{"id":3583,"date":"2014-08-28T20:48:12","date_gmt":"2014-08-28T20:48:12","guid":{"rendered":"https:\/\/lpfch.org\/together-as-one-packard-integrates-care-for-mother-and-newborn\/"},"modified":"2024-10-23T16:58:54","modified_gmt":"2024-10-23T16:58:54","slug":"together-as-one-packard-integrates-care-for-mother-and-newborn","status":"publish","type":"post","link":"https:\/\/lpfch.org\/vi\/impact-stories\/together-as-one-packard-integrates-care-for-mother-and-newborn\/","title":{"rendered":"C\u00f9ng nhau nh\u01b0 m\u1ed9t: Packard t\u00edch h\u1ee3p ch\u0103m s\u00f3c cho b\u00e0 m\u1eb9 v\u00e0 tr\u1ebb s\u01a1 sinh"},"content":{"rendered":"

Khi n\u00f3i \u0111\u1ebfn vi\u1ec7c sinh n\u1edf, s\u1ee9c kh\u1ecfe c\u1ee7a ng\u01b0\u1eddi m\u1eb9 t\u01b0\u01a1ng lai k\u1ebft th\u00fac \u1edf \u0111\u00e2u v\u00e0 vi\u1ec7c ch\u0103m s\u00f3c em b\u00e9 b\u1eaft \u0111\u1ea7u t\u1eeb \u0111\u00e2u? T\u1ea1i h\u1ea7u h\u1ebft c\u00e1c b\u1ec7nh vi\u1ec7n, c\u00f3 m\u1ed9t ranh gi\u1edbi r\u00f5 r\u00e0ng gi\u1eefa s\u1ea3n khoa - chuy\u00ean khoa ph\u1eabu thu\u1eadt li\u00ean quan \u0111\u1ebfn vi\u1ec7c ch\u0103m s\u00f3c ph\u1ee5 n\u1eef trong th\u1eddi k\u1ef3 mang thai v\u00e0 sinh n\u1edf - v\u00e0 s\u01a1 sinh, m\u1ed9t chuy\u00ean khoa nhi cung c\u1ea5p d\u1ecbch v\u1ee5 ch\u0103m s\u00f3c y t\u1ebf cho tr\u1ebb s\u01a1 sinh, \u0111\u1eb7c bi\u1ec7t l\u00e0 tr\u1ebb sinh non ho\u1eb7c \u1ed1m y\u1ebfu.<\/p>\n

Nh\u01b0ng ngay t\u1eeb khi th\u00e0nh l\u1eadp, B\u1ec7nh vi\u1ec7n Nhi Lucile Packard t\u1ea1i Stanford \u0111\u00e3 coi vi\u1ec7c mang thai v\u00e0 sinh n\u1edf l\u00e0 m\u1ed9t qu\u00e1 tr\u00ecnh li\u00ean t\u1ee5c, x\u00f3a b\u1ecf ranh gi\u1edbi gi\u1eefa vi\u1ec7c ch\u0103m s\u00f3c b\u1ec7nh nh\u00e2n tr\u01b0\u1edfng th\u00e0nh v\u00e0 tr\u1ebb s\u01a1 sinh b\u1eb1ng c\u00e1ch t\u00edch h\u1ee3p c\u00e1c d\u1ecbch v\u1ee5 d\u00e0nh ri\u00eang cho s\u1ee9c kh\u1ecfe c\u1ee7a c\u1ea3 m\u1eb9 v\u00e0 b\u00e9.<\/p>\n

B\u1ec7nh vi\u1ec7n Nhi \u0111\u1ed3ng Packard l\u00e0 b\u1ec7nh vi\u1ec7n nhi duy nh\u1ea5t t\u1ea1i V\u00f9ng V\u1ecbnh\u2014v\u00e0 l\u00e0 m\u1ed9t trong s\u1ed1 \u00edt b\u1ec7nh vi\u1ec7n tr\u00ean to\u00e0n qu\u1ed1c\u2014k\u1ebft h\u1ee3p c\u00e1c d\u1ecbch v\u1ee5 s\u1ea3n khoa v\u00e0 s\u01a1 sinh d\u01b0\u1edbi m\u1ed9t m\u00e1i nh\u00e0. D\u00f9 mang thai c\u00f3 nguy c\u01a1 cao hay th\u01b0\u1eddng quy, vi\u1ec7c ch\u0103m s\u00f3c m\u1eb9 v\u00e0 b\u00e9 \u0111\u1ec1u di\u1ec5n ra nh\u01b0 m\u1ed9t quy tr\u00ecnh li\u00ean t\u1ee5c, nhanh ch\u00f3ng v\u00e0 t\u1eadp trung. T\u1ea1i Packard, ph\u00f2ng chuy\u1ec3n d\u1ea1 v\u00e0 ph\u00f2ng ch\u0103m s\u00f3c tr\u1ebb s\u01a1 sinh ch\u1ec9 c\u00e1ch nhau v\u00e0i b\u01b0\u1edbc ch\u00e2n, v\u00e0 c\u00e1c chuy\u00ean gia s\u01a1 sinh lu\u00f4n s\u1eb5n s\u00e0ng t\u01b0 v\u1ea5n ho\u1eb7c can thi\u1ec7p trong c\u00e1c ca sinh kh\u00f3, nh\u1eb1m mang l\u1ea1i s\u1ef1 chuy\u1ec3n ti\u1ebfp li\u1ec1n m\u1ea1ch cho tr\u1ebb s\u01a1 sinh c\u00f3 nguy c\u01a1 cao.<\/p>\n

\u201cLu\u00f4n c\u00f3 m\u1ed9t m\u1ed1i quan h\u1ec7 ch\u1eb7t ch\u1ebd gi\u1eefa s\u1ea3n khoa v\u00e0 s\u01a1 sinh\u201d, Ti\u1ebfn s\u0129 Maurice Druzin, Gi\u00e1o s\u01b0 Charles B. v\u00e0 Ann L. Johnson, Tr\u01b0\u1edfng khoa Y h\u1ecdc B\u00e0 m\u1eb9 - Thai nhi v\u00e0 Tr\u01b0\u1edfng khoa S\u1ea3n ph\u1ee5 khoa, cho bi\u1ebft. \u201cT\u00f4i \u0111\u1ebfn Packard v\u00e0o n\u0103m 1991 v\u1edbi m\u1ee5c \u0111\u00edch c\u1ee7ng c\u1ed1 m\u1ed1i li\u00ean k\u1ebft \u0111\u00f3 v\u00e0 thi\u1ebft l\u1eadp th\u00e0nh ph\u1ea7n s\u1ea3n khoa trong m\u1ed9t d\u1ecbch v\u1ee5 h\u1ee3p nh\u1ea5t.\u201d<\/p>\n

S\u1ef1 t\u00edch h\u1ee3p gi\u1eefa s\u1ea3n khoa v\u00e0 s\u01a1 sinh n\u00e0y l\u00e0 th\u01b0\u01a1ng hi\u1ec7u c\u1ee7a Packard. Kh\u00e1i ni\u1ec7m n\u00e0y \u0111\u00e3 \u0111\u01b0\u1ee3c \u0111\u01b0a v\u00e0o k\u1ebf ho\u1ea1ch ban \u0111\u1ea7u cho m\u1ed9t b\u1ec7nh vi\u1ec7n nhi ri\u00eang bi\u1ec7t v\u00e0o cu\u1ed1i nh\u1eefng n\u0103m 1970, khi vi\u1ec7c chuy\u1ec3n d\u1ea1 v\u00e0 sinh n\u1edf v\u1eabn di\u1ec5n ra t\u1ea1i B\u1ec7nh vi\u1ec7n Stanford. C\u00e1c d\u1ecbch v\u1ee5 v\u00e0 ho\u1ea1t \u0111\u1ed9ng h\u00e0nh ch\u00ednh \u0111\u00e3 \u0111\u01b0\u1ee3c h\u1ee3p nh\u1ea5t ho\u00e0n to\u00e0n v\u1edbi vi\u1ec7c khai tr\u01b0\u01a1ng Trung t\u00e2m D\u1ecbch v\u1ee5 Mang thai v\u00e0 S\u01a1 sinh Charles B. v\u00e0 Ann L. Johnson c\u1ee7a Packard v\u00e0o n\u0103m 1997.<\/p>\n

\u201cC\u00e1c d\u1ecbch v\u1ee5 s\u1ea3n khoa v\u00e0 s\u01a1 sinh v\u1ed1n c\u00f3 t\u00ednh ph\u1ee5 thu\u1ed9c l\u1eabn nhau r\u1ea5t cao,\u201d Ti\u1ebfn s\u0129 David Stevenson, Gi\u00e1m \u0111\u1ed1c Trung t\u00e2m Johnson, Gi\u00e1o s\u01b0 Nhi khoa Harold K. Faber, cho bi\u1ebft. \u201cS\u1ef1 g\u1ea7n g\u0169i v\u1ec1 m\u1eb7t \u0111\u1ecba l\u00fd ch\u1ec9 l\u00e0 m\u1ed9t ph\u1ea7n. Ch\u00fang t\u00f4i \u0111\u00e3 t\u1ea1o ra m\u1ed9t m\u1ea1ng l\u01b0\u1edbi t\u00edch h\u1ee3p ho\u00e0n ch\u1ec9nh, gi\u00fap \u0111\u01a1n gi\u1ea3n h\u00f3a quy tr\u00ecnh ch\u0103m s\u00f3c cho c\u1ea3 b\u1ec7nh nh\u00e2n v\u00e0 b\u00e1c s\u0129.\u201d<\/p>\n

B\u1ec7nh vi\u1ec7n Nhi Packard lu\u00f4n \u0111\u01b0\u1ee3c x\u1ebfp h\u1ea1ng l\u00e0 m\u1ed9t trong nh\u1eefng trung t\u00e2m t\u1ed1t nh\u1ea5t t\u1ea1i Hoa K\u1ef3 v\u1ec1 chuy\u00ean m\u00f4n trong c\u00e1c tr\u01b0\u1eddng h\u1ee3p thai k\u1ef3 ph\u1ee9c t\u1ea1p v\u00e0 k\u1ebft qu\u1ea3 \u0111i\u1ec1u tr\u1ecb tr\u1ebb sinh non. C\u00e1c b\u00e0 m\u1eb9 b\u1ecb b\u1ec7nh n\u1eb7ng c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c chuy\u1ec3n \u0111\u1ebfn b\u1ec7nh vi\u1ec7n d\u00e0nh cho ng\u01b0\u1eddi l\u1edbn g\u1ea7n \u0111\u00f3 n\u1ebfu c\u1ea7n thi\u1ebft, v\u00e0 tr\u1ebb sinh non ho\u1eb7c c\u00f3 d\u1ecb t\u1eadt b\u1ea9m sinh c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c chuy\u1ec3n ngay \u0111\u1ebfn Khoa Ch\u0103m s\u00f3c \u0110\u1eb7c bi\u1ec7t S\u01a1 sinh. \u0110\u1ed1i v\u1edbi m\u1ed9t b\u00e0 m\u1eb9 m\u1edbi sinh g\u1eb7p bi\u1ebfn ch\u1ee9ng, vi\u1ec7c chuy\u1ec3n ti\u1ebfp n\u00e0y \u0111\u1ed3ng ngh\u0129a v\u1edbi vi\u1ec7c \u0111\u01b0\u1ee3c \u0111\u01b0a xu\u1ed1ng h\u00e0nh lang, ch\u1ee9 kh\u00f4ng ph\u1ea3i chuy\u1ec3n \u0111\u1ebfn m\u1ed9t b\u1ec7nh vi\u1ec7n kh\u00e1c. Tr\u1ebb s\u01a1 sinh c\u00f3 nguy c\u01a1 cao \u0111\u01b0\u1ee3c \u1edf g\u1ea7n cha m\u1eb9.<\/p>\n

\u0110\u1ed1i v\u1edbi m\u1ecdi lo\u1ea1i thai k\u1ef3, B\u1ec7nh vi\u1ec7n Nhi \u0111\u1ed3ng Packard cung c\u1ea5p m\u1ed9t \u0111i\u1ec3m ti\u1ebfp nh\u1eadn duy nh\u1ea5t cho c\u00e1c d\u1ecbch v\u1ee5 k\u1ebf ho\u1ea1ch h\u00f3a gia \u0111\u00ecnh, x\u00e9t nghi\u1ec7m ti\u1ec1n s\u1ea3n, ch\u1ea9n \u0111o\u00e1n h\u00ecnh \u1ea3nh, theo d\u00f5i, t\u01b0 v\u1ea5n di truy\u1ec1n, c\u00e1c l\u1ef1a ch\u1ecdn sinh n\u1edf v\u00e0 chuy\u1ec3n d\u1ea1. V\u1edbi h\u01a1n 500 b\u00e1c s\u0129 s\u1ea3n khoa v\u00e0 s\u01a1 sinh li\u00ean k\u1ebft, B\u1ec7nh vi\u1ec7n \u0111\u01b0\u1ee3c bi\u1ebft \u0111\u1ebfn tr\u00ean to\u00e0n th\u1ebf gi\u1edbi v\u1ec1 kh\u1ea3 n\u0103ng ph\u1ed1i h\u1ee3p ch\u0103m s\u00f3c v\u00e0 gi\u1ea3i quy\u1ebft v\u00f4 s\u1ed1 v\u1ea5n \u0111\u1ec1 y t\u1ebf c\u00f3 th\u1ec3 ph\u00e1t sinh trong qu\u00e1 tr\u00ecnh mang thai v\u00e0 sinh n\u1edf.<\/p>\n

Druzin, \u0111\u1ed3ng gi\u00e1m \u0111\u1ed1c Trung t\u00e2m Johnson, cho bi\u1ebft: \u201cS\u1ea3n khoa v\u00e0 s\u01a1 sinh, v\u1ec1 b\u1ea3n ch\u1ea5t, \u0111\u00f2i h\u1ecfi c\u00e1c \u0111\u1ed9i ng\u0169 bi\u1ebft c\u00e1ch h\u1ee3p t\u00e1c v\u00e0 k\u1ebft n\u1ed1i. B\u1eb1ng c\u00e1ch t\u00edch h\u1ee3p hai chuy\u00ean khoa n\u00e0y, ch\u00fang t\u00f4i c\u00f3 th\u1ec3 \u0111\u01a1n gi\u1ea3n h\u00f3a vi\u1ec7c ch\u0103m s\u00f3c cho c\u00e1c gia \u0111\u00ecnh, c\u0169ng nh\u01b0 t\u1ea1o ra nh\u1eefng c\u01a1 h\u1ed9i m\u1edbi cho s\u1ef1 h\u1ee3p t\u00e1c trong nghi\u00ean c\u1ee9u l\u00e2m s\u00e0ng.\u201d<\/p>\n

Ti\u1ebfn s\u0129 Jonathan S. Berek, B\u00e1c s\u0129 Y khoa, Th\u1ea1c s\u0129 Y khoa, Gi\u00e1o s\u01b0 v\u00e0 Tr\u01b0\u1edfng khoa S\u1ea3n ph\u1ee5 khoa, cho bi\u1ebft th\u00eam: "Mang thai v\u00e0 sinh con l\u00e0 m\u1ed9t ph\u1ea7n trong chu\u1ed7i ch\u0103m s\u00f3c li\u00ean t\u1ee5c d\u00e0nh cho ph\u1ee5 n\u1eef v\u00e0 gia \u0111\u00ecnh. B\u1eb1ng c\u00e1ch cung c\u1ea5p d\u1ecbch v\u1ee5 ch\u0103m s\u00f3c to\u00e0n di\u1ec7n cho c\u1ea3 m\u1eb9 v\u00e0 tr\u1ebb s\u01a1 sinh, s\u1ef1 h\u1ee3p t\u00e1c ch\u1eb7t ch\u1ebd n\u00e0y \u0111\u00e1p \u1ee9ng nhu c\u1ea7u c\u1ed1t l\u00f5i c\u1ee7a gia \u0111\u00ecnh v\u00e0 th\u1ea5u hi\u1ec3u nhu c\u1ea7u c\u1ee7a thai ph\u1ee5, em b\u00e9 v\u00e0 gia \u0111\u00ecnh h\u1ed7 tr\u1ee3 h\u1ecd". "\u0110\u00e2y l\u00e0 c\u00e1ch l\u00fd t\u01b0\u1edfng \u0111\u1ec3 t\u1ed1i \u01b0u h\u00f3a ch\u0103m s\u00f3c l\u00e2m s\u00e0ng v\u00e0 c\u00e1c n\u1ed7 l\u1ef1c khoa h\u1ecdc c\u1ee7a ch\u00fang t\u00f4i, t\u1eeb \u0111\u00f3 c\u00f3 th\u1ec3 tr\u1ef1c ti\u1ebfp c\u1ea3i thi\u1ec7n k\u1ebft qu\u1ea3 \u0111i\u1ec1u tr\u1ecb cho b\u1ec7nh nh\u00e2n."<\/p>\n

Druzin d\u1ef1 \u0111o\u00e1n s\u1ef1 k\u1ebft h\u1ee3p ch\u1eb7t ch\u1ebd h\u01a1n n\u1eefa gi\u1eefa hai chuy\u00ean khoa n\u00e0y khi B\u1ec7nh vi\u1ec7n Nhi Packard ho\u00e0n thi\u1ec7n k\u1ebf ho\u1ea1ch m\u1edf r\u1ed9ng v\u00e0 c\u1ea3i t\u1ea1o. Trong nh\u1eefng n\u0103m t\u1edbi, c\u00e1c ph\u00f2ng kh\u00e1m ri\u00eang s\u1ebd \u0111\u01b0\u1ee3c thi\u1ebft k\u1ebf cho t\u1ea5t c\u1ea3 b\u1ec7nh nh\u00e2n. V\u00e0 khi ki\u1ebfn th\u1ee9c m\u1edbi v\u00e0 c\u00f4ng ngh\u1ec7 ti\u00ean ti\u1ebfn c\u1ea3i thi\u1ec7n k\u1ebft qu\u1ea3, c\u00e1c d\u1ecbch v\u1ee5 b\u1ed5 sung nh\u01b0 n\u1ed9i ti\u1ebft sinh s\u1ea3n v\u00e0 ph\u00f2ng kh\u00e1m v\u00f4 sinh c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c k\u1ebft h\u1ee3p hi\u1ec7u qu\u1ea3 h\u01a1n, mang \u0111\u1ebfn c\u01a1 h\u1ed9i \u0111\u1ed9c \u0111\u00e1o \u0111\u1ec3 \u0111\u00e1nh gi\u00e1 v\u00e0 t\u00e1c \u0111\u1ed9ng \u0111\u1ebfn thai k\u1ef3 t\u1eeb khi th\u1ee5 thai \u0111\u1ebfn khi sinh con.<\/p>\n

\u201cVi\u1ec7c k\u1ebft h\u1ee3p c\u00e1c d\u1ecbch v\u1ee5 n\u00e0y l\u1ea1i v\u1edbi nhau l\u00e0 ho\u00e0n to\u00e0n h\u1ee3p l\u00fd,\u201d Stevenson n\u00f3i. \u201cC\u00f3 s\u1ef1 tr\u00f9ng l\u1eb7p c\u1ed1 h\u1eefu v\u1ec1 l\u1ee3i \u00edch v\u00e0 k\u1ebft qu\u1ea3. C\u1ea3 m\u1eb9 v\u00e0 b\u00e9 \u0111\u1ec1u \u0111\u00e3 \u1edf \u0111\u00fang n\u01a1i h\u1ecd c\u1ea7n \u0111\u1ebfn.\u201d<\/p>\n

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

Khi n\u00f3i \u0111\u1ebfn vi\u1ec7c sinh n\u1edf, s\u1ee9c kh\u1ecfe c\u1ee7a ng\u01b0\u1eddi m\u1eb9 t\u01b0\u01a1ng lai k\u1ebft th\u00fac \u1edf \u0111\u00e2u v\u00e0 vi\u1ec7c ch\u0103m s\u00f3c em b\u00e9 b\u1eaft \u0111\u1ea7u t\u1eeb \u0111\u00e2u? T\u1ea1i h\u1ea7u h\u1ebft c\u00e1c b\u1ec7nh vi\u1ec7n,\u2026<\/p>","protected":false},"author":17,"featured_media":3584,"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-3583","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-in-the-news","category-patient-stories"],"acf":[],"yoast_head":"\nTogether as One: Packard Integrates Care for Mother and Newborn - 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\/together-as-one-packard-integrates-care-for-mother-and-newborn\/\" \/>\n<meta property=\"og:locale\" content=\"vi_VN\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Together as One: Packard Integrates Care for Mother and Newborn\" \/>\n<meta property=\"og:description\" content=\"When it comes to giving birth, where does the health of the expectant mother end and the care of the baby begin? 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