San n A cothai

Phukhoa scomoci
- ~
1 Va TC MNethap TK Necaw -

Songthai Tinh to that

i Sang loc
.

↓
[Mieckham & A mic sinch
BT
2 .
Unang Lichkham thai ↳-

3 Vim phan plus Skthai whi

W

-
.

ThaingoaiTC Tanghuyetap 42
thng-Thaiphuf
4 .

IK birh
5e
throng TK bat ai thas sing TK

I
Sichkho-Ngobatthuong
se
↓
I
Phikhoa + Thai
ga a
Fr
I
the
: vo non - som ↳saday
1
-
-

↑ Benh mantih
~

Chugen da
-
,

Thai
sinh non
+

t
-
-

·
-

·
tring
S

tren-ked dar
-

Chuyendanging ten
Thai nhi-Thai cham tang
↓
I
-
-

Kli phat chuyen da Thai my

Sarh throng
ce Sankm eh
Thai gia-ang

I Phanphu-Da-Thin
-

int L HC chay
-

Sarh
·
Qui e -
I /

I sonhauthung I Phaw-that
TK
Be gr
MLT
man

S
-
Coche'sanh o
Hu san < I

Kham san sanh

I
,
-

I Nhan sai rang loc

↳
-

I Cat
MLT
Boinhau(x) tao
-

+ Hsc (Apgar) Scham soc thiet ye I

↳ Han phau
SM
-

I
may
PXnguyen phat
-

V
-

1 Charn soo me
Vany da
.
-

Sausanh 2 Nuticon =

same
Bang huyt sanh
Bi
C
.

me sau
-

3 BP tranh thai
(newsap)
S
.

Tim dung-Sangloc SS
4 Tw van ra vien.
 + Kham chai-twochai
3 chang da
+ Xuat huyet ① saiy thai
② Thaingoi TC

③ Benhnguyen bo min
 Chan doan thai
Trenching
I
LS : 3 nhom chink .

1 Hong toi cothai (20-305) :

Tre kinh-Bao whien

ngay l nekinh)
-

I
A phanbit
-
cas win
S
shing som (M1-ci M3)
- Vetien ho :
non ,
buin non .

Verhan kink-nor Tre Hich irh di kichtlich, chan an, them an this
-
gi
:

It' , bon ngu hay met mir

, .

+ Vitiet He rat nien

:
I
shung thang dai (Pb : NTTi) .

dor8 vi lich these , Frh mach divi da nonhien

/

Thay Tang :

,
quang
thain dai ac hat
/
man ,
Montgomery nor ro .

- Nim mac ai tau -im (Dan Jacquerier/Charwick) .

-
Chai
whay CTC daclai .

e
-

Tang sac to da :

Thong's dring givia de thank bung ,

vi , mat .

2 Co the :whai (502) tiong muon him :

-
Bung lon Th san M3 , so thay te qua thank bung
S
:

-
.

Congo Braxton-Hicks W9-18 con go khong di, thing gay tan

- :

, .

Dai Noble (W6) Than te to lin & tron ea- Kham AA bang tay
E
- : .

-
Dan Hegar (W8) Phan dia Te min na so vo than te.
:
,

-
Bap birth thai (W26-28)
 3 Chachan is thai
Tim thai -may Doppler (W10-12)
W
-

ang nghe (W18-20)

~
dinham DM di bung
-
So dro phan thai Leopold :

-
Sin am :

+
Thay thethai-aidi *D (W5)
I
.

Dair dobung (W6) .

Can unc W6-7

+

plion .

+ Tin thai W7-8 .

Hoat ding thai W9 .

· Didoan with ai :
AK ORL10 -184mm
Tric W14 Chin
daidanmong (CRL)
:

-
.

: ·

Twthai (w) =

(RL(mm) +
6 5 .
14d .

- Sam W14 :

drongkink hing dich (BPD)

Van Hirh=
San WIL thai
ngay cang non cong CRL
whing
-
· ,

doi thai
-
to the
trung tinh .

Chirklich & sin ain

binh

· :

+ goizw : cherh 5d+ SA , .

cherh 7d - SA
*
+ go - 14 w
:

· CRL> 7mm +

Khong ed hot tim phai -

Thai schet (thaili? )
Coc phaining this chai
 KHAM THAl

LICH KHAM TAl

· 3
thang dan (Ngay dan
binh

mor -136n)
-
Lan 1 :
Tikinh 2-3 n
-
Lan 2 : Luc 11W-
 Ibnockham thaidung
SSham thai
14w
Lich
i kham ihai

⑤ thang dai (Ngay dai kinh enor -134w)

·

+ Landau : sau trekinh 2-3w ⑧ .

I ?? 9-1Ow NIPT:
2-3w ???
3 CoGS CD Gaming
lanRlct1-136/twdesanglocate SheSee
.

-> Di sanh (Vaco

↳a sing delap hisil

·

cor (29w-40w)
· 3
Thang Lan 2 Lan 11 2w
lan
:

+ W29-32 :

1 .

+
W33-35 : 2w/1lain .
Qu 1 : NO diFt BS r
↳

+
W36-40 :

1n/Ilan +
Bat thuong
>
NST

Chry :

- Lich kham shai se thay do nen es eac bat throng

(taubungranuce,Mahatdong ,

, vi sinh i
,
en

hoat , tai kham , Tier non van

S
.

+
Bosung :

Sat Ten bit dricc/LS

30-60mg/ngay lic doi
Acid folic 400-1000 ng/ngayI Suthai ki
Sat nat ?
Cancei 1000-1500
mg/ngay Canyi ?
3
·
shang da

Muc dich :
-

+ Xac cothai inh

dirh
·
hang thai so'hiong chai , , . Ngay di sank :

Xac dirh zuo Thai

ngay di sanh Shenh5d Kinh chot
+
-
:

I
, .

+ Dark gia sc khoe eia me :

no khoa ,
ngoaikhoa ,
-
Chenh 5d , : Sin am

chainghin .
+
Qui 1 :
CRL

+
CRL> 84mm = BPD
Vie phai lam
-

:
v

+ Hoberh :
S

· Tien si bein than/gia dirh

· Vilan mang thai nay
+ Kharn tong quat .

+
Kham san-phukhoa .
 +

xetnghiem :
~
Thalassemia

Cong shic man Thier Sang locsm ATA thai by

·
dong cam man whiem
S

Me :

man
, ,

HBsAg) drng man

.

BMI>29
- ing (HIV
e
+

, ,

Rh(-)
Rheas-Sang loc
/

Nhom Tier si ca
/

· man ,
-
chan/gia
Nice Fi Thing
/

10 so dirh ADA
· :

Mang/trus
Thai Vinthai twirthai tim thai Turn
/

· Sinai :
, , ,
thainghen
Mangthai . Dode modagay (11-1361n) *
Combine test
& Double test
· Lich Tiem
↳
VAT/thaiphur :

r
WAT1
cang som cang tot Tim VAT 2 mi cho
:

.
*

VAT2 :
Cach VAT1, 1
thang va mis sinh thaiphe chia tiem lan
1 now hoac t be edtiem
thang .

BH , HG UV
VAT3 thai ki each VAT 2 6thang
.
:
saw , .
,

Tim de 5 mui)
VATK :
thai ki saw , each VAT3 I nam *
1Cy
whr lai
.

-> 1 mi
VAT5 :
Thai ki sau , each VAT4 1 nam .

3
Thang giva
-
Mrs dich:
+
Dank gia su phat trienthai .

+ Dark gia suc khoe me .

Vic phai lam :

TWOY THAl
THAI KY NGUYCO
 ↑

Chuyen da Theo doi

gi ?
"da
chan danCheyenne P
ene
-

T/g

-Daubingtingcon3 comA OPCanPhong Motating

e tr/ch
-
CoT2 so hit hor gan het & nen dam, Sem
thi chac chan .

-
Thank lay dai or

Chuyen da that Chuyen dagia I -

chuyen da that :

(Co --> Ther the)

Tien Win Tang dan
~sheo that thei din
blong nang
- -

Con ong , ,

co
qua ~da den
trich chugen :

khong'
tang- len roset v
~

theung
~

dan mankendeene
, tan so & cong do.
dau houdau
Khong gay Go di dan H/gco
,
--
,
rutgant/gnghi
Xoamic dan thes -
CTC bien do , ma
rong cic hair whic
Hin Mien
e blong
qua
such --
sau mot
trung chuyn da this gian the dii.

Dan
!

Dashanhlap Catharh lap

Gai doan diachuyen da

(Bat dan curren da
-
L

Giai doan 1 :
Xoa moCTC GA kes dai nhat eu
ITC mohit)
L

den bli churn da

-
la Phatiem tang (8gi)
:

Bat dan soa /

Tg
:

15 gio 1
den bli n 3 un .

+ 1b Pharich dio I
(Agi) : Ma den
10cm (matron) .

:
-

Giaidoan 2 Sthai v
(Monon den khithai Tg 30p :
2
so -
rangoce Max 1
gid :

WhauThausoangaie
Gaidsan3 Sar
i
T/gM3 15-30p 3
-

whau)
Conso correc
GE 1 6-18h 2-18h

GA2 30 -
60p 5 -
30p
GA 3 0- 30p 8-30p
i vo vokhi chia
Tvonon
non la
vochuyen da

I
Lamsang
-
Ramiocam dao sira hay dot got long whien , ↳
-

Tinhchat duc lon con darh s

:

↳
, ,
trong rang
, ,
am
W
.

-
Dat movit chay rat of rung
L
:

thay miscon
Kham At
bang tay Chanch) dich or chay
ih Kham·whien de
i
20
: -
-

gant cothe'so thay mang o (or vo con mang)

/ = r
whiem e
ing
or
-

, ,

khong shay mango (ovohoantoan) .

sirch
Dong bang
-

ve .

i -
*
NHIEM TRUNG Ol
Dan hien him sing toan than .

Cham TC dau dich or ranh den hor , ,

.

Can lamsang pHam dao(acid) 4 5-5 5

↳
:

, ,

PH mic (kier)
7-7 5
gitythe (manvang)
Nitrazine test
" do sanh dam
:

sang
-

·Hmi Ten(acid)
:

/
I
1) gia dich nh TC man iih dich nuoc tr ddsat blan
:

, , ↳
,
99
, I

Chung nghier ket tinh hinh la drang

vo tri eng sau
I

am da-phet lin phien kinh-ha·

~ bet
si que iho
:

quet -

Feining
I test

1965 racdinh)
-
Mich mus sinh the Nach
lading ni
-
-
Amnisure test : PAMG-1 (sac ky) a

Sienam
Khang cogia in A,
ghilai long mice Or
- :

Xetnghiem :

CTM Dark BC morSh sau or vo.

+
gia stang
:

lay dich It lam

-

-
:

Chan don whiem

nung o
- St .

-
Mach me 1001/p .

- niachcon1601/p
!
.

-
Temem , dan .

- Sain dich ho .

-
BC> 15K .

- CRP> 20 mg/L .
Yeatothean a&ngug enshare h

dng ,
ve e
Sich be

-
Hut thuc .

- Tien can sich non or vonon , .

-
Chin dai CTangantrung lan mang thai nay .

- Nhiem iring #D .

-
Da da thai , .

Ngor bat thesong .

Khong songuyen whan

-

Nguy's the ray ro saw vo (this tothai & dangavi) -

Sau : #903
, thai
Thin sain caccoquan thai nhi (8thainho)
dithng 37u) Se
-

,
~

day
cluyen da sanh trung
-
Sa ron .

Nhiem rung
-

Nhiming or - so sinh .

ving 24h .

Nhoubong non .

Say thai (co the do day ron bi chen ep)

-

X tre
-

↳ yen to can dark gia : 3 van de

~
Tu Thai
+
. -
Saday -
ron 2

-capain (Sadayron) .
-
Nhiem
King or.
Chuyin da. Thai
/

-
i
+ non
thang .

Nhiemtrung r
-
+
-
·
Nguyen tacchung :

-
Hanche' kham AD .

v
-

logng sinh is
duong AD

phat chugen da (chi so Bishop) Balshaphat ch'da

~P
-
Khoi .

· Thi die cham dut thai ki :

Thothai 34w
(Khong qua37w)
-

PPcham dit T
.

- Cham dut thai by ngay:

-
Vochungen da Thic se ,
CTC ,
3amkhongthe Sa day on
ngan chan chiren da
-

↳
euoc .

Vochnyin da This si
-
,
CTC3cm+thuss Thurs gian
gi
giam go khang qua. ·
hieu ↳ Kohqud /g saw ?
+ Thai di
thang 37w .

SadayIon/Thaisy/whim Mining LS/CS

-

-
 · Tri hoan cham dit thaiky-
Cortisteroid hote
Tamngan chan chruyen da Mong 24-48h de
-

auc
- -

phathainhi (1 dit)
hon: Phothai nhi vikem Theo :

Thai 26-34w
Khang NT or
-

+ W

,
+
Davochuyen da Thic si CTC3cm .
28-3kw thuong qui
↓
· CacPP cham dit Thai ki : 26-27. u cannhac
Celestere
-

Chuyen da Hinhien .
Betamethason
Betene
12 2
Khorphatchuyen da
x
mg
i ach whau 24h)
-

Nolay thai Isa day ron/Ngabatthng/PDthtbai) Dexamethasone

* Thai di
thang chia whiem King o , 6mgx4
/Dexaron :

-
Dac chuyen da
~

chugen daMinhien
-
each
Theo d shan STB 12h)
- * Chien quasau 24-48h
-

Chriachuyen da-Theo d chugen daMinhien , => Than c D it nhat

new sau 12hr
vokhang Dihric s do con go tha 24 gi .

tang sau1Chovo
-> co
Oxytocin Ding KS
= -
.

machia sinh
* Thai x 34w , chia NT :
thai non
thang
?
- 50 vooD i nhien san 48h- Trihon
i
thai hay
CDT de hot! Pho + Theo di chuyen daMinhien .
duong
CDT
Hair quaNT
Nhiemning
a
*
drong the col
or
GA
-

Khang sinh lien caophor hop .

hitr Phkhong ?
Cham det thai ki :
!

KSO NTa ?
+
Tang co saw KS 3Ophut ,
khing qua 4 giv
Thuan loi->Theo dii
sinh

Khing than lai+ Molay thai

C

+ -
,

Schengacki hut sacho) ,

· Han che'NT or
v

- Hanche
-
kham AD bang tay .

-
bang or sinh
Dat .

disphing Thai 34m vo

-Khang
sinh

: non

cochi dich drong thai tip tuc ↳

- Theodoid h NTo : .
 KHANG DYPHONG Angay)
SINH NT :
Y LENH
Ampicillin 29 (TM) /6h x 48h

(u) Livin what lis NV

+
Azithromycin 19 day
=> Amoxicillin 500mg (n) 1vx3/ngay x
5 ngay

Ampicillin 2g (TM) /Ch x

48h

/ 6h
mg (n)
+

Erythromycin 250 x 48h

=> Amoxicillin 500
mg (u)
Avx
3/ngay x
5 ngay
+
Erythromycin 500
mg
(u) 1vx3 /ngay x 5
ngay

· Ding vo siren :

Clindamycin 900
my
(TTM) /Sh x 48h

Gentamycin 5-7 mg/kg (TTM) /24h 48h

* x
+

day what his NV

lin

+ Azithromycin Ig (u)
(u) /Sh
-Cindamycin
i

300 x 5
my ng
rang =
ec-105

If
KHY PHAT CHUYEN DA
d

Lachidong tao con co TC

bang pp es ho hay lang
zio khi is i when say ra.
in
thud
Muc dich
L
:
CDK bang sanh ngd AD mang ving 24-48h .

Chi stisch :
-

Dome :

-
+ Vorte nhien Whem tringi .
I
.

Nhau T la CCA
- Tier san giat san giat
Chuyen da
.
,

Mecoberh l ad Hib dechnan bi :

.
PT cam: ,
, hoa tri .

+
ATA type I .

-
Do Thai :
+

Me bi DTD ·
.

- Thai cham
tang W
trong Mong bung ti cung .

+ Thai qua ngay .

+
Thai ditas bam sinh .
 Chong chi dirh :

-
Seo mocia/h
w
den chat long coTC (seo mode than fi
ang lay seo bod UxTC)
thai ,

Batang dan chan. W

Ng bat thing Ngingang ngortan

- :

,
.

Tien da Mung tam ban

-

Nhau
-

-
,
rung tam
e
day ron
-

Sa .

-
Thai non thang .

-
D sanh whit lan .

-
-
Herpes sinh ducdang tien tren ,
K cot rung .

Dark gia ini KPCD :

B1 :
No in Thai
B2 :

Alg suc khoe thai nhi Sic khoe I

.
me
AD
B3 CA & CCA
nga
sinh

B4 . ) Didoan bla nang

Bishop Thai trng thank C
2

:
KPCD
Khain do
L
xoa mi
ots lot CT2
,

· Sick by chuyen da :

chin
-
-
eis nur

Cin
-

go

Dia vo chi so Bishop de hia chan bien pha KPCD :

Bishop 7 ??
-

Bishop <5 (CTC Khong thuan loi) lar chin mii

chin
:

loc laminaria mii ?

CTC :
Prostaglandin Foley , ,
CRB , ,
.

Bishop5 (CTC than loi) Oxytocin hoac oxytocin

:

bit hop bam or

1 PP cohos PP KPCD :

U the lar chin mir

Kich thich min vie (Oaytocin nor sinh)
-

- .

CTC
v

(Prostaglandin nor sinh)

.

-
Loc hi
the taw con
go
.

-
In
-
Bain or him ↑

laminaria
I

Nongco hoc :
,
Foley ,
CRB -
Ca2 tas dung .

Lach mang or ·Prostagland such)

-

nor
.

Lignli i dain
2 PP hoahoc
-

Prostaglandin Es

E1
-

Prostaglandin
-

Oxytocin

Binching KPCD :
I a

E
tang co
·
/
CO
->
glam
 -

--
#I "G
SAN ""Il
I GIA -
-
-
-

~skme h van con san

Thai-+ trch TA (dau dan) : Chain dutthaiki e
/ Ne
git
I
vie me
-

+
nien phil
Trch Totam I ch da
Mong
? & HC HELLP
+ daw
thing vi ; hong(P) nang
SK con Nonstress test
-

HAY
TSG kod h
MySOpcOSD faikeodai 12-24hh san
x .
: :

Twi thai
+tech cuc b ly I
&

-Ne Aughingai DD
/ .

Theo doi : :

I Con-Dein A thai ch da/vo

,
.

IS YINC TSG Koching NSAIDS .

1
.

2 .
Can so
Beophi S
I
INon-stress test
CS : AFI
Dathai thai ve TSG d h
3
-ung x
rang I <23w
-
:

II
,
.

I
.

Melontnor k 35t) 23-329n

W

4 .

5 TS TSG.
-
SG 33-34w
6 THA man, D ,
. benh than , lupus >3 4W
>3 7w
S

7 . BGD me , :
chi gai TSG ~
Thro Chong THA
*
· -

&DP co
giat
I

RL THA thai kij HA A TSG(ACOG2014) TSG cod h

nang : 1/5 d h
&

Damnieu :

.
.

+1-
-

1 HC TSG.
-
SG ↑ > W28 THA :

HATTY 14 Ohoc HATTr90 1 HATT, 160 hoc HATT+, 110

E
↑
by
↳

2 TA thai =>>
.

W28
=>
/24 / Dipstick
-

provieu 300mg
.

3 TA ↑tr MT/weo It 2 TC <100K/mm3

↑
man
-
n
.
, .

HiAman hoac pro/cre> 0

↑
4. TSG tre MT 3
t ,
do bth,
tang gap
,
3 Men
.

r
.

gan
④ Koco pronie ,
1 TC <100K/mm3
1/5d h .
:
dan
whin

ha son (P)
.

hor daw
thing vi. kod/i
IS CTMITinican Hb , Hot) ; Dien giai do hos
Creht>1 1 gai's di
E

mg/dL
I

,
2
thuss &
Gocong(x) I
.
, -

Chic nang gan

-

makhing : bish by than

.

cre bth
1
· 4 Creat>1 mg/dL
.

"nang than
Chuc I
3 .

Men gan tang gap 2 lan bth

.
,

Phil phon
.

Hong
>

man
4 Phil 5
phor"
-

Trich no & shi

.

5 .

Tr/ch now & this giac .

6 .

giac
1 .
(sche binh sinh TSG .

2 Thus's.
chong tang HA .

Xi i
3
Diphing giat giat
bli

. so .
co
⑰2018
HIP DIP IDT TK) Atrioccothai
trug
:
-

Hang &H thaiki)

L GDM (DTA R) :

A lan dain trong khimang thai

Insulin
en
Potas try .

en

The the"
glycoprotein xuyer many
:

ngue achayEnGoa glucose

Td :
Tick ti
glucose ,
a .
bes , a .
a
, non & lipa

Thai by bink
invong co si tang sinh ca TBB- tang sxuat insulin (vicao fairing equat insulin ?)