Phng trnh chuyn d ko di

Nguyn l xy dng sn , model WHO 1993

u Nht Lun, 2010. B mn Ph Sn i hc Y Dc TP. HCM. Tc gi gi bn quyn

M u

Phng trnh chuyn d ko di l mt thch thc ton

cu. Theo di chuyn d l mt vn cn bn trong
chng trnh Sn Ph khoa ca sinh vin nm th T cc
trng i hc Y, i hi sinh vin phi hiu r v cc
nguyn l thc hin. L vn thng thc nn sinh
vin cn phi hiu thu o nhng chi tit c trnh by.
Bi ging in t-t hc ny c bin son vi mc ch
gip sinh vin c th t hc v tm hiu thm v cc
nguyn l m WHO dng xy dng nn sn .
Mong cc bn s hi lng khi s dng ti liu in t ny.
Tc gi chc cc bn thnh cng.

Hng dn s dng

n mc lc chnh
n trang u ca mt ni dung
Tr v trang u ca mt ni dung
A Thng tin thm v mt chi tit
Tr li bi ging cn bn
Mc tiu bi ging
Xem p n cu hi t lng gi

Mc tiu bi ging dnh cho sinh vin Y4

1.
2.
3.

4.

5.

6.

M t c biu Friedman
M t nhng nhn nh ca Philpott RH v Castle WM
Phn tch c cc c s m WHO xy dng ng
bo ng trong Partograph, model WHO 1993
Phn tch c cc c s m WHO dng xc nh
v tr ca ng hnh ng trong Partograph, model
WHO 1993
Trnh by c ngha ca cc vng phn nh trn
Partograph, model WHO 1993
Trnh by c gi tr ca vic s dng Partograph,
model WHO 1993

Ti liu tham kho

http://whqlibdoc.who.int/hq/1993/WHO_FHE_MSM_93.
9.pdf
Bn Vit ng dch t nguyn bn Anh ng ca ti liu ny
c th tm c b mn Ph Sn, i hc Y Dc TP.
H Ch Minh. Lin h mail box ca b mn Ph Sn
HYD TPHCM elearningsanhungvuong@gmail.com
http://whqlibdoc.who.int/publications/2006/9241546662_
4_eng.pdf

Index
1.
2.
3.
4.

S cn thit phi phng trnh chuyn d ko di

T biu Friedman n Partograph model WHO 93
Gi tr ca Partograph, model WHO 93
Test t lng gi sau hc

Childbirth
Women were told to prepare for their death

Childbirth was considered so deadly

back then, the church told women to
confess their sins, and prepare their will
because god forbid if you were a good
Christian in this life, you'll probably
burn for all eternity in the afterlife. Get
ready to die from one of the worst pains
you'll feel in this one
Midwives were important to the Church
due to their role in emergency baptisms
and were regulated by Roman Catholic
law

5.105 trng hp t vong m mi nm trn th gii

99% l cc nc ang pht trin

450 ph n cht cho mi 105 trng hp sinh sng

Bng huyt sau sanh, nhim khun thng gp nht

70% do
V TC
Chuyn d
tc nghn

Hu qu ca chuyn d ko di rt nng n
C th phng trnh c chuyn d ko di

Nguyn nhn chnh ca chuyn d ko di

Bt xng u chu

Chuyn d tc nghn

V t cung

ng d

Cn co t cung khng
H qu ca chuyn d ko di

Nhim khun

Bng huyt sau sanh

Nhim khun s sinh

Phng trnh chuyn d ko di mang li li ch ln

Phng tin hu hiu cho mc ch ny: Sn

S dng sn lm gim c ngha chuyn d ko di,

t vong chu sinh v t l m sanh

S dng sn lm gim c ngha chuyn d ko di,

s dng thuc, t vong chu sinh v t l m sanh

Biu Friedman, 1954: C s xy dng sn

50th centile
Con so nhanh hn con r
T khi c t cung m >3cm

Hendricks, 1969: Nhng nhn xt quan trng

50th centile
Con so khng khc con r
Khng tn ti pha gim tc

Philpott, 1972: Tin thn ca ng bo ng

10th centile th hin m chm
M t hn 1cm / gi gi l chm
p dng cho mi dn s

 m c t cung pha tim thi l <3cm

di ca pha tim thi l bt nh

 m c t cung pha hot ng l 3cm

Tc m c t cung ti thiu l 1cm mi gi

ng bo ng nm khu vc ghi pha hot ng

Phn nh gia m c t cung nhanh v chm

Khu vc c t cung m nhanh

hn tc m ti thiu

Khu vc c t cung m chm

hn tc m ti thiu

ng hnh ng cnh bo ht hn iu chnh

Phn nh gia ch i v hnh ng tch cc
Di d lm can thip mun
Ngn d lm can thip non
Pha hot ng ti a 12 gi

Khu vc khng c
php tr hon thm

Khu vc di 4 gi cho php

thc hin iu chnh khi
chuyn d chm

Sn , model ca T chc Y t Th gii, 1993

Cng c thc hnh phng trnh chuyn d ko di

Th nghim a trung tm kim chng : Kiu sanh

khi sn khng chm v chm ng hnh ng

Gi tr ca sn

Sn ci thin qun l chuyn d v kt cc thai k

mi cp ca n v chm sc y t

Cn thit cho cc n v chm sc y t thiu cn b
c o to chuyn su

H tr c lc cho n v chm sc y t tuyn cao
Mang li s an ton cho thai ph v s sinh
Ci thin v nng cao hiu qu ca hun luyn thc hnh
sn khoa

The World Health Organization

www.who.int

T lng gi sau hc
MCQ 1

Hendricks c 2 nhn nh v biu Friedman nh trnh

by di y. Hy ch ra nhn xt no l quan trng nht
m Philpott v WHO cn c vo xy dng nn
sn model WHO 1993
a. Khng tn ti mt thi k gim tc khi c t cung
m gn hon ton
b. Khng c s khc bit ln v tc m c t cung
ngi con so v con r

T lng gi sau hc
MCQ 2

Philpott v ng bo ng cn c vo, chn cc cu sai

a. 10th centile ca m c t cung dn s l nhng
ngi sanh thng
b. 10th centile ca m c t cung dn s l nhng
ngi sanh bng th thut hoc sanh m
c. 10th centile ca m c t cung dn s l nhng
ngi c chuyn d ko di
d. 10th centile ca m c t cung dn s l nhng
thai ph chuyn d sanh con so
e. 10th centile ca m c t cung dn s l nhng
thai ph chuyn d sanh con r

T lng gi sau hc
MCQ 3

WHO v ng hnh ng cn c vo, chn cc cu sai

a. nh ngha chuyn d ko di l chuyn d c thi
gian ko di trn 12 gi
b. Cc nghin cu cho thy khi khong cch t ng
bo ng n ng hnh ng qu ngn s lm tng
thi qu cc can thip
c. Cc nghin cu cho thy khi khong cch t ng
bo ng n ng hnh ng qu di s lm xu i
kt cc ca chuyn d
d. Khong thi gian nhn ra bt thng, can thip
v sau nh gi li can thip

T lng gi sau hc
MCQ 4

Biu bn Tri ng bo ng, chn mt cu ng

a. Gi mt cuc chuyn d bnh thng
b. D bo mt cuc chuyn d bnh thng
c. Th hin mt cuc chuyn d bnh thng
d. Xc nh mt cuc chuyn d bnh thng

T lng gi sau hc
MCQ 5

Biu bn Phi ng bo ng, chn mt cu ng

a. Gi mt cuc chuyn d bt thng
b. D bo mt cuc chuyn d bt thng
c. Th hin mt cuc chuyn d bt thng
d. Xc nh mt cuc chuyn d bt thng

T lng gi sau hc
Vn 6

Hy vo
www.who.int ,
tm ti liu v
dng chng
phn tch, nh
gi mt model
sn khc ca
WHO, c gi
l simplified
partograph
(hnh bn)

T lng gi sau hc
MCQ 1

Hendricks c 2 nhn nh v biu Friedman nh trnh

by di y. Hy ch ra nhn xt no l quan trng nht
m Philpott v WHO cn c vo xy dng nn
sn model WHO 1993
a. Khng tn ti mt thi k gim tc khi c t cung
m gn hon ton
b. Khng c s khc bit ln v tc m c t cung
ngi con so v con r

T lng gi sau hc
MCQ 2

Philpott v ng bo ng cn c vo, chn cc cu sai

a. 10th centile ca m c t cung dn s l nhng
ngi sanh thng
b. 10th centile ca m c t cung dn s l nhng
ngi sanh bng th thut hoc sanh m
c. 10th centile ca m c t cung dn s l nhng
ngi c chuyn d ko di
d. 10th centile ca m c t cung dn s l nhng
thai ph chuyn d sanh con so
e. 10th centile ca m c t cung dn s l nhng
thai ph chuyn d sanh con r

T lng gi sau hc
MCQ 3

WHO v ng hnh ng cn c vo, chn cc cu sai

a. nh ngha chuyn d ko di l chuyn d c thi
gian ko di trn 12 gi
b. Cc nghin cu cho thy khi khong cch t ng
bo ng n ng hnh ng qu ngn s lm tng
thi qu cc can thip
c. Cc nghin cu cho thy khi khong cch t ng
bo ng n ng hnh ng qu di s lm xu i
kt cc ca chuyn d
d. Khong thi gian nhn ra bt thng, can thip
v sau nh gi li can thip

T lng gi sau hc
MCQ 4

Biu bn Tri ng bo ng, chn mt cu ng

a. Gi mt cuc chuyn d bnh thng
b. D bo mt cuc chuyn d bnh thng
c. Th hin mt cuc chuyn d bnh thng
d. Xc nh mt cuc chuyn d bnh thng

T lng gi sau hc
MCQ 5

Biu bn Phi ng bo ng, chn mt cu ng

a. Gi mt cuc chuyn d bt thng
b. D bo mt cuc chuyn d bt thng
c. Th hin mt cuc chuyn d bt thng
d. Xc nh mt cuc chuyn d bt thng

T lng gi sau hc
Vn 6

Bn s tm c cu tr li
http://whqlibdoc.who.int/publi
cations/2006/9241546662_4_
eng.pdf