{"id":7030,"date":"2021-08-10T20:29:18","date_gmt":"2021-08-11T00:29:18","guid":{"rendered":"https:\/\/healthcliner.com\/mang-thai-giai-doan-lao-dong-va-sinh-no\/"},"modified":"2021-08-10T20:29:20","modified_gmt":"2021-08-11T00:29:20","slug":"mang-thai-giai-doan-lao-dong-va-sinh-no","status":"publish","type":"post","link":"https:\/\/healthcliner.com\/vi\/mang-thai-giai-doan-lao-dong-va-sinh-no\/","title":{"rendered":"Mang thai: Giai \u0111o\u1ea1n, Lao \u0111\u1ed9ng v\u00e0 Sinh n\u1edf"},"content":{"rendered":"<p>C\u00f3 l\u1ebd c\u00e2u h\u1ecfi h\u1ea5p d\u1eabn nh\u1ea5t l\u00e0 s\u1ef1 ph\u00e1t tri\u1ec3n c\u1ee7a thai nhi trong b\u1ee5ng m\u1eb9 th\u00e0nh em b\u00e9. Khoa h\u1ecdc \u0111\u00e3 may m\u1eafn m\u00f4 t\u1ea3 qu\u00e1 tr\u00ecnh n\u00e0y m\u1ed9t c\u00e1ch chi ti\u1ebft v\u00e0 v\u1edbi \u0111\u1ed9 ch\u00ednh x\u00e1c ch\u00ednh x\u00e1c. S\u1ef1 ph\u00e1t tri\u1ec3n c\u1ee7a thai nhi trong b\u1ee5ng m\u1eb9 di\u1ec5n ra trong ba giai \u0111o\u1ea1n \u0111\u01b0\u1ee3c g\u1ecdi l\u00e0 tam c\u00e1 nguy\u1ec7t. Thai nhi tr\u1ea3i qua m\u1ed9t lo\u1ea1t c\u00e1c thay \u0111\u1ed5i trong ba th\u00e1ng n\u00e0y v\u00e0 nh\u1eefng thay \u0111\u1ed5i trong m\u1ed7i ng\u01b0\u1eddi l\u00e0 ri\u00eang bi\u1ec7t. \u0110i\u1ec1u \u0111\u00f3 c\u00f3 ngh\u0129a l\u00e0 nh\u1eefng thay \u0111\u1ed5i di\u1ec5n ra trong tam c\u00e1 nguy\u1ec7t c\u00f3 li\u00ean quan \u0111\u1ebfn nhau nh\u01b0ng kh\u00e1c nhau \u1edf c\u00e1c tam c\u00e1 nguy\u1ec7t kh\u00e1c. Trong kho\u1ea3ng th\u1eddi gian sinh, m\u1ed9t ng\u01b0\u1eddi m\u1eb9 b\u01b0\u1edbc v\u00e0o giai \u0111o\u1ea1n chuy\u1ec3n d\u1ea1. Lao \u0111\u1ed9ng bao g\u1ed3m m\u1ed9t lo\u1ea1t c\u00e1c c\u01a1n co th\u1eaft c\u1ee7a c\u01a1 tim trong vi\u1ec7c tr\u1ee5c xu\u1ea5t thai nhi ph\u00e1t tri\u1ec3n \u0111\u1ea7y \u0111\u1ee7. Gi\u1ed1ng nh\u01b0 mang thai, n\u00f3 c\u0169ng x\u1ea3y ra \u1edf c\u00e1c giai \u0111o\u1ea1n kh\u00e1c nhau. Sinh con l\u00e0 giai \u0111o\u1ea1n cu\u1ed1i c\u1ee7a thai k\u1ef3, n\u01a1i thai nhi tr\u01b0\u1edfng th\u00e0nh, b\u00e2y gi\u1edd l\u00e0 m\u1ed9t em b\u00e9, b\u1ecb tr\u1ee5c xu\u1ea5t kh\u1ecfi t\u1eed cung. S\u1ef1 ph\u00e1t tri\u1ec3n ph\u00f4i thai c\u00f3 b\u1ed1n giai \u0111o\u1ea1n: giai \u0111o\u1ea1n m\u1ea7m b\u1ec7nh, d\u1ea1 d\u00e0y, trung t\u00ednh v\u00e0 ph\u00e1t tri\u1ec3n h\u1ec7 th\u1ed1ng c\u01a1 quan v\u00e0 c\u01a1 quan quan tr\u1ecdng. B\u00e0i b\u00e1o n\u00e0y s\u1ebd \u0111\u00e0o s\u00e2u v\u00e0o c\u00e1c giai \u0111o\u1ea1n mang thai, chuy\u1ec3n d\u1ea1 v\u00e0 qu\u00e1 tr\u00ecnh sinh n\u1edf.<\/p>\n<p style=\"text-align: center;\"><strong>Giai \u0111o\u1ea1n m\u1ea7m b\u1ec7nh<\/strong><\/p>\n<p>Giai \u0111o\u1ea1n m\u1ea7m l\u00e0 giai \u0111o\u1ea1n b\u1eaft \u0111\u1ea7u sau khi th\u1ee5 thai, ngay sau khi tinh tr\u00f9ng v\u00e0 tr\u1ee9ng h\u1ee3p nh\u1ea5t trong m\u1ed9t trong hai \u1ed1ng d\u1eabn tr\u1ee9ng. Tr\u1ee9ng \u0111\u01b0\u1ee3c th\u1ee5 tinh, h\u1ee3p t\u1eed, b\u1eaft \u0111\u1ea7u m\u1ed9t cu\u1ed9c h\u00e0nh tr\u00ecnh xu\u1ed1ng \u1ed1ng d\u1eabn tr\u1ee9ng \u0111\u1ebfn t\u1eed cung, n\u01a1i c\u1ea5y gh\u00e9p x\u1ea3y ra. Sau khi th\u1ee5 thai, s\u1ef1 ph\u00e2n chia t\u1ebf b\u00e0o x\u1ea3y ra sau kho\u1ea3ng 24-36 gi\u1edd. Th\u00f4ng qua nguy\u00ean ph\u00e2n, s\u1ef1 ph\u00e2n chia t\u1ebf b\u00e0o di\u1ec5n ra \u0111\u1ec3 t\u1ea1o th\u00e0nh hai, b\u1ed1n, t\u00e1m t\u1ebf b\u00e0o trong s\u1ee9c m\u1ea1nh t\u0103ng l\u00ean c\u1ee7a 2. C\u00f3 m\u1ed9t l\u01b0\u1ee3ng h\u1ee3p t\u1eed \u0111\u00e1ng k\u1ec3 kh\u00f4ng v\u01b0\u1ee3t qua giai \u0111o\u1ea1n n\u00e0y. Tuy nhi\u00ean, h\u01a1n m\u1ed9t n\u1eeda trong s\u1ed1 t\u1ea5t c\u1ea3 c\u00e1c h\u1ee3p t\u1eed v\u01b0\u1ee3t qua giai \u0111o\u1ea1n n\u00e0y. M\u1ed9t khi c\u00e1c t\u1ebf b\u00e0o \u0111\u00e3 ph\u00e2n chia v\u00e0 h\u00ecnh th\u00e0nh t\u1ed5ng c\u1ed9ng t\u00e1m t\u1ebf b\u00e0o, n\u1ec1n t\u1ea3ng c\u1ee7a nhi\u1ec1u m\u00f4 s\u1ebd \u0111\u01b0\u1ee3c h\u00ecnh th\u00e0nh \u0111\u00e3 \u0111\u01b0\u1ee3c \u0111\u1eb7t. C\u00e1c t\u1ebf b\u00e0o li\u00ean t\u1ee5c ph\u00e2n chia \u0111\u1ec3 t\u1ea1o th\u00e0nh kh\u1ed1i l\u01b0\u1ee3ng ri\u00eang bi\u1ec7t. M\u1ed9t s\u1ed1 t\u1ea1o th\u00e0nh kh\u1ed1i l\u01b0\u1ee3ng t\u1ebf b\u00e0o b\u00ean ngo\u00e0i ph\u00e1t tri\u1ec3n th\u00e0nh nhau thai, v\u00e0 ph\u1ea7n c\u00f2n l\u1ea1i t\u1ea1o th\u00e0nh kh\u1ed1i l\u01b0\u1ee3ng t\u1ebf b\u00e0o b\u00ean trong t\u1ea1o th\u00e0nh ph\u00f4i. \u0110\u1ea7u ti\u00ean, c\u00e1c t\u1ebf b\u00e0o ph\u00e2n chia \u0111\u1ec3 t\u1ea1o th\u00e0nh m\u1ed9t kh\u1ed1i l\u01b0\u1ee3ng t\u1ebf b\u00e0o \u0111\u01b0\u1ee3c g\u1ecdi l\u00e0 morula, m\u1ed9t c\u1ea5u tr\u00fac gi\u1ed1ng nh\u01b0 m\u1ed9t qu\u1ea3 b\u00f3ng c\u1ee7a c\u00e1c t\u1ebf b\u00e0o. Ti\u1ebfp theo, c\u00e1c t\u1ebf b\u00e0o ph\u00e2n chia v\u00e0 t\u1ea1o th\u00e0nh m\u1ed9t blastocyst ch\u1ee9a c\u00e1c l\u1edbp ph\u00e1t tri\u1ec3n th\u00e0nh c\u00e1c b\u1ed9 ph\u1eadn c\u01a1 th\u1ec3 kh\u00e1c nhau. Ba l\u1edbp c\u1ee7a blastocyst l\u00e0 ectoderm, endoderm v\u00e0 mesoderm. Ectoderm t\u1ea1o th\u00e0nh da v\u00e0 h\u1ec7 th\u1ea7n kinh, endoderm h\u00ecnh th\u00e0nh h\u1ec7 th\u1ed1ng ti\u00eau h\u00f3a v\u00e0 h\u1ec7 h\u00f4 h\u1ea5p, v\u00e0 mesoderm t\u1ea1o th\u00e0nh h\u1ec7 th\u1ed1ng x\u01b0\u01a1ng v\u00e0 c\u01a1 b\u1eafp. Sau khi blastocyst \u0111\u1ebfn t\u1eed cung, m\u1ed9t qu\u00e1 tr\u00ecnh g\u1ecdi l\u00e0 c\u1ea5y gh\u00e9p x\u1ea3y ra. Blastocyst g\u1eafn v\u00e0o th\u00e0nh t\u1eed cung, \u0111\u01b0\u1ee3c m\u1ea1ch m\u00e1u. Qu\u00e1 tr\u00ecnh n\u00e0y g\u00e2y ra s\u1ef1 v\u1ee1 c\u1ee7a c\u00e1c m\u1ea1ch m\u00e1u nh\u1ecf trong th\u00e0nh t\u1eed cung v\u00e0 g\u00e2y ch\u1ea3y m\u00e1u c\u00f3 th\u1ec3 b\u1ecb nh\u1ea7m l\u1eabn v\u1edbi kinh nguy\u1ec7t. C\u1ea5y gh\u00e9p g\u00e2y ra s\u1ef1 thay \u0111\u1ed5i h\u00e0m l\u01b0\u1ee3ng n\u1ed9i ti\u1ebft t\u1ed1 c\u1ee7a m\u00e1u m\u1eb9. M\u1ea1ng l\u01b0\u1edbi c\u00e1c m\u1ea1ch m\u00e1u h\u00ecnh th\u00e0nh t\u1ea1i v\u1ecb tr\u00ed c\u1ea5y gh\u00e9p \u0111\u1ea3m b\u1ea3o r\u1eb1ng thai nhi \u0111\u01b0\u1ee3c nu\u00f4i d\u01b0\u1ee1ng.<\/p>\n<p>C\u1ea5y gh\u00e9p \u0111\u1ec1 c\u1eadp \u0111\u1ebfn s\u1ef1 x\u00e2m l\u1ea5n v\u00e0 g\u1eafn k\u1ebft c\u1ee7a blastocyst v\u00e0o n\u1ed9i m\u1ea1c t\u1eed cung. Qu\u00e1 tr\u00ecnh n\u00e0y di\u1ec5n ra v\u00e0o cu\u1ed1i tu\u1ea7n \u0111\u1ea7u ti\u00ean \u1edf ng\u01b0\u1eddi. Ph\u00f4i t\u1ef1 g\u1eafn v\u00e0o n\u1ed9i m\u1ea1c t\u1eed cung v\u00e0 t\u1ea1o th\u00e0nh nhau thai b\u1eb1ng c\u00e1ch x\u00e2m nh\u1eadp v\u00e0o tu\u1ea7n ho\u00e0n c\u1ee7a m\u1eb9. N\u1ed9i m\u1ea1c t\u1eed cung v\u00e0 blastocyst ph\u1ea3i \u0111\u01b0\u1ee3c chu\u1ea9n b\u1ecb \u0111\u1ec3 c\u1ea5y gh\u00e9p. M\u1ed9t giai \u0111o\u1ea1n \u0111\u01b0\u1ee3c g\u1ecdi l\u00e0 c\u1eeda s\u1ed5 c\u1ea5y gh\u00e9p trong \u0111\u00f3 c\u1ea3 n\u1ed9i m\u1ea1c t\u1eed cung v\u00e0 blastocyst \u0111\u1ec1u s\u1eb5n s\u00e0ng cho qu\u00e1 tr\u00ecnh c\u1ea5y gh\u00e9p. Trong giai \u0111o\u1ea1n n\u00e0y, ph\u00f4i \u0111\u1ea1t \u0111\u1ebfn giai \u0111o\u1ea1n n\u0103ng l\u1ef1c \u0111\u00ednh k\u00e8m trong khi n\u1ed9i m\u1ea1c t\u1eed cung \u0111\u01b0\u1ee3c ti\u1ebfp nh\u1eadn ph\u00f4i. S\u1ef1 giao ti\u1ebfp ph\u00e2n t\u1eed gi\u1eefa n\u1ed9i m\u1ea1c t\u1eed cung ti\u1ebfp nh\u1eadn v\u00e0 ph\u00f4i c\u00f3 th\u1ea9m quy\u1ec1n l\u00e0 r\u1ea5t quan tr\u1ecdng cho qu\u00e1 tr\u00ecnh c\u1ea5y gh\u00e9p. Ph\u00f4i l\u00e0m v\u1ee1 zona pellucida, l\u1edbp b\u1ea3o v\u1ec7 b\u00ean ngo\u00e0i c\u1ee7a n\u00f3 v\u00e0 t\u1ef1 \u0111\u1ecbnh h\u01b0\u1edbng sao cho n\u00f3 ti\u1ebfp x\u00fac tr\u1ef1c ti\u1ebfp v\u1edbi bi\u1ec3u m\u00f4 c\u1ee7a n\u1ed9i m\u1ea1c t\u1eed cung. Trophoblast c\u1ee7a ph\u00f4i sau \u0111\u00f3 \u0111i qua m\u00e0ng bi\u1ec3u m\u00f4 c\u1ee7a n\u1ed9i m\u1ea1c t\u1eed cung v\u00e0 x\u00e2m l\u1ea5n c\u00e1c t\u1ebf b\u00e0o stromal b\u00ean trong. Trophoblast sau \u0111\u00f3 ph\u00e1t tri\u1ec3n v\u00e0 ph\u00e2n bi\u1ec7t th\u00e0nh c\u00e1c c\u1ea5u tr\u00fac kh\u00e1c nhau \u0111\u1ec3 t\u1ea1o th\u00e0nh nhau thai. Ph\u00f4i sau \u0111\u00f3 ph\u00e1t tri\u1ec3n trong khi v\u1eabn g\u1eafn li\u1ec1n v\u1edbi n\u1ed9i m\u1ea1c t\u1eed cung. Vi\u1ec7c trao \u0111\u1ed5i v\u1eadt li\u1ec7u gi\u1eefa m\u00e1u m\u1eb9 v\u00e0 ph\u00f4i di\u1ec5n ra th\u00f4ng qua nhau thai. Giai \u0111o\u1ea1n n\u00e0y di\u1ec5n ra trong hai tu\u1ea7n \u0111\u1ea7u ti\u00ean c\u1ee7a thai k\u1ef3.<\/p>\n<p style=\"text-align: center;\"><strong>Tam c\u00e1 nguy\u1ec7t \u0111\u1ea7u ti\u00ean<\/strong><\/p>\n<p>Trong ba th\u00e1ng \u0111\u1ea7u ti\u00ean, thai nhi b\u1eaft \u0111\u1ea7u ph\u00e1t tri\u1ec3n ch\u00e2n tay, c\u00e1nh tay v\u00e0 b\u00e0n ch\u00e2n \u1edf tu\u1ea7n th\u1ee9 6 &#8211; sau \u0111\u00f3 l\u00e0 ng\u00f3n tay v\u00e0 ng\u00f3n ch\u00e2n kho\u1ea3ng tu\u1ea7n 10. Trong tu\u1ea7n 5 v\u00e0 8, da b\u1eaft \u0111\u1ea7u ph\u00e1t tri\u1ec3n, ti\u1ebfp theo l\u00e0 nang l\u00f4ng v\u00e0 gi\u01b0\u1eddng m\u00f3ng tay trong tu\u1ea7n 11. Ru\u1ed9t c\u1ee7a thai nhi s\u1ebd b\u1eaft \u0111\u1ea7u h\u00ecnh th\u00e0nh v\u00e0o kho\u1ea3ng tu\u1ea7n th\u1ee9 8 v\u00e0 thai nhi s\u1ebd c\u00f3 hai b\u1ed9 th\u1eadn. Kho\u1ea3ng tu\u1ea7n th\u1ee9 8, khu\u00f4n m\u1eb7t c\u1ee7a thai nhi (ch\u1ee7 y\u1ebfu l\u00e0 m\u00f4i v\u00e0 m\u0169i) s\u1ebd c\u00f3 c\u00e1c th\u1ee5 th\u1ec3 ch\u1ea1m v\u00e0o. \u0110\u1ebfn tu\u1ea7n th\u1ee9 t\u01b0, c\u00e1c d\u00e2y th\u1ea7n kinh th\u1ecb gi\u00e1c (truy\u1ec1n th\u00f4ng tin t\u1eeb m\u1eaft \u0111\u1ebfn n\u00e3o) v\u00e0 tr\u00f2ng k\u00ednh \u0111\u00e3 h\u00ecnh th\u00e0nh, v\u00e0 v\u00f5ng m\u1ea1c \u0111\u00e3 h\u00ecnh th\u00e0nh v\u00e0o tu\u1ea7n th\u1ee9 s\u00e1u. \u0110\u1ebfn tu\u1ea7n th\u1ee9 5, tim thai nhi, m\u1ed9t \u1ed1ng tim nguy\u00ean th\u1ee7y, \u0111\u00e3 b\u1eaft \u0111\u1ea7u \u0111\u1eadp \u0111\u1ed9c l\u1eadp. Do \u0111\u00f3, r\u1ea5t nhi\u1ec1u thay \u0111\u1ed5i di\u1ec5n ra trong ba th\u00e1ng \u0111\u1ea7u ti\u00ean. C\u00e1c tri\u1ec7u ch\u1ee9ng ph\u1ed5 bi\u1ebfn nh\u1ea5t trong s\u1ed1 n\u00e0y bao g\u1ed3m b\u1ec7nh bu\u1ed5i s\u00e1ng, ng\u1ef1c m\u1ec1m, thay \u0111\u1ed5i t\u00e2m tr\u1ea1ng v\u00e0 t\u00e1o b\u00f3n. Nh\u1eefng tri\u1ec7u ch\u1ee9ng n\u00e0y l\u00e0m cho tam c\u00e1 nguy\u1ec7t \u0111\u1ea7u ti\u00ean kh\u00f4ng tho\u1ea3i m\u00e1i \u0111\u1ed1i v\u1edbi m\u1ed9t s\u1ed1 b\u00e0 m\u1eb9 trong khi nh\u1eefng ng\u01b0\u1eddi kh\u00e1c kh\u00f4ng b\u1eadn t\u00e2m.<\/p>\n<p style=\"text-align: center;\"><strong>Tam c\u00e1 nguy\u1ec7t th\u1ee9 hai<\/strong><\/p>\n<p>Trong giai \u0111o\u1ea1n n\u00e0y, c\u00e1c c\u01a1 quan c\u1ee7a thai nhi \u0111\u01b0\u1ee3c ph\u00e1t tri\u1ec3n \u0111\u1ea7y \u0111\u1ee7 v\u00e0 thai nhi b\u1eaft \u0111\u1ea7u c\u00f3 nh\u1eefng h\u00e0nh \u0111\u1ed9ng \u0111\u00e1ng ch\u00fa \u00fd. V\u00ed d\u1ee5, em b\u00e9 ph\u00e1t tri\u1ec3n chu k\u1ef3 ng\u1ee7 trong \u0111\u00f3 th\u1eddi gian ng\u1ee7 v\u00e0 th\u1ee9c d\u1eady l\u00e0 \u0111\u00e1ng ch\u00fa \u00fd \u0111\u1ed1i v\u1edbi ng\u01b0\u1eddi m\u1eb9. Ngo\u00e0i ra c\u00f2n c\u00f3 m\u1ed9t s\u1ed1 l\u01b0\u1ee3ng chuy\u1ec3n \u0111\u1ed9ng ch\u00e2n tay. H\u1ec7 th\u1ed1ng th\u00ednh gi\u00e1c c\u0169ng \u0111\u01b0\u1ee3c ph\u00e1t tri\u1ec3n ho\u00e0n to\u00e0n t\u1ea1i th\u1eddi \u0111i\u1ec3m n\u00e0y ng\u1ee5 \u00fd r\u1eb1ng thai nhi c\u00f3 th\u1ec3 nh\u1eadn th\u1ee9c \u00e2m thanh. Thai nhi c\u0169ng c\u00f3 kh\u1ea3 n\u0103ng nu\u1ed1t. \u0110\u1ed1i v\u1edbi ng\u01b0\u1eddi m\u1eb9, b\u1ee5ng b\u1eaft \u0111\u1ea7u ph\u00e1t tri\u1ec3n v\u00e0 c\u00f3 d\u1ea5u hi\u1ec7u mang thai. Ng\u01b0\u1eddi m\u1eb9 c\u0169ng nh\u1eadn th\u1ea5y m\u1ed9t s\u1ed1 c\u01a1n co th\u1eaft nh\u1eb9 v\u00e0o bu\u1ed5i t\u1ed1i ho\u1eb7c sau c\u00e1c b\u00e0i t\u1eadp th\u1ec3 ch\u1ea5t. Ng\u01b0\u1eddi m\u1eb9 c\u0169ng c\u00f3 th\u1ec3 c\u1ea3m th\u1ea5y ch\u00f3ng m\u1eb7t. C\u0169ng c\u00f3 th\u1ec3 c\u00f3 d\u1ecbch ti\u1ebft \u00e2m \u0111\u1ea1o v\u00e0 chu\u1ed9t r\u00fat ch\u00e2n.<\/p>\n<p style=\"text-align: center;\"><strong>Tam c\u00e1 nguy\u1ec7t th\u1ee9 ba<\/strong><\/p>\n<p>Tam c\u00e1 nguy\u1ec7t th\u1ee9 ba l\u00e0 giai \u0111o\u1ea1n cu\u1ed1i c\u1ee7a thai k\u1ef3. N\u00f3 k\u00e9o d\u00e0i kho\u1ea3ng 12 tu\u1ea7n. M\u1ed9t ph\u1ee5 n\u1eef mang thai b\u1eaft \u0111\u1ea7u lo l\u1eafng v\u1ec1 vi\u1ec7c sinh n\u1edf c\u1ee7a m\u00ecnh. M\u1ed9t s\u1ed1 thay \u0111\u1ed5i sinh l\u00fd \u0111i k\u00e8m v\u1edbi giai \u0111o\u1ea1n n\u00e0y trong thai k\u1ef3. Em b\u00e9 di chuy\u1ec3n th\u01b0\u1eddng xuy\u00ean h\u01a1n, c\u01a1 t\u1eed cung co l\u1ea1i th\u01b0\u1eddng xuy\u00ean h\u01a1n, s\u1ef1 th\u00f4i th\u00fac \u0111\u1ebfn ph\u00f2ng t\u1eafm t\u0103ng l\u00ean, c\u00f3 s\u1ef1 gia t\u0103ng trong d\u1ecbp \u1ee3 n\u00f3ng, ng\u1ef1c tr\u1edf n\u00ean n\u1ed5i b\u1eadt v\u00e0 d\u1ecbu d\u00e0ng h\u01a1n, c\u0169ng c\u00f3 m\u1ed9t kh\u00f3 kh\u0103n t\u00f4i ng\u1ee7 c\u0169ng nh\u01b0 c\u00e1c b\u1ed9 ph\u1eadn c\u01a1 th\u1ec3 s\u01b0ng \u0111\u1eb7c bi\u1ec7t l\u00e0 m\u1eaft c\u00e1 ch\u00e2n, m\u1eb7t v\u00e0 ng\u00f3n tay. Ngo\u00e0i ra, c\u00f3 \u0111\u1ecbnh ngh\u0129a l\u01b0u tr\u1eef c\u00e1c ion nh\u01b0 canxi v\u00e0 s\u1eaft. X\u01b0\u01a1ng c\u1ee7a thai nhi c\u0169ng \u0111\u01b0\u1ee3c ph\u00e1t tri\u1ec3n \u0111\u1ea7y \u0111\u1ee7 m\u1eb7c d\u00f9 kh\u00f4ng m\u1ea1nh m\u1ebd nh\u01b0 v\u1eady. \u0110\u1ebfn tu\u1ea7n th\u1ee9 36, thai nhi th\u01b0\u1eddng c\u01b0 tr\u00fa trong t\u1eed cung, \u0111\u1ea7u \u00fap xu\u1ed1ng c\u1ed5 t\u1eed cung.<\/p>\n<p style=\"text-align: center;\"><strong>Lao \u0111\u1ed9ng v\u00e0 giao h\u00e0ng<br \/>\n<\/strong><\/p>\n<p>Chuy\u1ec3n d\u1ea1 l\u00e0 qu\u00e1 tr\u00ecnh m\u00e0 thai nhi v\u00e0 nhau thai r\u1eddi kh\u1ecfi t\u1eed cung. N\u00f3 di\u1ec5n ra trong b\u1ed1n giai \u0111o\u1ea1n. Giai \u0111o\u1ea1n \u0111\u1ea7u ti\u00ean c\u1ee7a chuy\u1ec3n d\u1ea1 l\u00e0 m\u1ecfng v\u00e0 m\u1edf c\u1ed5 t\u1eed cung. C\u00e1c c\u01a1n co th\u1eaft c\u1ee7a t\u1eed cung g\u00e2y ra s\u1ef1 gi\u00e3n n\u1edf c\u1ee7a c\u1ed5 t\u1eed cung. C\u01b0\u1eddng \u0111\u1ed9 c\u1ee7a c\u00e1c c\u01a1n co th\u1eaft thay \u0111\u1ed5i t\u1eeb ng\u01b0\u1eddi n\u00e0y sang ng\u01b0\u1eddi kh\u00e1c, m\u1eb7c d\u00f9 c\u00e1c c\u01a1n co th\u1eaft tr\u1edf n\u00ean m\u1ea1nh m\u1ebd h\u01a1n theo th\u1eddi gian. H\u1ecd th\u01b0\u1eddng kh\u00f4ng tho\u1ea3i m\u00e1i v\u00e0 c\u0169ng c\u00f3 th\u1ec3 kh\u00f4ng \u0111au \u0111\u1edbn nh\u01b0 v\u1eady. Giai \u0111o\u1ea1n chuy\u1ec3n d\u1ea1 th\u1ee9 hai x\u1ea3y ra khi em b\u00e9 di chuy\u1ec3n qua \u00e2m \u0111\u1ea1o. C\u1ed5 t\u1eed cung b\u1ecb gi\u00e3n ho\u00e0n to\u00e0n \u1edf giai \u0111o\u1ea1n n\u00e0y v\u00e0 t\u1eed cung ti\u1ebfp t\u1ee5c co l\u1ea1i \u0111\u1ec3 \u0111\u1ea9y em b\u00e9. C\u00f3 c\u1ea3m gi\u00e1c \u00e1p l\u1ef1c d\u1eef d\u1ed9i v\u00e0 c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c so s\u00e1nh v\u1edbi m\u1ed9t phong tr\u00e0o ru\u1ed9t \u0111\u00e1ng k\u1ec3. H\u1ea7u h\u1ebft ph\u1ee5 n\u1eef \u0111\u1ec1u c\u00e1u k\u1ec9nh trong giai \u0111o\u1ea1n n\u00e0y v\u00e0 c\u00f3 th\u1ec3 kh\u00f4ng mu\u1ed1n b\u1ecb ch\u1ea1m v\u00e0o ho\u1eb7c n\u00f3i chuy\u1ec7n. V\u1ecbnh cu\u1ed1i c\u00f9ng di chuy\u1ec3n qua k\u00eanh sinh. Giai \u0111o\u1ea1n th\u1ee9 ba c\u1ee7a qu\u00e1 tr\u00ecnh l\u00e0 ph\u00e2n ph\u1ed1i nhau thai. T\u1eed cung ti\u1ebfp t\u1ee5c \u0111\u1ea9y cho \u0111\u1ebfn khi nhau thai b\u1ecb tr\u1ee5c xu\u1ea5t kho\u1ea3ng 15 ph\u00fat sau \u0111\u00f3; giai \u0111o\u1ea1n cu\u1ed1i c\u00f9ng c\u1ee7a lao \u0111\u1ed9ng l\u00e0 giai \u0111o\u1ea1n ph\u1ee5c h\u1ed3i. Em b\u00e9 \u0111\u01b0\u1ee3c sinh ra, v\u00e0 nhau thai b\u1ecb tr\u1ee5c xu\u1ea5t ho\u00e0n to\u00e0n. C\u00f3 m\u1ed9t c\u1ea3m gi\u00e1c vui m\u1eebng v\u00e0 nh\u1eb9 nh\u00f5m cho ng\u01b0\u1eddi m\u1eb9, em b\u00e9 c\u00f3 th\u1ec3 b\u1eaft \u0111\u1ea7u ch\u0103m s\u00f3c ngay l\u1eadp t\u1ee9c ho\u1eb7c mu\u1ed9n h\u01a1n. S\u1ef1 ph\u00e1t tri\u1ec3n c\u1ee7a con ng\u01b0\u1eddi t\u1eeb thai nhi sang em b\u00e9 l\u00e0 mang t\u00ednh bi\u1ec3u t\u01b0\u1ee3ng; qu\u00e1 tr\u00ecnh sinh n\u1edf l\u00e0 s\u1ef1 pha tr\u1ed9n gi\u1eefa c\u1ea3m x\u00fac v\u00e0 s\u1ef1 ng\u1ea1c nhi\u00ean, to\u00e0n b\u1ed9 qu\u00e1 tr\u00ecnh l\u00e0 ngo\u1ea1n m\u1ee5c v\u00e0 kh\u00f4ng th\u1ec3 hi\u1ec3u \u0111\u1ea7y \u0111\u1ee7.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>C\u00f3 l\u1ebd c\u00e2u h\u1ecfi h\u1ea5p d\u1eabn nh\u1ea5t l\u00e0 s\u1ef1 ph\u00e1t tri\u1ec3n c\u1ee7a thai nhi trong b\u1ee5ng m\u1eb9 th\u00e0nh em b\u00e9. Khoa h\u1ecdc \u0111\u00e3 may m\u1eafn m\u00f4 t\u1ea3 qu\u00e1 tr\u00ecnh n\u00e0y m\u1ed9t c\u00e1ch chi ti\u1ebft v\u00e0 v\u1edbi \u0111\u1ed9 ch\u00ednh x\u00e1c ch\u00ednh x\u00e1c. S\u1ef1 ph\u00e1t tri\u1ec3n c\u1ee7a thai nhi trong b\u1ee5ng m\u1eb9 di\u1ec5n ra trong ba giai [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":5239,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_crdt_document":"","tdm_status":"","tdm_grid_status":"","footnotes":""},"categories":[112],"tags":[],"class_list":{"0":"post-7030","1":"post","2":"type-post","3":"status-publish","4":"format-standard","5":"has-post-thumbnail","7":"category-suc-khoe-phu-nu"},"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.3 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Mang thai: Giai \u0111o\u1ea1n, Lao \u0111\u1ed9ng v\u00e0 Sinh n\u1edf - Healthcliner<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/healthcliner.com\/vi\/mang-thai-giai-doan-lao-dong-va-sinh-no\/\" \/>\n<meta property=\"og:locale\" content=\"vi_VN\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Mang thai: Giai \u0111o\u1ea1n, Lao \u0111\u1ed9ng v\u00e0 Sinh n\u1edf - Healthcliner\" \/>\n<meta property=\"og:description\" content=\"C\u00f3 l\u1ebd c\u00e2u h\u1ecfi h\u1ea5p d\u1eabn nh\u1ea5t l\u00e0 s\u1ef1 ph\u00e1t tri\u1ec3n c\u1ee7a thai nhi trong b\u1ee5ng m\u1eb9 th\u00e0nh em b\u00e9. 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