Zusammenfassung
Gute Geburtshilfe hat eine gesunde und glückliche Mutter und ein gesundes und zufriedenes Kind zum Ziel. Das perinatale Management fetaler Fehlbildungen hat das mittel- und langfristig bestmögliche Outcome für das Kind zum Ziel. Bereits pränatal sollten Fachärzte aller Disziplinen involviert werden, die voraussichtlich nach der Geburt die Fehlbildungen klinisch versorgen werden. Dies ist besonders bei gleichzeitigem Vorliegen von Fehlbildungen mehrerer Organsysteme geboten. Für ein interdisziplinäres Perinatalzentrum der Maximalversorgung (z.B. Medizinische Hochschule Hannover) sind u. a. erforderlich: Neonatologen, Kinderchirurgen, Kinderkardiologen und pädiatrische Intensivmediziner, Kinderkardiochirurgen, ECMO-Spezialisten, Kinder-Nephrologen und -Hepatologen, pädiatrische Transplantationsspezialisten, plastische Chirurgen, Mund-Kiefer-Gesichts-Chirurgen und Neurochirurgen. Dieses Kapitel beschreibt pränatale Bildgebung, Genetik, Pathophysiologie, pathologische Anatomie sowie Vorschläge für das Management der Geburt für relevante fetale Fehlbildungen.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
Literatur
Ali K, Bendapudi P, Polubothu S, Andradi G, Ofuya M, Peacock J, Hickey A, Davenport M, Nicolaidis K, Greenough A (2016) Congenital diaphragmatic hernia – influence of fetoscopic tracheal occlusion on outcomes and predictors of survival. Eur J Pediatr 175:1071–1076
Allan L (2000) Transposition of the great arteries. In: Allan L, Hornberger L, Sharland G (Hrsg) Textbook of fetal cardiology. Greenwich Medical Media Limited, London, S 263–264
Arola A, Jokinen E, Ruuskanen O, Saraste M, Pesonen E, Kuusela AL, Tikanoja T, Paavilainen T, Simell O (1997) Epidemiology of idiopathic cardiomyopathies in children and adolescents. A nationwide study in Finland. Am J Epidemiol 146(5):385–393
Azizkhan RG, Cromblehoolme TM (2008) Congenital cystic lung disease: contemporary antenatal and postnatal management. Pediatr Surg Int 24:643–657
Becker R, Wegner RD (2006) Detailed screening for fetal anomalies and cardiac defects at the 11–13-week scan. Ultrasound Obstet Gynecol 27(6):613–618
Carlgren LE (1959) The incidence of congenital heart disease in children born in Gothenburg 1941–1950. Br Heart J 21(1):40–50
Dias T, Sairam S, Kumarasiri S (2014) Ultrasound diagnosis of fetal renal abnormalities. Best Practice & Research Clinical Obstetrics and and Gynaecology 28:403–415
Ferencz C, Rubin JD, McCarter RJ, Brenner JI, Neill CA, Perry LW, Hepner SI, Downing JW (1985) Congenital heart disease: prevalence at livebirth. The Baltimore-Washington Infant Study. Am J Epidemiol 121(1):31–36
Ferencz C, Rubin JD, Loffredo CA, Magee CA (1993) Congenital heart disease – the Baltimore – Washington Infant Study 1981–1989. Perspectives in pediatric cardiology, Bd 4. Futura, New York
Freedom RM (1987) Atresia or hypoplasia of the left atrioventricular and/or ventriculo-arterial. In: Anderson RH, McCartney FJ, Shinebourne EA, Tynan M (Hrsg) Paediatric cardiology. Churchill Livingstone, Edinburgh, S 737–765
Fyler DC, Buckley LP, Hellenbrand WE, Cohn HE (1980) Report of the New England regional infant cardiac care program. Pediatrics 65(Suppl):375–461
Garabedian C, Sfeir R, Langlois C, Bonnard A, Khen-Dunlop N, Gelas T, Michaud L, Auber F, Gottrand F, Houfflin-Debarge V (2015) Does prenatal diagnosis modify neonatal treatment and early outcome of children with esophageal atresia? Am J Obstet Gynecol 212:340.e1–340.e7
Gasiorek-Wiens A, Tercanli S, Kozlowski P, Kossakiewicz A, Minderer S, Meyberg H, Kamin G, Germer U, Bielicki M, Hackelöer BJ, Sarlay D, Kuhn P, Klapp J, Bahlmann F, Pruggmayer M, Schneider KTM, Seefried W, Fritzer E, von Kaisenberg CS (2001) Screening for trisomy 21 by fetal nuchal translucency and maternal age: multicentre project in Germany, Austria and Switzerland. Ultrasound Obstet Gynecol 18:645–648
Gimpel C, Avni FE, Bergmann C, Cetiner M, Habbig S, Haffner D, König J, Konrad M, Liebau MC, Pape L, Rellensmann G, Titieni A, von Kaisenberg C, Weber S, Winyard PJD, Schaefer F (2017) Perinatal diagnosis, management, and follow-up of cystic renal diseases: a clinical practice recommendation with systematic literature reviews. JAMA Pediatr. https://doi.org/10.1001/jamapediatrics.2017.3938
Gustafson RA, Neal WA (1990) Hypoplastic left ventricle. In: Moller JH, Neal WA (Hrsg) Fetal, neonatal, and infant cardiac disease. Appleton and Lange, Connecticut, S 723–743
Hoffman JI, Christianson R (1978) Congenital heart disease in a cohort of 19,502 births with long-term follow-up. Am J Cardiol 42(4):641–647
Hoffman JIE (2003) Epidemiology of congenital heart disease: etiology, pathogenesis and incidence. In: Yagel S, Siverman NH, Gebruch U (Hrsg) Fetal cardiology. Taylor & Francis, London, S 79
Johnson P (2005) Malformações torácicas. In: Rodeck CH, Whittle MJ (Hrsg) Medicina Fetal Fundamentos e Prática Clínica [Fetal medicine: basic science and clinical practice]. Revinter, Rio de Janeiro, S 651–663
Kaisenberg CS von, Jonat W (2001) Fetal parvovirus B19 infection. Ultrasound Obstet Gynecol 18:280–288
Kaisenberg CS von, Bender G, Scheewe J, Lange M, Stieh J, Kramer HH, Cremer J, Jonat W (2001) A case of fetal parvovirus b19 myocarditis, terminal cardiac heart failure, and perinatal heart transplantation. Fetal Diagn Ther 16:427–432
Kaisenberg CS von, Fritzer E, Kuhling H, Jonat W (2002) Transabdominal fetal biometry at 11–14 wks of gestation. Ultrasound Obstet Gynecol 20:564–574
Kaisenberg CS von, Kühling H, Fritzer E, Schemm S, Meinhold-Heerlein I, Jonat W (2005) Fetal transabdominal anatomy scanning at 11–14 weeks gestation. Am J Obstet Gynecol 192:535–542
Kaisenberg C von, Chaoui R, Häusler M, Kagan KO, Kozlowski P, Merz E, Rempen A, Steiner H, Tercanli S, Wisser J, Heling KS (2016) Quality requirements for the early fetal ultrasound assessment at 11–13+6 weeks of gestation (DEGUM Levels II and III). Ultraschall Med 37(3):297–302. https://doi.org/10.1055/s-0042-105514.
Lambert EC, Canent RV, Hohn AR (1966) Congenital cardiac anomalies in the newborn. A review of conditions causing death or severe distress in the first month of life. Pediatrics 37(2):343–351
Mitchell SC, Korones SB, Berendes HW (1971) Congenital heart disease in 56,109 births. Incidence and natural history. Circulation 43(3):323–332
Morris RK, Kilby MD (2011) Long-term renal and neurodevelomenta outcome in infants with LUTO, with and without fetal intervention. Early Human Dev 87:607–610
Pedersen RN, Calzolari E, Husby S, Garne E, EUROCART Working Group (2012) Oesophageal atresia: prevalence, prenatal diagnosis and associated anomalies in 23 European regions. Arch Dis Child 97:227–232
Pilu G, Nicolaides KH, Ximenes R, Jeanty P (2002) Diagnosis of fetal abnormalities – the 18–23 weeks scan. ISUOG & The Fetal Medicine Foundation, London
Raychaudhuri P, Pasupati A, James A, Whitehead B, Kumar R (2011) Prospetive study of antenatally diagnosed congenital cystic adenomatoid malformatuions. Pediatr Surg Int 27:1159–1164
Rosenthal E (2000) Fetal heart block. In: Allan L, Hornberger L, Sharland G (Hrsg) Textbook of fetal cardiology. Greenwich Medical Media Limited, London, S 438–451
Rychik J, Rome JJ, Collins MH, DeCampli WM, Spray TL (1999) The hypoplastic left heart syndrome with intact atrial septum: atrial morphology, pulmonary vascular histopathology and outcome. J Am Coll Cardiol 34:554–560
Santos LC, Figueiredo SR, Souza ASR, Marques M (2008) Medicina fetal. Medbook, Rio de Janeiro
Schemm S, Gembruch U, Germer U, Jänig U, Jonat W, von Kaisenberg CS (2003) Omphalocele-exstrophy-imperforate anus-spinal defects (OEIS) complex associated with increased nuchal translucency. Ultrasound Obstet Gynecol 22:95–97
Segel SY, Marder SJ, Parry S, Macones GA (2001) Fetal abdominal wall defects and mode of delivery: a systematic review. Obstet Gynecol 98(5 Pt 1):867–873
Sharland G (2000a) Cardiomyopathy. In: Allan L, Hornberger L, Sharland G (Hrsg) Textbook of fetal cardiology. Greenwich Medical Media Limited, London, S 349–350
Sharland G (2000b) Aortic valve abnormalities. In: Allan L, Hornberger L, Sharland G (Hrsg) Textbook of fetal cardiology. Greenwich Medical Media Limited, London, S 213–214
Sharland G (2000c) Aortic valve abnormalities. In: Allan L, Hornberger L, Sharland G (Hrsg) Textbook of fetal cardiology. Greenwich Medical Media Limited, London, S 216–217
Simpson J (2000) Fetal arrhthmias. In: Allan L, Hornberger L, Sharland G (Hrsg) Textbook of fetal cardiology. Greenwich Medical Media Limited, London, S 423–437
Snoek KG, Reiss KM, Greenough A, Capolupo I, Urlesberger B, Wessel L, Storme L, Deprest J, Schaible T, van Heijst A, Tibboel D (2016a) Standardized postnatal management of infants with congenital diaphragmatic hernie in Europe: the CDH EURO Consortium consensus – 2015 update. Neonatology 110:66–74
Snoek KG, Capolupo I, van Rosmalen J, de Jongste-van den Hout L, Vijfhuize S, Greenough A, Wijnen RM, Tibboel D, Reiss IKM (2016b) Conventional mechanical ventilation versus high-frequency oscillatory ventilation for congenital diaphragmatic hernia a randomized clinical trial (The VICI-trial). Ann Surg 263:867–874
Starker G, Staboulidou I, Beck C, Miller K, von Kaisenberg CS (2012) Genetics of congenital diaphragmatic hernia. In: Molloy E (Hrsg) Congenital diaphragmatic hernia – prenatal to childhood management and outcomes. Intech, Croatia. www.intechopen.com
Stocker JT, Madewell JE, Drake RM (1977) Congenital cystic adenomatoid malformation of the lung. Classification and morphologic spectrum. Hum Pathol 8(2):155–171
Werlein A, Goebert P, Maier RF (2014) Geburtsplanung bei fetalen Fehlbildungen aus neonatologischer Sicht. Planning delivery in cases of congenital malformations from the neonatologist’s point of view. Z Geburtshilfe Neonatol 218:27–33
Author information
Authors and Affiliations
Corresponding author
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2019 Springer-Verlag GmbH Deutschland, ein Teil von Springer Nature
About this chapter
Cite this chapter
von Kaisenberg, C.S., Bohnhorst, B., Beerbaum, P. (2019). Operationspflichtige fetale Fehlbildungen: Pränataldiagnostik und perinatales Management. In: von Schweinitz, D., Ure, B. (eds) Kinderchirurgie. Springer Reference Medizin. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-662-58202-2_11
Download citation
DOI: https://doi.org/10.1007/978-3-662-58202-2_11
Published:
Publisher Name: Springer, Berlin, Heidelberg
Print ISBN: 978-3-662-58201-5
Online ISBN: 978-3-662-58202-2
eBook Packages: Medicine (German Language)