eefng ph\u1ee5 huynh n\u00f3i ti\u1ebfng T\u00e2y Ban Nha kh\u00e1c \u0111ang lo l\u1eafng v\u00e0 s\u1ee3 h\u00e3i. "T\u00f4i mu\u1ed1n h\u1ecd bi\u1ebft r\u1eb1ng t\u1ea1i Packard, con c\u1ee7a h\u1ecd \u0111ang \u1edf n\u01a1i t\u1ed1t nh\u1ea5t c\u00f3 th\u1ec3", c\u00f4 n\u00f3i. "\u0110\u1ed1i v\u1edbi t\u00f4i, NICU l\u00e0 n\u01a1i c\u1ee7a s\u1ef1 s\u1ed1ng, hy v\u1ecdng v\u00e0 t\u00ecnh y\u00eau th\u01b0\u01a1ng."<\/p>\n

Sarah Jones, Palo Alto<\/h2>\n

\u1ede t\u1ea7ng tr\u1ec7t, Sarah Jones v\u00e0 Andy Sharp \u0111ang h\u1ed3i h\u1ed9p ch\u1edd \u0111\u1ee3i c\u1eadu con trai 7 th\u00e1ng tu\u1ed5i Nicholas c\u1ee7a h\u1ecd tr\u1ea3i qua ca ph\u1eabu thu\u1eadt th\u1ee9 ba k\u1ec3 t\u1eeb khi sinh ra. \u0110\u00e2y l\u00e0 c\u00fa va ch\u1ea1m m\u1edbi nh\u1ea5t trong h\u00e0nh tr\u00ecnh d\u00e0i v\u00e0 gian nan c\u1ee7a h\u1ecd \u0111\u1ec3 c\u00f3 \u0111\u01b0\u1ee3c \u0111\u1ee9a con \u0111\u1ea7u l\u00f2ng.<\/p>\n

M\u00f9a h\u00e8 n\u0103m ngo\u00e1i, khi Sarah \u0111ang mang thai Nicholas, si\u00eau \u00e2m thai 26 tu\u1ea7n c\u1ee7a c\u00f4 cho th\u1ea5y c\u00f3 qu\u00e1 nhi\u1ec1u n\u01b0\u1edbc \u1ed1i, cho th\u1ea5y em b\u00e9 kh\u00f4ng nu\u1ed1t nh\u01b0 b\u00ecnh th\u01b0\u1eddng. C\u00e1c b\u00e1c s\u0129 nghi ng\u1edd c\u00f4 b\u1ecb teo t\u00e1 tr\u00e0ng, trong \u0111\u00f3 ph\u1ea7n \u0111\u1ea7u c\u1ee7a ru\u1ed9t non b\u1ecb t\u1eafc ngh\u1ebdn, ng\u0103n c\u1ea3n s\u1ef1 l\u01b0u th\u00f4ng c\u1ee7a th\u1ee9c \u0103n trong d\u1ea1 d\u00e0y.<\/p>\n

Nicholas Sharp<\/h2>\n

Sarah \u0111\u01b0\u1ee3c gi\u1edbi thi\u1ec7u \u0111\u1ebfn Trung t\u00e2m S\u1ee9c kh\u1ecfe B\u00e0 m\u1eb9 v\u00e0 Thai nhi Packard, n\u01a1i t\u1eadp h\u1ee3p m\u1ed9t nh\u00f3m g\u1ed3m m\u1ed9t b\u00e1c s\u0129 s\u1ea3n khoa c\u00f3 nguy c\u01a1 cao, m\u1ed9t b\u00e1c s\u0129 s\u01a1 sinh, m\u1ed9t chuy\u00ean gia t\u01b0 v\u1ea5n di truy\u1ec1n, m\u1ed9t nh\u00e2n vi\u00ean x\u00e3 h\u1ed9i y t\u1ebf v\u00e0 m\u1ed9t b\u00e1c s\u0129 ph\u1eabu thu\u1eadt \u0111\u1ec3 x\u00e2y d\u1ef1ng k\u1ebf ho\u1ea1ch ch\u0103m s\u00f3c cho c\u00f4 v\u00e0 em b\u00e9.<\/p>\n

Ti\u1ebfn s\u0129 Susan Hintz, gi\u00e1m \u0111\u1ed1c y khoa c\u1ee7a Trung t\u00e2m S\u1ee9c kh\u1ecfe B\u00e0 m\u1eb9 v\u00e0 Thai nhi, \u0111\u1ed3ng th\u1eddi l\u00e0 H\u1ecdc gi\u1ea3 Khoa Arline v\u00e0 Pete Harman, cho bi\u1ebft: "Ch\u00fang t\u00f4i c\u1ed1 g\u1eafng gh\u00e9p c\u00e1c m\u1ea3nh gh\u00e9p l\u1ea1i v\u1edbi nhau \u0111\u1ec3 c\u00e1c b\u1eadc cha m\u1eb9 c\u00f3 th\u1ec3 hi\u1ec3u v\u00e0 chu\u1ea9n b\u1ecb c\u00e0ng nhi\u1ec1u c\u00e0ng t\u1ed1t cho nh\u1eefng g\u00ec s\u1ebd x\u1ea3y ra trong nh\u1eefng tu\u1ea7n, nh\u1eefng th\u00e1ng, \u0111\u00f4i khi l\u00e0 nh\u1eefng n\u0103m t\u1edbi".<\/p>\n

Nh\u00f3m nghi\u00ean c\u1ee9u \u0111\u00e3 th\u00f4ng b\u00e1o v\u1edbi Sarah v\u00e0 Andy r\u1eb1ng con c\u1ee7a h\u1ecd c\u00f3 th\u1ec3 s\u1ebd c\u1ea7n ph\u1eabu thu\u1eadt ngay sau khi ch\u00e0o \u0111\u1eddi. "Nh\u01b0ng ngay c\u1ea3 v\u1edbi t\u1ea5t c\u1ea3 c\u00f4ng ngh\u1ec7, chuy\u00ean m\u00f4n v\u00e0 kh\u1ea3 n\u0103ng ch\u1ee5p \u1ea3nh c\u1ee7a ch\u00fang t\u00f4i, ch\u00fang t\u00f4i v\u1eabn nh\u1ea5n m\u1ea1nh r\u1eb1ng ch\u00fang t\u00f4i v\u1eabn kh\u00f4ng th\u1ec3 d\u1ef1 \u0111o\u00e1n ch\u00ednh x\u00e1c nh\u1eefng g\u00ec s\u1ebd x\u1ea3y ra", Hintz n\u00f3i th\u00eam. H\u00f3a ra, con c\u1ee7a Sarah th\u1ef1c s\u1ef1 r\u1ea5t kh\u00f3 \u0111o\u00e1n.<\/p>\n

Ch\u1ec9 ba tu\u1ea7n sau, v\u00e0o gi\u1eefa \u0111\u00eam, n\u01b0\u1edbc \u1ed1i c\u1ee7a Sarah v\u1ee1 v\u00e0 c\u00f4 chuy\u1ec3n d\u1ea1 s\u1edbm. S\u1edbm h\u01a1n d\u1ef1 ki\u1ebfn, c\u00f4 \u0111\u01b0\u1ee3c \u0111\u01b0a v\u00e0o B\u1ec7nh vi\u1ec7n Nhi Packard, n\u01a1i c\u00e1c b\u00e1c s\u0129 \u0111\u00e3 ng\u0103n ch\u1eb7n c\u00e1c c\u01a1n co th\u1eaft v\u00e0 cho c\u00f4 n\u1eb1m ngh\u1ec9 tr\u00ean gi\u01b0\u1eddng trong t\u00e1m ng\u00e0y. Khi c\u00e1c c\u01a1n co th\u1eaft l\u1ea1i xu\u1ea5t hi\u1ec7n v\u00e0o tu\u1ea7n sau, c\u00e1c b\u00e1c s\u0129 ph\u00e1t hi\u1ec7n nh\u1ecbp tim c\u1ee7a em b\u00e9 \u0111ang gi\u1ea3m v\u00e0 quy\u1ebft \u0111\u1ecbnh c\u1ea7n ph\u1ea3i sinh m\u1ed5 ngay l\u1eadp t\u1ee9c.<\/p>\n

\u201cM\u1ecdi chuy\u1ec7n di\u1ec5n ra r\u1ea5t nhanh,\u201d Sarah nh\u1edb l\u1ea1i. \u201cHai m\u01b0\u01a1i ph\u00fat sau, Nicholas \u0111\u00e3 c\u00f3 m\u1eb7t.\u201d<\/p>\n

Sinh ra \u1edf tu\u1ea7n th\u1ee9 30, Nicholas ch\u1ec9 n\u1eb7ng 2 pound, 14 ounce.<\/p>\n

May m\u1eafn thay cho c\u1ea3 m\u1eb9 v\u00e0 b\u00e9, \u0111\u1ed9i ng\u0169 ch\u0103m s\u00f3c s\u1ee9c kh\u1ecfe Packard c\u1ee7a h\u1ecd \u0111\u00e3 c\u00f3 s\u1eb5n k\u1ebf ho\u1ea1ch, v\u00e0 c\u00e1c b\u00e1c s\u0129 s\u01a1 sinh v\u00e0 b\u00e1c s\u0129 ph\u1eabu thu\u1eadt nhi khoa \u0111\u00e3 s\u1eb5n s\u00e0ng v\u00e0o cu\u1ed9c. Ngay sau khi Nicholas ch\u00e0o \u0111\u1eddi, c\u00e1c b\u00e1c s\u0129 x\u00e1c nh\u1eadn b\u00e9 b\u1ecb teo t\u00e1 tr\u00e0ng, c\u1ea7n \u0111\u01b0\u1ee3c \u0111i\u1ec1u tr\u1ecb ngay l\u1eadp t\u1ee9c. V\u00e0 khi c\u00e1c n\u1ed7 l\u1ef1c \u0111\u1eb7t n\u1ed9i kh\u00ed qu\u1ea3n cho b\u00e9 kh\u00f4ng th\u00e0nh c\u00f4ng, h\u1ecd nghi ng\u1edd b\u00e9 c\u0169ng b\u1ecb r\u00f2 kh\u00ed qu\u1ea3n-th\u1ef1c qu\u1ea3n (TEF), m\u1ed9t k\u1ebft n\u1ed1i b\u1ea5t th\u01b0\u1eddng gi\u1eefa th\u1ef1c qu\u1ea3n v\u00e0 kh\u00ed qu\u1ea3n.<\/p>\n

C\u00e1c b\u00e1c s\u0129 ph\u1eabu thu\u1eadt Sanjeev Dutta, Ti\u1ebfn s\u0129 Y khoa, v\u00e0 Matias Bruzoni, Ti\u1ebfn s\u0129 Y khoa, \u0111\u00e3 ph\u1eabu thu\u1eadt cho Nicholas v\u00e0o t\u1ed1i h\u00f4m \u0111\u00f3, s\u1eeda ch\u1eefa th\u00e0nh c\u00f4ng ch\u1ee9ng teo t\u00e1 tr\u00e0ng v\u00e0 th\u1ef1c hi\u1ec7n bi\u1ec7n ph\u00e1p t\u1ea1m th\u1eddi cho TEF. Nicholas kh\u00f4ng ph\u1ea3i l\u00e0 b\u1ec7nh nh\u00e2n nh\u1ecf nh\u1ea5t t\u1eebng \u0111\u01b0\u1ee3c ph\u1eabu thu\u1eadt t\u1ea1i B\u1ec7nh vi\u1ec7n Nhi Packard, nh\u01b0ng n\u1eb1m ngo\u00e0i kh\u1ea3 n\u0103ng x\u1eed l\u00fd c\u1ee7a h\u1ea7u h\u1ebft c\u00e1c b\u1ec7nh vi\u1ec7n kh\u00e1c. K\u00edch th\u01b0\u1edbc nh\u1ecf v\u00e0 sinh non, c\u00f9ng v\u1edbi hai b\u1ec7nh l\u00fd k\u00e8m theo, khi\u1ebfn ca ph\u1eabu thu\u1eadt c\u1ee7a c\u1eadu b\u00e9 tr\u1edf n\u00ean \u0111\u1eb7c bi\u1ec7t kh\u00f3 kh\u0103n.<\/p>\n

\u201cKh\u00f4ng c\u00f3 s\u00e1ch gi\u00e1o khoa n\u00e0o h\u01b0\u1edbng d\u1eabn c\u00e1ch x\u1eed l\u00fd t\u00ecnh hu\u1ed1ng ki\u1ec3u n\u00e0y c\u1ea3,\u201d Dutta, m\u1ed9t H\u1ecdc gi\u1ea3 Khoa Arline v\u00e0 Pete Harman, nh\u1eadn x\u00e9t. \u201cC\u1ea7n c\u00f3 kinh nghi\u1ec7m v\u00e0 s\u1ef1 s\u00e1ng t\u1ea1o c\u1ee7a m\u1ed9t n\u01a1i nh\u01b0 Packard \u0111\u1ec3 x\u1eed l\u00fd nh\u1eefng t\u00ecnh hu\u1ed1ng ph\u1ee9c t\u1ea1p v\u00e0 hi\u1ebfm g\u1eb7p nh\u01b0 tr\u01b0\u1eddng h\u1ee3p c\u1ee7a Nicholas.\u201d<\/p>\n

S\u00e1u tu\u1ea7n sau, khi Nicholas \u0111\u00e3 l\u1edbn h\u01a1n v\u00e0 kh\u1ecfe h\u01a1n m\u1ed9t ch\u00fat, c\u1eadu b\u00e9 \u0111\u00e3 tr\u1ea3i qua ca ph\u1eabu thu\u1eadt th\u1ee9 hai \u0111\u1ec3 ph\u1ee5c h\u1ed3i ho\u00e0n to\u00e0n TEF. C\u1eadu b\u00e9 n\u1eb1m trong ph\u00f2ng ch\u0103m s\u00f3c \u0111\u1eb7c bi\u1ec7t th\u00eam v\u00e0i tu\u1ea7n n\u1eefa, v\u00e0 cu\u1ed1i c\u00f9ng \u0111\u00e3 \u0111\u01b0\u1ee3c v\u1ec1 nh\u00e0 v\u00e0o th\u00e1ng 10 n\u0103m ngo\u00e1i.<\/p>\n

\u201cC\u00e1c y t\u00e1 NICU c\u1ee7a ch\u00fang t\u00f4i th\u1eadt tuy\u1ec7t v\u1eddi - c\u1ea3 v\u1edbi Nicholas l\u1eabn ch\u00fang t\u00f4i,\u201d Andy nh\u1edb l\u1ea1i. \u201cS\u1ef1 h\u1ed7 tr\u1ee3 m\u00e0 h\u1ecd d\u00e0nh cho ch\u00fang t\u00f4i, c\u0169ng nh\u01b0 kh\u1ea3 n\u0103ng b\u00eanh v\u1ef1c v\u00e0 gi\u00fap ch\u00fang t\u00f4i hi\u1ec3u m\u1ecdi th\u1ee9 c\u1ee7a con th\u1eadt s\u1ef1 phi th\u01b0\u1eddng.\u201d<\/p>\n

\u1ede nh\u00e0, m\u1ecdi chuy\u1ec7n di\u1ec5n ra su\u00f4n s\u1ebb trong v\u00e0i th\u00e1ng, cho \u0111\u1ebfn khi m\u1ed9t l\u1ea7n ki\u1ec3m tra s\u1ee9c kh\u1ecfe v\u00e0o th\u00e1ng 1 v\u1eeba qua ph\u00e1t hi\u1ec7n v\u00f2ng \u0111\u1ea7u c\u1ee7a Nicholas t\u0103ng \u0111\u1ed9t bi\u1ebfn. Ch\u1ee5p c\u1eaft l\u1edbp vi t\u00ednh (CT) cho th\u1ea5y b\u00e9 b\u1ecb n\u00e3o \u00fang th\u1ee7y, t\u1ee9c t\u00ecnh tr\u1ea1ng d\u1ecbch n\u00e3o \u00fang th\u1ee7y t\u00edch t\u1ee5 qu\u00e1 nhi\u1ec1u quanh n\u00e3o, c\u1ea7n ph\u1ea3i \u0111\u1eb7t shunt \u0111\u1ec3 gi\u1ea3m \u00e1p l\u1ef1c.<\/p>\n

H\u00f4m nay, Sarah v\u00e0 Andy l\u1ea1i quay v\u1ec1 Packard \u0111\u1ec3 b\u00e1c s\u0129 ph\u1eabu thu\u1eadt th\u1ea7n kinh Michael Edwards ph\u1eabu thu\u1eadt cho Nicholas. May m\u1eafn thay, ca ph\u1eabu thu\u1eadt di\u1ec5n ra su\u00f4n s\u1ebb, v\u00e0 \u0111\u1ebfn t\u1ed1i, Nicholas \u0111\u00e3 h\u1ed3i ph\u1ee5c, t\u1ef1 th\u1edf \u0111\u01b0\u1ee3c.<\/p>\n

Michelle Craig cho bi\u1ebft c\u00f4 v\u00e0 b\u00e9 Avery 4 th\u00e1ng tu\u1ed5i \u0111\u1ec1u kh\u1ecfe m\u1ea1nh. B\u00e9 \u0111\u00e3 c\u00f3 chuy\u1ebfn \u0111i \u0111\u1ea7u ti\u00ean \u0111\u1ebfn Hawaii. M\u1eb7c d\u00f9 Michelle ph\u1ea3i n\u1eb1m vi\u1ec7n 66 ng\u00e0y v\u00ec bi\u1ebfn c\u1ed1 n\u00e0y, Avery v\u1eabn r\u1ea5t kh\u1ecfe m\u1ea1nh.<\/p>\n

\u201cN\u1eb1m vi\u1ec7n l\u00e2u nh\u01b0 v\u1eady th\u1eadt s\u1ef1 r\u1ea5t kinh kh\u1ee7ng l\u00fac \u0111\u00f3,\u201d Michelle n\u00f3i. \u201cNh\u01b0ng gi\u1edd nh\u00ecn l\u1ea1i, t\u00f4i th\u1ea5y m\u00ecnh th\u1eadt may m\u1eafn. T\u00f4i r\u1ea5t m\u1eebng v\u00ec \u0111\u00e3 \u1edf l\u1ea1i. M\u1ecdi ng\u01b0\u1eddi \u1edf Packard \u0111\u00e3 n\u1ed7 l\u1ef1c h\u1ebft s\u1ee9c \u0111\u1ec3 ch\u0103m s\u00f3c ch\u00fang t\u00f4i. Ch\u00fang t\u00f4i r\u1ea5t bi\u1ebft \u01a1n v\u00ec m\u1ecdi chuy\u1ec7n \u0111\u00e3 di\u1ec5n ra t\u1ed1t \u0111\u1eb9p.\u201d<\/p>\n

Leslie Ballinger l\u00e0 ng\u01b0\u1eddi m\u1eb9 t\u1ef1 h\u00e0o c\u1ee7a m\u1ed9t sinh vi\u00ean t\u1ed1t nghi\u1ec7p \u0111\u1ea1i h\u1ecdc. Th\u00e1ng 5 v\u1eeba qua, Court \u0111\u00e3 nh\u1eadn b\u1eb1ng \u0111\u1ecba l\u00fd t\u1eeb \u0110\u1ea1i h\u1ecdc Denver. M\u00f9a h\u00e8 n\u0103m nay, anh \u0111\u00e3 l\u00e0m t\u00ecnh nguy\u1ec7n t\u1ea1i m\u1ed9t tr\u1ea1i tr\u1ebb m\u1ed3 c\u00f4i \u1edf Tanzania, leo n\u00fai Kilimanjaro - tr\u1ea3i nghi\u1ec7m tuy\u1ec7t v\u1eddi nh\u1ea5t trong \u0111\u1eddi anh, theo l\u1eddi anh - v\u00e0 chu\u1ea9n b\u1ecb b\u1eaft \u0111\u1ea7u c\u00f4ng vi\u1ec7c m\u1edbi t\u1ea1i AmeriCorps.<\/p>\n

\u201cLeo n\u00fai Kili l\u00e0 m\u1ed9t trong nh\u1eefng \u0111i\u1ec1u t\u00f4i mu\u1ed1n l\u00e0m tr\u01b0\u1edbc khi ch\u1ebft,\u201d Court n\u00f3i. \u201cN\u00f3 th\u1eadt tuy\u1ec7t v\u1eddi v\u00e0 m\u1edf mang t\u1ea7m m\u1eaft t\u00f4i v\u1ec1 nh\u1eefng \u0111i\u1ec1u c\u00f3 th\u1ec3 v\u00e0 nh\u1eefng \u0111i\u1ec1u \u0111ang ch\u1edd \u0111\u00f3n t\u00f4i tr\u00ean th\u1ebf gi\u1edbi. T\u00f4i c\u00f3 th\u1ec3 l\u00e0m \u0111\u01b0\u1ee3c r\u1ea5t nhi\u1ec1u \u0111i\u1ec1u m\u00e0 tr\u01b0\u1edbc \u0111\u00e2y t\u00f4i kh\u00f4ng ngh\u0129 m\u00ecnh c\u00f3 th\u1ec3 l\u00e0m \u0111\u01b0\u1ee3c.\u201d<\/p>\n

Eva Lagunas r\u1ea5t vui m\u1eebng tr\u01b0\u1edbc s\u1ef1 ti\u1ebfn b\u1ed9 kh\u00f4ng ng\u1eebng c\u1ee7a con trai m\u00ecnh. David, gi\u1edd \u0111\u00e3 2 tu\u1ed5i, c\u00f3 th\u1ec3 ch\u1ec9 t\u00ean c\u00e1c lo\u00e0i \u0111\u1ed9ng v\u1eadt trong s\u00e1ch, nh\u1ea3y m\u00faa vui v\u1ebb m\u1ed7i khi nghe th\u1ea5y ti\u1ebfng nh\u1ea1c, v\u00e0 \u0111ang h\u00e1o h\u1ee9c luy\u1ec7n t\u1eadp k\u1ef9 n\u0103ng m\u1edbi nh\u1ea5t c\u1ee7a m\u00ecnh - ch\u1ea1y. Eva bi\u1ebft \u01a1n nh\u1eefng ch\u01b0\u01a1ng tr\u00ecnh c\u1ed9ng \u0111\u1ed3ng tuy\u1ec7t v\u1eddi, c\u00f9ng r\u1ea5t nhi\u1ec1u l\u1eddi c\u1ea7u nguy\u1ec7n, \u0111\u00e3 gi\u00fap David ti\u1ebfn xa \u0111\u1ebfn v\u1eady.<\/p>\n

\u201cCh\u00fang t\u00f4i \u0111\u00e3 c\u00f3 h\u00e0ng tr\u0103m, h\u00e0ng ng\u00e0n ng\u01b0\u1eddi c\u1ea7u nguy\u1ec7n cho David,\u201d Eva n\u00f3i. \u201cC\u1eadu b\u00e9 l\u00e0 m\u1ed9t ph\u00e9p m\u00e0u.\u201d<\/p>\n

V\u00e0, sau m\u1ed9t n\u0103m \u0111\u1ea7y bi\u1ebfn \u0111\u1ed9ng, Sarah Jones \u0111\u00e3 th\u1edf ph\u00e0o nh\u1eb9 nh\u00f5m. V\u00e0i ng\u00e0y sau ca ph\u1eabu thu\u1eadt th\u1ee9 ba, Nicholas \u0111\u00e3 tr\u1edf v\u1ec1 nh\u00e0, m\u1eb7c d\u00f9 c\u00e1c b\u00e1c s\u0129 khuy\u00ean Sarah v\u00e0 Andy n\u00ean lu\u00f4n gi\u1eef b\u00e9 \u1edf g\u1ea7n B\u1ec7nh vi\u1ec7n Nhi Packard. V\u00e0o th\u00e1ng 5, khi Nicholas \u0111\u01b0\u1ee3c 10 th\u00e1ng tu\u1ed5i, h\u1ecd \u0111\u01b0\u1ee3c ph\u00e9p \u0111\u01b0a b\u00e9 ra kh\u1ecfi th\u1ecb tr\u1ea5n l\u1ea7n \u0111\u1ea7u ti\u00ean.<\/p>\n

V\u00e0o th\u00e1ng 7, Nicholas \u0111\u00e3 \u0111\u00f3n sinh nh\u1eadt \u0111\u1ea7u ti\u00ean c\u1ee7a m\u00ecnh. L\u00e0 m\u1ed9t \u0111\u1ee9a tr\u1ebb n\u0103ng \u0111\u1ed9ng v\u1edbi m\u00e1i t\u00f3c \u0111\u1ecf \u0111\u00e1ng ghen t\u1ecb, c\u1eadu b\u00e9 lu\u00f4n b\u1eadn r\u1ed9n kh\u00e1m ph\u00e1 t\u1ea5t c\u1ea3 nh\u1eefng m\u00f3n \u0111\u1ed3 ch\u01a1i m\u1edbi. \u0110\u1ebfn m\u1ed9t l\u00fac n\u00e0o \u0111\u00f3, c\u00f3 l\u1ebd c\u1eadu b\u00e9 s\u1ebd c\u1ea7n m\u1ed9t cu\u1ed9c ph\u1eabu thu\u1eadt n\u1eefa \u0111\u1ec3 gi\u1ea3i quy\u1ebft v\u1ea5n \u0111\u1ec1 c\u00f2n t\u1ed3n \u0111\u1ecdng. Nh\u01b0ng hi\u1ec7n t\u1ea1i, \u0111i\u1ec1u \u0111\u00f3 kh\u00f4ng l\u00e0m c\u1eadu b\u00e9 ch\u1eadm l\u1ea1i nhi\u1ec1u. B\u1eefa tr\u01b0a, c\u1eadu b\u00e9 th\u01b0\u1edfng th\u1ee9c hai ph\u1ea7n l\u1edbn tr\u00e1i c\u00e2y v\u00e0 rau c\u1ee7 xay nhuy\u1ec5n, sau \u0111\u00f3 u\u1ed1ng m\u1ed9t ng\u1ee5m s\u1eefa c\u00f4ng th\u1ee9c \u0111\u1ea7y \u0111\u1eb7n.<\/p>\n

\u201c\u0110\u00e2y th\u1ef1c s\u1ef1 l\u00e0 m\u1ed9t tr\u1ea3i nghi\u1ec7m tuy\u1ec7t v\u1eddi,\u201d Sarah n\u00f3i. \u201cCh\u00fang t\u00f4i v\u00f4 c\u00f9ng bi\u1ebft \u01a1n s\u1ef1 ch\u0103m s\u00f3c t\u1eadn t\u00ecnh m\u00e0 m\u1ecdi ng\u01b0\u1eddi t\u1ea1i Packard \u0111\u00e3 d\u00e0nh cho ch\u00fang t\u00f4i.\u201d<\/p>\n

 <\/p>","protected":false},"excerpt":{"rendered":"

B\u1ec7nh vi\u1ec7n Nhi \u0111\u1ed3ng Lucile Packard hi\u1ec3u r\u1eb1ng m\u1ed9t kh\u1edfi \u0111\u1ea7u kh\u1ecfe m\u1ea1nh cho tr\u1ebb em b\u1eaft \u0111\u1ea7u t\u1eeb vi\u1ec7c ch\u0103m s\u00f3c chu \u0111\u00e1o cho c\u00e1c b\u00e0 m\u1eb9 t\u01b0\u01a1ng lai. Nh\u1eefng c\u00e2u chuy\u1ec7n sau \u0111\u00e2y v\u1ec1 b\u1ed1n ph\u1ee5 n\u1eef \u0111\u1ecba ph\u01b0\u01a1ng,\u2026<\/p>","protected":false},"author":17,"featured_media":3582,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"_relevanssi_hide_post":"","_relevanssi_hide_content":"","_relevanssi_pin_for_all":"","_relevanssi_pin_keywords":"","_relevanssi_unpin_keywords":"","_relevanssi_related_keywords":"","_relevanssi_related_include_ids":"","_relevanssi_related_exclude_ids":"","_relevanssi_related_no_append":"","_relevanssi_related_not_related":"","_relevanssi_related_posts":"","_relevanssi_noindex_reason":"","footnotes":""},"categories":[148,22],"class_list":["post-3581","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-in-the-news","category-patient-stories"],"acf":[],"yoast_head":"\nSpecial Delivery: A Focus on Obstetrics - Lucile Packard Foundation for Children's Health<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"http:\/\/lpfch.org\/vi\/impact-stories\/special-delivery-a-focus-on-obstetrics\/\" \/>\n<meta property=\"og:locale\" content=\"vi_VN\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Special Delivery: A Focus on Obstetrics\" \/>\n<meta property=\"og:description\" content=\"Lucile Packard Children\u2019s Hospital recognizes that a healthy start for children begins with outstanding care for expectant mothers. 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