Tng quan v nguyn l hi sc

Tng quan v nguyn l hi scTng quan v nguyn l hi scNi dung bi hcCc thay i v sinh l xy ra lc Lu hi scCc yu t nguy c tin lng tr cn phi hi scDng c v nhn lc cn hi sc

Nhng tr s sinh no cn phi hi scHu ht tr s sinh u khe mnhCh khang 10% tr s sinh cn h trCh 1% cn cc bin php hi sc tch cc c cu sng (t ni kh qun, n ngc, v/ hoc thuc)

Sinh l bo thaiTrong bo thaiPh nang cha y dchTrong t cung, bo thai trao i kh qua nhau

Phi v tun hon sau sinhTrong bo thaiCc tiu ng mch phi co thtLu lng mu ln phi gimDng mu b chuyn hng qua ng ng mch

Phi v tun hon sau sinh2 phi n ra cha khDch phi ca bo thai c hp thu

Phi v tun hon sau sinhCc tiu ng mch phi ginLu lng mu qua phi tng

Phi v tun hon sau sinhNng oxy trong mu tngng ng mch co tht liMu qua phi nhn oxy

S chuyn tip bnh thngNhng thay i chnh xy ra vi giy sau Dch ph nang c hp thung mch v tnh mch rn co tht lm tng huyt p Cc mch mu phi gin n

Cc vn c th xy ra trong giai on chuyn tipThiu thng kh phi dn n co tht tiu ng mch phi, ngn chn s oxy ha mu ng mch h thng.Thiu ti mu v cung cp oxy cho cc c quan ko di c th dn n tn thng no, cc c quan khc hoc t vong.

Cc du hiu tr s sinh b tn thngTrng lc c gimSuy h hpChm nhp tim Huyt p thpTh nhanhTm

Trng lc c tt v tmTrng lc c km v tmTn thng trong t cung hoc chu sinhNgng th nguyn phtKhi bo thai/ s sinh thiu oxy, ban u s n lc th nhanh, sau l ngng th nguyn pht, nhp tim gim. Tnh trng ny s ci thin khi kch thch da.

Ngng th th phtNu tip tc thiu oxy, ngng th th pht s xy ra, km theo gim nhp tim v tt huyt pNgng th th pht khng th phc hi khi kch thch; cn phi thng kh h tr

Hi sc tr s sinh ngng th th phtBt u thng kh p lc dng hiu qu khi ngng th th pht thng Ci thin nhp tim nhanh chng

Tt c tr s sinh cn c nh gi ban u xc nh liu c cn hi sc hay khng

Cc bc u tin (khung A)Gi mChnh t th u v lm sch ng th khi cn*Lau kh v kch thch tr th

nh giSau cc bc ban u, cc hot ng tip theo da trn vic nh giH hpNhp timMu daC khang 30 giy han thnh mt bc trc khi quyt nh sang bc tip theo

H hp (khung B)Nu ngng th hoc nhp tim 100l/p nhng tr tm, cho th oxy. Nu vn tm, cung cp thng kh p lc dngXem xt t ni kh qun mt s bc

Tun hon (khung C)Nu nhp tim