{"id":3585,"date":"2014-08-28T20:53:00","date_gmt":"2014-08-28T20:53:00","guid":{"rendered":"https:\/\/lpfch.org\/obstetrics-high-risk-high-reward\/"},"modified":"2024-02-14T14:06:48","modified_gmt":"2024-02-14T14:06:48","slug":"obstetrics-high-risk-high-reward","status":"publish","type":"post","link":"https:\/\/lpfch.org\/vi\/impact-stories\/obstetrics-high-risk-high-reward\/","title":{"rendered":"S\u1ea3n khoa: R\u1ee7i ro cao, ph\u1ea7n th\u01b0\u1edfng cao"},"content":{"rendered":"

Khi Tara Rojas \u1edf Newark quy\u1ebft \u0111\u1ecbnh \u0111\u00e3 \u0111\u1ebfn l\u00fac l\u1eadp gia \u0111\u00ecnh, c\u00f4 g\u1eb7p r\u1ea5t nhi\u1ec1u kh\u00f3 kh\u0103n. B\u1ec7nh ti\u1ec3u \u0111\u01b0\u1eddng tu\u00fdp 1 \u0111\u00e3 t\u00e0n ph\u00e1 c\u00e1c c\u01a1 quan n\u1ed9i t\u1ea1ng c\u1ee7a c\u00f4, v\u00e0 v\u00e0o n\u0103m 2001, c\u00f4 \u0111\u00e3 ph\u1ea3i gh\u00e9p th\u1eadn v\u00e0 t\u1ee5y, \u0111\u00f2i h\u1ecfi ph\u1ea3i d\u00f9ng thu\u1ed1c \u1ee9c ch\u1ebf mi\u1ec5n d\u1ecbch. L\u00fac \u0111\u00f3 c\u00f4 c\u0169ng \u0111\u00e3 g\u1ea7n 40 tu\u1ed5i, nh\u01b0ng vi\u1ec7c s\u1ed1ng m\u00e0 kh\u00f4ng c\u00f3 b\u1ec7nh ti\u1ec3u \u0111\u01b0\u1eddng l\u1ea7n \u0111\u1ea7u ti\u00ean \u0111\u00e3 cho c\u00f4 m\u1ed9t c\u00e1i nh\u00ecn m\u1edbi v\u1ec1 cu\u1ed9c s\u1ed1ng v\u00e0 khi\u1ebfn c\u00f4 quy\u1ebft t\u00e2m cu\u1ed1i c\u00f9ng ph\u1ea3i c\u00f3 con.<\/p>\n

NICU<\/h2>\n

Cu\u1ed1i c\u00f9ng, c\u00f4 \u0111\u01b0\u1ee3c b\u00e1c s\u0129 Yasser El-Sayed, ph\u00f3 khoa s\u1ea3n ph\u1ee5 t\u1ea1i B\u1ec7nh vi\u1ec7n Nhi Lucile Packard, t\u01b0 v\u1ea5n k\u1ef9 l\u01b0\u1ee1ng c\u00e1c l\u1ef1a ch\u1ecdn c\u1ee7a c\u00f4. "\u00d4ng \u1ea5y r\u1ea5t c\u1edfi m\u1edf chia s\u1ebb nh\u1eefng lo l\u1eafng c\u1ee7a m\u00ecnh nh\u01b0ng c\u0169ng ho\u00e0n to\u00e0n t\u00f4n tr\u1ecdng mong mu\u1ed1n c\u1ee7a t\u00f4i", Rojas n\u00f3i. "\u0110i\u1ec1u quan tr\u1ecdng l\u00e0 m\u1ecdi chuy\u1ec7n t\u00f9y thu\u1ed9c v\u00e0o t\u00f4i v\u00e0 b\u1ea5t c\u1ee9 quy\u1ebft \u0111\u1ecbnh n\u00e0o c\u1ee7a t\u00f4i, \u00f4ng \u1ea5y \u0111\u1ec1u \u1ee7ng h\u1ed9."<\/p>\n

El-Sayed, m\u1ed9t chuy\u00ean gia v\u1ec1 thai k\u1ef3 nguy c\u01a1 cao, gi\u1ea3i th\u00edch v\u1ec1 nh\u1eefng bi\u1ebfn ch\u1ee9ng c\u00f3 th\u1ec3 x\u1ea3y ra: Ph\u00e1c \u0111\u1ed3 \u0111i\u1ec1u tr\u1ecb thu\u1ed1c c\u1ee7a c\u00f4 kh\u00f4ng ph\u1ea3i l\u00e0 m\u1ed1i lo ng\u1ea1i l\u1edbn, nh\u01b0ng v\u00ec b\u1ec7nh ti\u1ec3u \u0111\u01b0\u1eddng giai \u0111o\u1ea1n cu\u1ed1i \u0111\u00e3 l\u00e0m t\u1ed5n th\u01b0\u01a1ng m\u1ea1ch m\u00e1u c\u1ee7a c\u00f4, n\u00ean c\u00f3 kh\u1ea3 n\u0103ng cao l\u00e0 nhau thai b\u1ecb t\u1ed5n th\u01b0\u01a1ng vi m\u1ea1ch, khi\u1ebfn nhau thai kh\u00f4ng b\u00e1m v\u00e0o t\u1eed cung \u0111\u00fang c\u00e1ch. Ngo\u00e0i ra c\u00f2n c\u00f3 kh\u1ea3 n\u0103ng x\u1ea3y ra m\u1ed9t lo\u1ea1t c\u00e1c v\u1ea5n \u0111\u1ec1 kh\u00e1c, t\u1eeb ti\u1ec1n s\u1ea3n gi\u1eadt \u0111\u1ebfn thai nhi ch\u1eadm ph\u00e1t tri\u1ec3n v\u00e0 xu\u1ea5t huy\u1ebft khi sinh.<\/p>\n

Rojas ki\u00ean tr\u00ec v\u00e0 mang thai v\u00e0o n\u0103m 2004. C\u1ed5 t\u1eed cung y\u1ebfu, kh\u00f4ng li\u00ean quan \u0111\u1ebfn b\u1ec7nh c\u1ee7a c\u00f4, \u0111\u00e3 bu\u1ed9c c\u00f4 ph\u1ea3i n\u1eb1m vi\u1ec7n b\u1ea3y tu\u1ea7n \u0111\u1ec3 ngh\u1ec9 ng\u01a1i tr\u00ean gi\u01b0\u1eddng khi thai k\u1ef3 \u0111\u01b0\u1ee3c n\u0103m th\u00e1ng. Karly ch\u00e0o \u0111\u1eddi \u1edf tu\u1ea7n th\u1ee9 27, ch\u1ec9 n\u1eb7ng 2 pound 8 ounce, v\u00e0 \u0111\u00e3 n\u1eb1m trong Khoa Ch\u0103m s\u00f3c \u0110\u1eb7c bi\u1ec7t S\u01a1 sinh (NICU) c\u1ee7a B\u1ec7nh vi\u1ec7n Packard 10 tu\u1ea7n cho \u0111\u1ebfn khi \u0111\u1ee7 kh\u1ecfe \u0111\u1ec3 v\u1ec1 nh\u00e0.<\/p>\n

Hi\u1ec7n t\u1ea1i, Karly, 7 tu\u1ed5i, \u0111ang b\u1eadn r\u1ed9n v\u1edbi qu\u1ea7n v\u1ee3t, tr\u01b0\u1ee3t b\u0103ng, h\u1ecdc piano v\u00e0 b\u01a1i l\u1ed9i. "T\u00f4i g\u1ecdi con b\u00e9 l\u00e0 \u0111\u1ee9a con k\u1ef3 di\u1ec7u c\u1ee7a m\u00ecnh", m\u1eb9 c\u00f4 b\u00e9, m\u1ed9t qu\u1ea3n l\u00fd ch\u01b0\u01a1ng tr\u00ecnh ti\u1ec3u \u0111\u1ea3o t\u1ee5y t\u1ea1i \u0110\u1ea1i h\u1ecdc California, San Francisco, chia s\u1ebb. "Th\u00e0nh th\u1eadt m\u00e0 n\u00f3i, t\u00f4i kh\u00f4ng ngh\u0129 m\u00ecnh c\u00f3 th\u1ec3 t\u00ecm th\u1ea5y s\u1ef1 ch\u0103m s\u00f3c v\u00e0 chuy\u00ean nghi\u1ec7p nh\u01b0 v\u1eady \u1edf b\u1ea5t k\u1ef3 n\u01a1i n\u00e0o kh\u00e1c. S\u1ef1 t\u1eadn t\u00e2m v\u00e0 theo d\u00f5i s\u00e1t sao qu\u00e1 tr\u00ecnh ph\u00e1t tri\u1ec3n c\u1ee7a con b\u00e9 c\u1ee7a Packard th\u1eadt \u0111\u00e1ng kinh ng\u1ea1c."
Karla v\u00e0 Tara<\/p>\n

Kinh doanh r\u1ee7i ro<\/h2>\n

M\u1eb7c d\u00f9 t\u00ecnh hu\u1ed1ng c\u1ee7a Rojas ph\u1ee9c t\u1ea1p h\u01a1n so v\u1edbi h\u1ea7u h\u1ebft c\u00e1c b\u00e0 m\u1eb9 t\u01b0\u01a1ng lai, nh\u01b0ng chuy\u00ean m\u00f4n v\u00e0 s\u1ef1 quan t\u00e2m c\u00e1 nh\u00e2n m\u00e0 c\u00f4 nh\u1eadn \u0111\u01b0\u1ee3c l\u00e0 m\u1ed9t ph\u1ea7n trong ho\u1ea1t \u0111\u1ed9ng h\u00e0ng ng\u00e0y c\u1ee7a ch\u01b0\u01a1ng tr\u00ecnh y h\u1ecdc b\u00e0 m\u1eb9 v\u00e0 thai nhi c\u1ee7a Packard, ch\u01b0\u01a1ng tr\u00ecnh n\u00e0y \u0111i\u1ec1u ph\u1ed1i c\u00e1c d\u1ecbch v\u1ee5 cho nh\u1eefng ca mang thai ph\u1ee9c t\u1ea1p v\u00e0 c\u00f3 nguy c\u01a1 cao.<\/p>\n

T\u1eeb t\u01b0 v\u1ea5n ti\u1ec1n s\u1ea3n \u0111\u1ebfn x\u00e9t nghi\u1ec7m di truy\u1ec1n v\u00e0 si\u00eau \u00e2m \u0111\u1ecbnh h\u01b0\u1edbng cho \u0111\u1ebfn khi sinh, c\u00e1c \u0111\u1ed9i ng\u0169 chuy\u00ean gia \u0111a ng\u00e0nh t\u1eadp trung v\u00e0o nh\u1eefng ph\u1ee5 n\u1eef c\u1ea7n c\u00e1c d\u1ecbch v\u1ee5 t\u01b0 v\u1ea5n v\u00e0 l\u00e2m s\u00e0ng chuy\u00ean khoa, ch\u1ea9n \u0111o\u00e1n tr\u01b0\u1edbc sinh ho\u1eb7c ch\u0103m s\u00f3c tr\u1ebb s\u01a1 sinh t\u00edch c\u1ef1c. Packard n\u1ed5i ti\u1ebfng v\u1edbi k\u1ef9 n\u0103ng ch\u0103m s\u00f3c ph\u1ee5 n\u1eef mang thai m\u1eafc c\u00e1c r\u1ed1i lo\u1ea1n nghi\u00eam tr\u1ecdng nh\u01b0 \u0111\u1ed9ng kinh, ti\u1ec1n s\u1ea3n gi\u1eadt, b\u1ec7nh tim, lupus v\u00e0 ti\u1ec3u \u0111\u01b0\u1eddng, c\u0169ng nh\u01b0 ph\u1ee5 n\u1eef c\u00f3 nguy c\u01a1 sinh non v\u00e0 suy c\u1ed5 t\u1eed cung - nh\u1eefng t\u00ecnh tr\u1ea1ng g\u00e2y nguy hi\u1ec3m cho s\u1ee9c kh\u1ecfe c\u1ee7a c\u1ea3 m\u1eb9 v\u00e0 b\u00e9.<\/p>\n

\u201c\u00dd t\u01b0\u1edfng l\u00e0 cung c\u1ea5p c\u00e1c d\u1ecbch v\u1ee5 to\u00e0n di\u1ec7n cho c\u1ea3 m\u1eb9 v\u00e0 con, \u0111\u01b0\u1ee3c s\u1eafp x\u1ebfp h\u1ee3p l\u00fd, ph\u1ed1i h\u1ee3p nh\u1ecbp nh\u00e0ng v\u00e0 l\u1ea5y gia \u0111\u00ecnh l\u00e0m trung t\u00e2m\u201d, Ti\u1ebfn s\u0129 Maurice Druzin, Gi\u00e1o s\u01b0 Charles B. v\u00e0 Ann L. Johnson ki\u00eam Tr\u01b0\u1edfng khoa Y h\u1ecdc B\u00e0 m\u1eb9 - Thai nhi, cho bi\u1ebft. \u201c\u0110\u00e2y l\u00e0 nh\u1eefng b\u1ec7nh nh\u00e2n c\u00f3 nguy c\u01a1 r\u1ea5t cao g\u1eb7p ph\u1ea3i m\u1ed9t s\u1ed1 bi\u1ebfn ch\u1ee9ng c\u1ee5 th\u1ec3 v\u00e0 c\u1ea7n \u0111\u01b0\u1ee3c ch\u0103m s\u00f3c chuy\u00ean khoa.\u201d<\/p>\n

Khoa Y h\u1ecdc M\u1eb9 v\u00e0 Thai nhi cung c\u1ea5p \u0111a d\u1ea1ng c\u00e1c d\u1ecbch v\u1ee5 cho m\u1eb9 v\u00e0 b\u00e9 d\u01b0\u1edbi m\u1ed9t m\u00e1i nh\u00e0, ph\u1ed1i h\u1ee3p c\u00e1c nh\u00f3m \u0111a chuy\u00ean khoa g\u1ed3m b\u00e1c s\u0129 s\u1ea3n khoa, b\u00e1c s\u0129 s\u01a1 sinh, nh\u00e2n vi\u00ean x\u00e3 h\u1ed9i, b\u00e1c s\u0129 ph\u1eabu thu\u1eadt v\u00e0 c\u00e1c chuy\u00ean gia kh\u00e1c t\u1eeb B\u1ec7nh vi\u1ec7n Nhi Packard v\u00e0 B\u1ec7nh vi\u1ec7n Stanford l\u00e2n c\u1eadn. C\u00e1c nh\u00f3m h\u1ecdp th\u01b0\u1eddng xuy\u00ean \u0111\u1ec3 xem x\u00e9t c\u00e1c tr\u01b0\u1eddng h\u1ee3p v\u00e0 ph\u1ed1i h\u1ee3p ch\u0103m s\u00f3c.<\/p>\n

\u201cB\u1ea1n kh\u00f4ng th\u1ec3 t\u00e1ch r\u1eddi ng\u01b0\u1eddi m\u1eb9 kh\u1ecfi thai nhi trong nh\u1eefng t\u00ecnh hu\u1ed1ng ph\u1ee9c t\u1ea1p n\u00e0y,\u201d Druzin n\u00f3i. \u201c\u00cdt n\u01a1i n\u00e0o t\u00edch h\u1ee3p nh\u1eefng d\u1ecbch v\u1ee5 chuy\u00ean bi\u1ec7t n\u00e0y ch\u1eb7t ch\u1ebd nh\u01b0 Packard.\u201d<\/p>\n

T\u1ea1i h\u1ea7u h\u1ebft c\u00e1c b\u1ec7nh vi\u1ec7n nhi kh\u00e1c, kho\u1ea3ng 1 \u0111\u1ebfn 2 ph\u1ea7n tr\u0103m c\u00e1c tr\u01b0\u1eddng h\u1ee3p \u0111\u01b0\u1ee3c coi l\u00e0 thai k\u1ef3 nguy c\u01a1 cao ho\u1eb7c sinh kh\u00f3. Theo Druzin, kho\u1ea3ng 15 ph\u1ea7n tr\u0103m ca sinh t\u1ea1i Packard thu\u1ed9c nh\u00f3m n\u00e0y.<\/p>\n

H\u1ecd bao g\u1ed3m nh\u1eefng b\u00e0 m\u1eb9 nh\u01b0 Rojas, ng\u01b0\u1eddi \u0111\u00e3 ph\u1ea3i \u0111\u1ed1i m\u1eb7t v\u1edbi bi\u1ebfn ch\u1ee9ng t\u1eeb b\u1ec7nh t\u1eadt tr\u01b0\u1edbc \u0111\u00f3 v\u00e0 sinh non, c\u0169ng nh\u01b0 nh\u1eefng ph\u1ee5 n\u1eef ph\u1ea3i \u0111\u1ed1i m\u1eb7t v\u1edbi nh\u1eefng v\u1ea5n \u0111\u1ec1 b\u1ea5t ng\u1edd.<\/p>\n

\u201c\u0110\u00e2y l\u00e0 m\u1ed9t chuy\u00ean khoa \u0111ang ph\u00e1t tri\u1ec3n,\u201d El-Sayed n\u00f3i th\u00eam, \u201cnh\u01b0ng tr\u1ecdng t\u00e2m c\u1ee7a ch\u00fang t\u00f4i v\u1eabn l\u00e0 ch\u0103m s\u00f3c t\u00edch h\u1ee3p cho m\u1ecdi bi\u1ebfn ch\u1ee9ng c\u00f3 th\u1ec3 ph\u00e1t sinh trong qu\u00e1 tr\u00ecnh mang thai v\u00e0 sinh n\u1edf. M\u1ee5c ti\u00eau c\u1ee7a ch\u00fang t\u00f4i l\u00e0 gi\u00fap qu\u00e1 tr\u00ecnh chuy\u1ec3n \u0111\u1ed5i t\u1eeb thai nhi sang em b\u00e9 di\u1ec5n ra su\u00f4n s\u1ebb, b\u1ea5t k\u1ec3 \u0111i\u1ec1u ki\u1ec7n n\u00e0o. V\u00e0 vi\u1ec7c ch\u0103m s\u00f3c c\u1ee7a ch\u00fang t\u00f4i kh\u00f4ng k\u1ebft th\u00fac sau khi em b\u00e9 ch\u00e0o \u0111\u1eddi.\u201d<\/p>\n

Trong s\u1ed1 kho\u1ea3ng 4.200 ca sinh n\u1edf di\u1ec5n ra t\u1ea1i B\u1ec7nh vi\u1ec7n Nhi Packard m\u1ed7i n\u0103m, g\u1ea7n 20% c\u1ea7n ph\u1ea3i n\u1eb1m vi\u1ec7n t\u1ea1i khoa Ch\u0103m s\u00f3c \u0110\u1eb7c bi\u1ec7t S\u01a1 sinh (NICU) do ph\u00e1t tri\u1ec3n s\u1edbm, d\u1ecb t\u1eadt tim, nhi\u1ec5m tr\u00f9ng, c\u00e1c v\u1ea5n \u0111\u1ec1 h\u00f4 h\u1ea5p ho\u1eb7c c\u00e1c v\u1ea5n \u0111\u1ec1 kh\u00e1c, theo El-Sayed, m\u1eb7c d\u00f9 ng\u01b0\u1eddi m\u1eb9 c\u00f3 th\u1ec3 ho\u00e0n to\u00e0n kh\u1ecfe m\u1ea1nh. V\u00ed d\u1ee5, m\u1ed9t ng\u01b0\u1eddi m\u1eb9 sinh ba sinh non c\u00f3 th\u1ec3 h\u1ed3i ph\u1ee5c v\u00e0 c\u00f3 th\u1ec3 v\u1ec1 nh\u00e0 ngay l\u1eadp t\u1ee9c m\u1eb7c d\u00f9 con c\u1ee7a h\u1ecd s\u1ebd ph\u1ea3i n\u1eb1m vi\u1ec7n nhi\u1ec1u tu\u1ea7n.<\/p>\n

Ch\u0103m s\u00f3c c\u00e1c v\u1ea5n \u0111\u1ec1 ph\u1ee9c t\u1ea1p c\u1ee7a thai nhi<\/h2>\n

N\u0103m 2010, Packard \u0111\u00e3 m\u1edf Trung t\u00e2m S\u1ee9c kh\u1ecfe B\u00e0 m\u1eb9 v\u00e0 Thai nhi \u0111\u1ec3 cung c\u1ea5p d\u1ecbch v\u1ee5 ph\u1ed1i h\u1ee3p ch\u0103m s\u00f3c t\u1ed1t h\u01a1n cho c\u00e1c b\u00e0 m\u1eb9 \u0111ang g\u1eb7p ph\u1ea3i m\u1ed9t s\u1ed1 t\u00ecnh tr\u1ea1ng nh\u1ea5t \u0111\u1ecbnh\u2014d\u1ecb t\u1eadt thai nhi v\u00e0 c\u00e1c v\u1ea5n \u0111\u1ec1 c\u1ee5 th\u1ec3 c\u1ee7a b\u00e0 m\u1eb9 c\u00f3 kh\u1ea3 n\u0103ng g\u00e2y ra c\u00e1c v\u1ea5n \u0111\u1ec1 nghi\u00eam tr\u1ecdng cho thai nhi.<\/p>\n

Ti\u1ebfn s\u0129 Susan Hintz, gi\u00e1m \u0111\u1ed1c y khoa c\u1ee7a Trung t\u00e2m v\u00e0 l\u00e0 H\u1ecdc gi\u1ea3 Khoa h\u1ecdc Arline v\u00e0 Pete Harman, cho bi\u1ebft: "Nh\u1eefng b\u00e0 m\u1eb9 t\u01b0\u01a1ng lai n\u00e0y c\u1ea7n \u0111\u01b0\u1ee3c \u0111\u00e1nh gi\u00e1, t\u01b0 v\u1ea5n v\u00e0 t\u00e1i kh\u00e1m chuy\u00ean s\u00e2u. H\u1ecd c\u1ea7n \u0111\u01b0\u1ee3c th\u0103m kh\u00e1m th\u01b0\u1eddng xuy\u00ean h\u01a1n, \u0111\u00f4i khi c\u00f3 t\u1edbi b\u1ed1n ho\u1eb7c n\u0103m chuy\u00ean gia kh\u00e1c nhau khi thai k\u1ef3 ti\u1ebfn tri\u1ec3n".<\/p>\n

Nh\u1edd s\u1ed1 l\u01b0\u1ee3ng l\u1edbn c\u00e1c ca b\u1ec7nh ph\u1ee9c t\u1ea1p \u0111\u01b0\u1ee3c ti\u1ebfp nh\u1eadn t\u1ea1i B\u1ec7nh vi\u1ec7n Nhi Packard, v\u00e0 s\u1ef1 th\u1ea5u hi\u1ec3u l\u1eabn nhau gi\u1eefa nh\u1eefng ng\u01b0\u1eddi ch\u0103m s\u00f3c v\u1ec1 t\u1ea7m quan tr\u1ecdng c\u1ee7a m\u1ed9t ph\u01b0\u01a1ng ph\u00e1p ti\u1ebfp c\u1eadn ph\u1ed1i h\u1ee3p, Trung t\u00e2m c\u00f3 \u0111\u1ea1i di\u1ec7n t\u1eeb h\u1ea7u h\u1ebft m\u1ecdi chuy\u00ean khoa t\u1ea1i B\u1ec7nh vi\u1ec7n. C\u00e1c nh\u00f3m chuy\u00ean gia ch\u1ea9n \u0111o\u00e1n, y khoa v\u00e0 ph\u1eabu thu\u1eadt th\u01b0\u1eddng xuy\u00ean h\u1ecdp h\u1ed9i ch\u1ea9n \u0111\u1ec3 xem x\u00e9t c\u00e1c ca b\u1ec7nh v\u00e0 l\u1eadp k\u1ebf ho\u1ea1ch qu\u1ea3n l\u00fd v\u00e0 can thi\u1ec7p \u0111a chuy\u00ean khoa.<\/p>\n

T\u1eeb l\u1ea7n gi\u1edbi thi\u1ec7u ban \u0111\u1ea7u \u0111\u1ec3 t\u01b0 v\u1ea5n tr\u01b0\u1edbc khi sinh \u0111\u1ebfn c\u00e1c l\u1ea7n t\u00e1i kh\u00e1m, hai \u0111i\u1ec1u ph\u1ed1i vi\u00ean chuy\u00ean tr\u00e1ch c\u1ee7a Trung t\u00e2m S\u1ee9c kh\u1ecfe B\u00e0 m\u1eb9 v\u00e0 Thai nhi \u0111\u00f3ng vai tr\u00f2 l\u00e0 \u0111i\u1ec3m ti\u1ebfp nh\u1eadn duy nh\u1ea5t, c\u1ea3i thi\u1ec7n kh\u1ea3 n\u0103ng giao ti\u1ebfp v\u1edbi b\u1ec7nh nh\u00e2n v\u00e0 ng\u0103n ng\u1eeba s\u1ef1 tr\u00f9ng l\u1eb7p d\u1ecbch v\u1ee5.<\/p>\n

Nhu c\u1ea7u \u0111\u00e3 t\u0103ng h\u01a1n 30 ph\u1ea7n tr\u0103m k\u1ec3 t\u1eeb khi Trung t\u00e2m m\u1edf c\u1eeda v\u00e0 c\u00f3 kho\u1ea3ng 45 \u0111\u1ebfn 55 s\u1ea3n ph\u1ee5 mang thai nhi c\u00f3 v\u1ea5n \u0111\u1ec1 ph\u1ee9c t\u1ea1p \u0111\u01b0\u1ee3c theo d\u00f5i t\u1ea1i b\u1ea5t k\u1ef3 th\u1eddi \u0111i\u1ec3m n\u00e0o.<\/p>\n

Ngo\u00e0i ra, Trung t\u00e2m c\u00f2n h\u1ed7 tr\u1ee3 v\u1ec1 m\u1eb7t tinh th\u1ea7n v\u00e0 t\u00e2m l\u00fd cho c\u00e1c b\u1eadc cha m\u1eb9 \u0111ang \u0111\u1ed1i m\u1eb7t v\u1edbi giai \u0111o\u1ea1n c\u00f3 th\u1ec3 l\u00e0 c\u0103ng th\u1eb3ng nh\u1ea5t trong cu\u1ed9c \u0111\u1eddi. M\u1ed7i b\u1ec7nh nh\u00e2n s\u1ebd \u0111\u01b0\u1ee3c ph\u00e2n c\u00f4ng m\u1ed9t nh\u00e2n vi\u00ean x\u00e3 h\u1ed9i y t\u1ebf \u0111\u1ec3 h\u1ed7 tr\u1ee3 b\u00e0 m\u1eb9 t\u01b0\u01a1ng lai v\u00e0 gia \u0111\u00ecnh, b\u1eaft \u0111\u1ea7u t\u1eeb khi ch\u1ea9n \u0111o\u00e1n tr\u01b0\u1edbc sinh v\u00e0 ti\u1ebfp t\u1ee5c trong su\u1ed1t qu\u00e1 tr\u00ecnh em b\u00e9 n\u1eb1m vi\u1ec7n. "Ngay t\u1eeb \u0111\u1ea7u, ch\u00fang t\u00f4i c\u1ed1 g\u1eafng gi\u00fap c\u00e1c gia \u0111\u00ecnh hi\u1ec3u v\u00e0 chu\u1ea9n b\u1ecb cho nh\u1eefng th\u00e1ch th\u1ee9c m\u00e0 h\u1ecd c\u00f3 th\u1ec3 g\u1eb7p ph\u1ea3i", Hintz n\u00f3i.<\/p>\n

M\u1ed9t m\u1ea1ng l\u01b0\u1edbi d\u1ecbch v\u1ee5<\/h2>\n

\u0110\u1ec3 gi\u00fap s\u00e0ng l\u1ecdc v\u00e0 ph\u1ee5c v\u1ee5 nhi\u1ec1u gia \u0111\u00ecnh h\u01a1n, B\u1ec7nh vi\u1ec7n Nhi \u0111\u1ed3ng Packard duy tr\u00ec m\u1ed9t m\u1ea1ng l\u01b0\u1edbi c\u00e1c trung t\u00e2m ch\u1ea9n \u0111o\u00e1n chu sinh v\u00e0 d\u1ecbch v\u1ee5 ch\u0103m s\u00f3c t\u00edch c\u1ef1c s\u01a1 sinh t\u1ea1i c\u00e1c b\u1ec7nh vi\u1ec7n c\u1ed9ng \u0111\u1ed3ng \u1edf Mountain View, Fremont, Salinas v\u00e0 Santa Cruz. C\u00e1c trung t\u00e2m n\u00e0y cung c\u1ea5p \u0111\u1ea7y \u0111\u1ee7 c\u00e1c d\u1ecbch v\u1ee5 ph\u00e2n t\u00edch, s\u00e0ng l\u1ecdc, \u0111i\u1ec1u tr\u1ecb, t\u01b0 v\u1ea5n v\u00e0 c\u00f3 th\u1ec3 gi\u1edbi thi\u1ec7u ph\u1ee5 n\u1eef v\u00e0 tr\u1ebb s\u01a1 sinh \u0111\u1ebfn Packard \u0111\u1ec3 \u0111\u01b0\u1ee3c ch\u0103m s\u00f3c chuy\u00ean khoa v\u00e0 l\u1eadp k\u1ebf ho\u1ea1ch trong c\u00e1c t\u00ecnh hu\u1ed1ng nguy c\u01a1 cao. Druzin g\u1ecdi \u0111\u00e2y l\u00e0 "m\u1ed9t m\u1ea1ng l\u01b0\u1edbi doanh nghi\u1ec7p c\u1ed9ng \u0111\u1ed3ng phong ph\u00fa".<\/p>\n

\u201cTh\u1eadt nh\u1eb9 nh\u00f5m cho m\u1ed9t ng\u01b0\u1eddi m\u1eb9 khi c\u00f3 th\u1ec3 \u1edf l\u1ea1i c\u1ed9ng \u0111\u1ed3ng c\u1ee7a m\u00ecnh v\u00e0 c\u00f3 b\u00e1c s\u0129 s\u1ea3n khoa ri\u00eang, \u0111\u1eb7c bi\u1ec7t l\u00e0 trong m\u1ed9t thai k\u1ef3 kh\u00f3 kh\u0103n,\u201d El-Sayed n\u00f3i. \u201cCh\u00fang t\u00f4i cung c\u1ea5p d\u1ecbch v\u1ee5 ch\u0103m s\u00f3c chuy\u00ean khoa v\u00e0 t\u01b0 v\u1ea5n t\u1ea1i ch\u1ed7 \u0111\u1ec3 h\u1ecd kh\u00f4ng c\u1ea7n ph\u1ea3i l\u00e1i xe \u0111\u1ebfn t\u1eadn b\u1ec7nh vi\u1ec7n ch\u00ednh.\u201d<\/p>\n

M\u1ed7i trung t\u00e2m khu v\u1ef1c \u0111\u1ec1u c\u00f3 m\u1ed9t chuy\u00ean gia y khoa s\u1ea3n ph\u1ee5 v\u00e0 thai nhi c\u1ee7a Packard, ng\u01b0\u1eddi l\u00e0m vi\u1ec7c tr\u1ef1c ti\u1ebfp v\u1edbi c\u00e1c b\u00e1c s\u0129 s\u1ea3n khoa c\u1ed9ng \u0111\u1ed3ng \u0111\u1ec3 ch\u1ea9n \u0111o\u00e1n v\u00e0 t\u01b0 v\u1ea5n v\u1ec1 c\u00e1c tr\u01b0\u1eddng h\u1ee3p mang thai kh\u00f3, \u0111i\u1ec1u ph\u1ed1i ch\u0103m s\u00f3c tr\u01b0\u1edbc sinh v\u00e0 s\u01a1 sinh, ho\u1eb7c ph\u00e2n lo\u1ea1i c\u00e1c tr\u01b0\u1eddng h\u1ee3p c\u00f3 th\u1ec3 c\u1ea7n chuy\u1ec3n \u0111\u1ebfn B\u1ec7nh vi\u1ec7n Nhi Packard. Hintz ch\u1ec9 ra r\u1eb1ng n\u1ebfu ph\u00f9 h\u1ee3p v\u1edbi ch\u1ea9n \u0111o\u00e1n c\u1ee7a tr\u1ebb s\u01a1 sinh, vi\u1ec7c sinh n\u1edf v\u00e0 em b\u00e9 \u0111\u01b0\u1ee3c \u0111i\u1ec1u tr\u1ecb ban \u0111\u1ea7u t\u1ea1i b\u1ec7nh vi\u1ec7n nh\u00e0 th\u01b0\u1eddng \u00edt g\u00e2y c\u0103ng th\u1eb3ng h\u01a1n cho ng\u01b0\u1eddi m\u1eb9, sau \u0111\u00f3 \u0111\u01b0\u1ee3c ch\u0103m s\u00f3c theo d\u00f5i ngo\u1ea1i tr\u00fa t\u1ea1i Packard v\u1edbi c\u00e1c chuy\u00ean gia ph\u1ee5 khoa ph\u00f9 h\u1ee3p.<\/p>\n

C\u00e1c d\u1ecbch v\u1ee5 c\u1ee7a trung t\u00e2m c\u0169ng bao g\u1ed3m c\u00f4ng ngh\u1ec7 h\u00ecnh \u1ea3nh hi\u1ec7n \u0111\u1ea1i v\u00e0 t\u01b0 v\u1ea5n di truy\u1ec1n, cung c\u1ea5p c\u00e1c ngu\u1ed3n l\u1ef1c quan tr\u1ecdng cho c\u00e1c gia \u0111\u00ecnh \u0111ang ph\u1ea3i v\u1eadt l\u1ed9n v\u1edbi ho\u00e0n c\u1ea3nh kh\u00f3 kh\u0103n.<\/p>\n

Druzin cho bi\u1ebft: \u201cCh\u00fang t\u00f4i ch\u1ec9 chuy\u1ec3n c\u00e1c b\u00e0 m\u1eb9 \u0111\u1ebfn Packard n\u1ebfu ch\u00fang t\u00f4i kh\u00f4ng th\u1ec3 cung c\u1ea5p cho h\u1ecd s\u1ef1 ch\u0103m s\u00f3c c\u1ea7n thi\u1ebft ngay t\u1ea1i \u0111\u00f3 v\u00e0 ch\u00fang t\u00f4i khuy\u1ebfn kh\u00edch h\u1ecd tr\u1edf v\u1ec1 nh\u00e0 trong th\u1eddi gian h\u1ed3i ph\u1ee5c s\u1ee9c kh\u1ecfe\u201d.<\/p>\n

\u201cCh\u00fang t\u00f4i mu\u1ed1n gi\u1eef c\u00e1c gia \u0111\u00ecnh \u1edf b\u00ean nhau v\u00e0 g\u1ea7n nh\u00e0 b\u1ea5t c\u1ee9 khi n\u00e0o c\u00f3 th\u1ec3.\u201d<\/p>\n

Ch\u01b0\u01a1ng tr\u00ecnh Ti\u1ebfp c\u1eadn Ch\u0103m s\u00f3c Chu sinh V\u00f9ng Trung Duy\u00ean h\u1ea3i California c\u1ee7a Packard cung c\u1ea5p gi\u00e1o d\u1ee5c s\u1ea3n khoa cho c\u00e1c nh\u00e0 cung c\u1ea5p d\u1ecbch v\u1ee5 ch\u0103m s\u00f3c s\u1ee9c kh\u1ecfe c\u1ed9ng \u0111\u1ed3ng nh\u1eb1m th\u00fac \u0111\u1ea9y c\u00e1c ti\u00eau chu\u1ea9n cao nh\u1ea5t v\u1ec1 an to\u00e0n b\u1ec7nh nh\u00e2n v\u00e0 ch\u0103m s\u00f3c l\u1ea5y gia \u0111\u00ecnh l\u00e0m trung t\u00e2m t\u1ea1i c\u00e1c b\u1ec7nh vi\u1ec7n li\u00ean k\u1ebft n\u00e0y. C\u00e1c di\u1ec5n gi\u1ea3, h\u1ed9i th\u1ea3o, h\u1ed9i ngh\u1ecb v\u00e0 \u0111\u00e1nh gi\u00e1 ngang h\u00e0ng \u0111\u01b0\u1ee3c cung c\u1ea5p cho c\u00e1c b\u00e1c s\u0129 v\u00e0 \u0111i\u1ec1u d\u01b0\u1ee1ng c\u1ed9ng \u0111\u1ed3ng, c\u0169ng nh\u01b0 c\u00e1c chuy\u1ebfn th\u0103m th\u1ef1c \u0111\u1ecba v\u00e0 \u0111\u00e1nh gi\u00e1 tu\u00e2n th\u1ee7.<\/p>\n

B\u1ec7nh vi\u1ec7n Nhi \u0111\u1ed3ng Packard \u0111\u00e3 m\u1edf r\u1ed9ng d\u1ecbch v\u1ee5 t\u1ea1i B\u1ec7nh vi\u1ec7n Dominican \u1edf Santa Cruz, n\u01a1i c\u00f3 ph\u00f2ng ph\u1eabu thu\u1eadt trong khu v\u1ef1c chuy\u1ec3n d\u1ea1 v\u00e0 sinh n\u1edf c\u00f9ng m\u1ed9t ph\u00f2ng ch\u0103m s\u00f3c \u0111\u1eb7c bi\u1ec7t NICU 20 gi\u01b0\u1eddng d\u00e0nh cho tr\u1ebb sinh non ho\u1eb7c tr\u1ebb b\u1ec7nh. C\u00e1c b\u00e1c s\u0129 s\u01a1 sinh c\u1ee7a Packard - s\u1ed1ng trong c\u1ed9ng \u0111\u1ed3ng - ch\u0103m s\u00f3c tr\u1ebb s\u01a1 sinh t\u1ea1i NICU, v\u00e0 nh\u1eefng tr\u1ebb c\u1ea7n ch\u0103m s\u00f3c s\u01a1 sinh chuy\u00ean khoa c\u00f3 th\u1ec3 d\u1ec5 d\u00e0ng \u0111\u01b0\u1ee3c chuy\u1ec3n vi\u1ec7n gi\u1eefa hai b\u1ec7nh vi\u1ec7n.<\/p>\n

Qu\u00e1 tr\u00ecnh \u0111\u00f3 \u0111\u00e3 c\u1ee9u s\u1ed1ng Jaime Shaffer \u1edf Santa Cruz, ng\u01b0\u1eddi b\u1eaft \u0111\u1ea7u b\u1ecb r\u00f2 r\u1ec9 n\u01b0\u1edbc \u1ed1i khi m\u1edbi mang thai \u0111\u00f4i \u0111\u01b0\u1ee3c 11 tu\u1ea7n. C\u00f4 \u0111\u01b0\u1ee3c theo d\u00f5i c\u1ea9n th\u1eadn t\u1ea1i trung t\u00e2m ch\u1ea9n \u0111o\u00e1n chu sinh c\u1ee7a Dominican v\u00e0 sau \u0111\u00f3 \u0111\u01b0\u1ee3c chuy\u1ec3n \u0111\u1ebfn B\u1ec7nh vi\u1ec7n Nhi Packard \u0111\u1ec3 theo d\u00f5i v\u00e0 ngh\u1ec9 ng\u01a1i t\u1ea1i gi\u01b0\u1eddng. Khi Tyler v\u00e0 Lucas ch\u00e0o \u0111\u1eddi \u1edf tu\u1ea7n th\u1ee9 30 - m\u1ed7i b\u00e9 n\u1eb7ng h\u01a1n 3 pound - c\u00e1c b\u00e9 \u0111\u00e3 tr\u1ea3i qua ba tu\u1ea7n \u0111\u1ea7u ti\u00ean t\u1ea1i Packard, sau \u0111\u00f3 l\u00e0 b\u1ed1n tu\u1ea7n t\u1ea1i Khoa Ch\u0103m s\u00f3c \u0110\u1eb7c bi\u1ec7t S\u01a1 sinh c\u1ee7a Dominican.<\/p>\n

Hi\u1ec7n \u0111\u00e3 17 th\u00e1ng tu\u1ed5i, c\u1eb7p song sinh kh\u1ecfe m\u1ea1nh, h\u1ea1nh ph\u00fac v\u00e0 \u0111\u1ea1t c\u00e2n n\u1eb7ng b\u00ecnh th\u01b0\u1eddng, Shaffer n\u00f3i. "C\u00f3 r\u1ea5t nhi\u1ec1u \u0111i\u1ec1u ch\u01b0a bi\u1ebft, nh\u01b0ng vi\u1ec7c trao \u0111\u1ed5i r\u1ea5t r\u00f5 r\u00e0ng v\u00e0 vi\u1ec7c chuy\u1ec3n vi\u1ec7n di\u1ec5n ra d\u1ec5 d\u00e0ng", c\u00f4 n\u00f3i th\u00eam. "Ch\u00fang t\u00f4i \u0111\u00e3 \u0111\u01b0\u1ee3c ch\u0103m s\u00f3c t\u1ed1t nh\u1ea5t t\u1ea1i Packard v\u00e0 k\u1ebft qu\u1ea3 t\u1ed1t h\u01a1n g\u1ea5p tri\u1ec7u l\u1ea7n so v\u1edbi vi\u1ec7c t\u00f4i \u0111\u1ebfn kh\u00e1m \u1edf n\u01a1i kh\u00e1c."<\/p>\n

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

Khi Tara Rojas \u1edf Newark quy\u1ebft \u0111\u1ecbnh \u0111\u00e3 \u0111\u1ebfn l\u00fac l\u1eadp gia \u0111\u00ecnh, c\u00f4 g\u1eb7p r\u1ea5t nhi\u1ec1u kh\u00f3 kh\u0103n. B\u1ec7nh ti\u1ec3u \u0111\u01b0\u1eddng tu\u00fdp 1 \u0111\u00e3 t\u00e0n ph\u00e1\u2026<\/p>","protected":false},"author":17,"featured_media":3586,"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-3585","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-in-the-news","category-patient-stories"],"acf":[],"yoast_head":"\nObstetrics: High Risk High Reward - 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\/obstetrics-high-risk-high-reward\/\" \/>\n<meta property=\"og:locale\" content=\"vi_VN\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Obstetrics: High Risk High Reward\" \/>\n<meta property=\"og:description\" content=\"When Tara Rojas of Newark decided it was time to start a family, she had a lot going against her. 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