Thực trạng nạo phá thai và kiến thức về nạo phá thai của phụ nữ tại Hà Nội

ket hqrp dexamethason 4mg pha vbi nubc c it vua du

25ml, nh6m 2: gdy t6 ddm r6i thin kinh cdnh tay bing

lidocain liiu 7mg/kg vd 150ng adrenalin pha vbi nubc

cit vua du 25ml. Chung tdi rut ra m$t s6 k it ludn sau:

gSy t6 ddm r6i thin kinh cdnh tay dubng gian co bdc

thang b nhbm 1 dat k it qua v6 cam vd giam dau sau

phlu thudt t6t hon nhbm 2. Thbi gian tiim tdng cua

nhbm 1 (8,30 ± 1,28 phut) ngin hon so vbi nhbm 2 (13,45

± 2,06 phut) vbi p < 0,05. Thbi gian vb cdm vd giam

dau sau phlu thudt cua nhbm 1 (174,87 ± 11,06 phut)

ddi hon so vbi nhbm 2 (87,75 ± 17,13 phut) vbi p <

0,05. Tdc dyng khbng mong mu6n chi gdp hbi chung

Claude Bernard Horner 5% b nhbm 1 vd 2,5% b

nhbm 2 vbi p>0,05.

TAI LIEU THAM KHAO

1. Ali Movafegh “Dexamethasone added to lidocain

prolongs axillary brachial plexus blockade" Anesth Analg

2006; 102:263-7

2. Shrestha B.R. “Supraclavicular brachial plexus

block with and without dexamethasone - A comparative

study" Kathmandu University Medical Journal (2003)

Vol.1, No 3, 158-160

3. Shrestha S. “Comparative study between tramadol

and dexamethasone as an admixture in supraclavicular

brachial plexus block” J Nepal Med. Assoc. 2007:

46(168): 158-64

4. Vester Andersen T, Husum B et al (1984),

“Perivascular axillary block IV: blockade following 40, 50

or 60 ml of mepivacaine 1% with adrenaline", Acta

Anaesthesiol Scand, 28: 99 - 105.

THlfc TRANG NAO PHA THAI

VA KIEN THIJHC VE NAO PHA THAI CUA PHU NUT TAI HA NOI

t 6 m t A t

Nghidn ciru 1056 phu nCr den c ic ca sd Y te d i

n$o, p h i thai cho th iy t it ca nhCmg phy nCr nay deu

c6 <10 tudi tir 16 d in 48; 90,7% la ngu&i H i N6i;

52,0% din nao, p h i thai lin diu, 48,0% nao, p h i thai

tir lin 2 trd lin . Tudi thai bi nao p h i chu ySu tir 5 - 8

tuin (chiim 85,6%), so c6 tuoi thai Idn tir 16 tuan trd

lin chiim 14,4%; 96,8% doi tirong den nao p h i thai

diu d i b iit v i bi$n phip trinh thai, 97,1% biet inh

hu&ng cua vi$c nao, p h i thai d in sire khde nhwng ho

vin d i x iy ra tinh trang cd thai ngoai y muon do

khdng sir dijng b iin p hip trinh trai (55,6%) hoic sir

dying khdng dung cich (44,4%).

Tip khda: Nao p h i thai, b iin phip trinh thai, phu

nCr, H i NQi.

SUMMARY

Abortion situation and knowledge about

abortion of women in Hanoi.

The reasearch of 1056 women who came to

health facilities for abortion show that most most of

them are aged of 16 to 48. 90.7% of these women

were from Hanoi. In these number of women, 52.0%

came for abortion were first time pregnancy, 48.0% of

abortion cases were pregnanted from 2 or more

times. Abortions Gestational age mainly from 5-8

weeks (up 85.6%), with gestational age of 16 weeks

or more was 14.4%; 96.8% of abortions subjecst has

already known about contraception, 97.1% of them

understand the impact of abortion to health, but they

still have unwanted pregnancies because of not using

contraception (55.6%) or improper use (44.4%).

Keywords: abortion, contraception, female, Ha

Noi

HOANG OQe HANH, NGUY§N THI VAN ANH

S & y te H i Noi

DAT VAN 0£

Tai Hd Nbi, hien nay cb 177 co so y t6 cbng Idp

vd tu nhdn duoc cap phep tien hdnh cdc hoat dOng

ke hoach hoa gia dinh trong db cb thuc hi$n cdc bi6n

phdp nao phd thai vd dinh chi thai nghbn. Trubc tinh

hinh nao phd thai tai Ha Noi, ddc biet Id nao phd thai

b lira tuoi vj thanh nien, vbi su hb tro cua T6 chuc

Plan, chung toi da trien khai nghien cuu d i tim hieu

ve tinh hinh nao pha tai tai Hd Nbi tai cdc co so y t i

trong vd ngodi cbng lap. Nghien cuu cung nhdm thu

thap cdc thong tin de chi ra thdnh phln x§ h$i cua

nhung ngubi nao phd thai de cb th i xdy dung cdc

can thiep phu hop trong viec ngdn ngua/giam thiiu

tinh trang nao pha thai ngoai y muon cua phu nO vd

thanh thiiu nien.

MUC TIEU NGHIEN ClfU

-Mo ta thuc trang nao phd thai cua phy nO Hd Noi

tai cdc co so y te trong va ngodi cbng lap

-Danh gia hiiu b iit v i kiin thuc phbng trdnh thai,

nao, phd thai cua phu nu Hd Noi, dua ra d i xuat,

khuyen nghi han c h i tinh trang ndy.

o6 i tu q n g , P H um iG phAp n g h ie n c i>u

1. Obi tiromg: 1056 (100%) phu nu din nao phd

thai tai cac co so y t i trong thbi gian nghien cuu

2. Phuong phap

-T h iit ke nghiin ciru: Cdt ngang, mb ta k it hop

vbi phan tich nghien cuu djnh luong vd dinh tinh

-C6ng cu nghien ciru: Bang hbi thiit k i sdn duoc

cdc chuyen gia v i Dich t i hoc, Dan s6 vd K i hoach

hba gia dinh, gop y vd thu nghiem trubc khi dp dyng

-X ir ly so lieu: bdng chuong trinh phin phim

SPSS 18.0 vbi do tin cdy 95%.

-Thaigian nghien ciru: 20/9 din 20/10/2011

Y HOC THVC HANH (90S) - SO 2/2014 9