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Früher vorzeitiger Blasensprung

Die Geburtshilfe

Part of the book series: Springer Reference Medizin ((SRM))

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Zusammenfassung

Der frühe vorzeitige Blasensprung (PPROM, „preterm premature rupture of membranes“) wird als Abgang von Fruchtwasser vor der vollendeten 37. SSW definiert. 2–5 % aller Schwangerschaften sind betroffen. Vaginale Infektionen sind ein eindeutiger identifizierbarer Risikofaktor; weitere beschriebene Risikofaktoren sind Blutungen und Rauchen in der Schwangerschaft sowie Amniozenthese. Die Diagnostik erfolgt in erster Linie klinisch durch den Nachweis von Flüssigkeitsabgang aus der Zervix. Für das Management ist das Gestationsalter entscheidend. Zwischen der 22. SSW und der 34. SSW bedarf es der intensiven Zusammenarbeit zwischen Geburtshelfer und Neonatologen, sodass ein intrauteriner Transport in ein Perinatalzentrum erfolgen sollte. Vor 34 SSW sollte ein individuelles Vorgehen geplant, nach der 34. SSW ein aktives Management im Sinne einer Schwangerschaftsbeendigung gewählt werden.

Das Kapitel war in der Vorauflage mitverfasst worden von C. Egarter.

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Authors and Affiliations

  1. AKH, Universitätsklinik für Frauenheilkunde, Währinger Gürtel 18-20, 1090, Wien, Österreich

    H. Kiss

  2. Abt. Frauenheilkunde und Geburtshilfe, Klinikum Wels-Grieskirchen, Grieskirchnerstr. 42, 4600, Wels, Österreich

    K. Reisenberger

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  1. H. Kiss
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  2. K. Reisenberger
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Correspondence to H. Kiss .

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Editors and Affiliations

  1. Univ.Klinikum Bern Frauenklinik, Bern, Switzerland

    Henning Schneider

  2. Klinische Abt. Geburtshilfe und Feto-maternale Medizin, Medizinische Universität Wien Universitätsklinik für Frauenheilkunde, Wien, Austria

    Peter-Wolf Husslein

  3. München, Germany

    Karl - Theo Maria Schneider

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Kiss, H., Reisenberger, K. (2014). Früher vorzeitiger Blasensprung. In: Schneider, H., Husslein, PW., Schneider, K . (eds) Die Geburtshilfe. Springer Reference Medizin. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-662-44369-9_16-1

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  • DOI: https://doi.org/10.1007/978-3-662-44369-9_16-1

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  1. Latest

    Der frühe vorzeitige Blasensprung
    Published:
    25 September 2022

    DOI: https://doi.org/10.1007/978-3-662-44369-9_16-3

  2. Der frühe vorzeitige Blasensprung
    Published:
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    DOI: https://doi.org/10.1007/978-3-662-44369-9_16-2

  3. Original

    Früher vorzeitiger Blasensprung
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    11 March 2015

    DOI: https://doi.org/10.1007/978-3-662-44369-9_16-1

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