Kết thúc thai sản ở phụ nữ nông thôn và yếu tố nguy cơ

TCNCYHphu trWdng 71 (6) - 2010

higher rate in the intervention group than the control. Cholesterol, triglycerides, LDL - C reduction

compared with baseline and compared with the control (p < 0.05), while HDL - C concentrations

increased (p < 0.05). The pliability of fecal also improved and increased the ease of bowel movement of

the intervention than the control group (p < 0.01). Conclusions: 20g Polydextrose/day supplement help

improved anthropometry indexes, blood biochemical indicators and the pliability of fecal.

Key words: overweight - obesity, lipidemia disorder, Polydextrose

KET THUC THAI SAN CUA PHU N Q NONG THON

VA YEU TO NGUY CO

Nguyin Thj Kim Chuc, Nguyen Dffe Hinh

TrUdng Dai hoc Y Ha Noi

Cac kdt qua mang thai trong cdng dong la nhdng chi so y te quan trong. Muc tieu: phan tich ket qua

mang thai cua phu nO tai mot quan the duoc theo ddi chat che, xac dinh cac nhdm nguy ca va de xuat bien

phap phdng ngda. Doi tUgng va phuang phap nghien cdu: nghien cdu thuan tap dua tren cdng dong tai

huyen Ba VI vdi 5838 trudng hap mang thai td 01/01/1999 den 30/6/2004. Ket qua cd 4152 (79%o) ca sinh

sdng, 67 (l,3%o) trddng hap thai chet luu, 733 (14%o) lan pha thai va 282 (5,4%,) ca say thai. Nguy ca sinh tai

nha cao ddi vdi phu nd thieu sd (OR = 1,85; 95%o Cl = 1,06 - 3,24) va phu nd cd van hda tieu hoc

(OR = 7,36; 95%oCI = 3',54 - 15,30). Ket luan: nguy ca thai chet Idu cao ddi vdi dan tdc thieu sd (OR = 6,34;

95%o Cl = 1,33 - 30,29) va phu nO sinh tai nha (OR = 6,81; 95%o Cl = 2,40 - 19,30). Nguy ca pha thai tang

theo tuoi me. Khuyen nghi: can quan tam den vi$c ta van va thac hien ke hoach hda gia dinh, cham sdc sClc

khde ba me cho phu nd. Chinh sach can duac xay dung dinh hudng tdi cac nhdm cd nguy cd cao.

Til khoa: ke't thuc thai san, ye'u td nguy cd

I. DAT VAN DE

Ke't qui mang thai trong quIn the dan cii la

mpt nhdm trong d c chi sd y te cpng ddng quan

trpng de danh gi l tinh trang sdc khoe sinh sin.

CIc ket qua bat ldi khi mang thai nhU sl y thai va

thai chet lifU tac dpng nghiem trpng den sdc khde

ndi chung va sinh sin cua ngUdi phu nO ndi rieng

[1,2]. CIc ye'u td nguy cd ddi vdi ke't qu i mang

thai lien quan chat che vdi tien sd sinh sin, benh

tat dang mac, dieu kien kinh te xa hpi va cac tac

nhan khIc nhU kh i nang tiep can, chl't lUpng

cham sdc sdc khde ba me [2, 4].

•,' . Viet Nam la mpt trong nhOng nUdc cd ty le ph i

thai cao nha't the gidi. Nam 1996, khoing 83 ca tren

1.000 phu nO tudi td 15 - 44 [8, 9]. Mac du khdng

phai la mpt ke't qua bat ldi, ph i thai vi n la mpt that

bai trong sd dung d c phUdng phIp ngOa thai [6].

Nghien cdu phan tfch In h hudng cua d c yeu

td nhan khau hpe - xa hdi hpe de'n ket qui thai

san. Muc tieu: Phan tich cac hinh thdc kit thUc

ciia tat ca trUdng hgp mang thai dugc bao cao

trong mpt khu vUc dan cUnong thon dugc theo doi

chat che, tif do xac djnh cac nhom nguy ca ddi vdi

ke't qua thai san va de xuat cac bien phap phdng

ngda.

II. DOI TUONG VA PHUONG PHAP

NGHIEN CLfu

Nghien cdu dupc thUc hien tai Ba Vi, mpt

huyen cua tinh Ha Tay, nay thuoc Ha Npi, vdi sd

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