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Thromboembolische Komplikationen in Schwangerschaft und Wochenbett

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Die Geburtshilfe

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Zusammenfassung

Die hämostatischen Funktionen werden auf natürliche Art im Verlauf der Schwangerschaft verstärkt. Diese Veränderung erhöht spürbar neben dem erwünschten blutstillenden Effekt auch die Inzidenz von unerwünschten Thrombosen. Ursächlich spielen hier Venenstauung, Gefäßwandschäden und Hyperkoagulabilität interaktiv eine kausale Rolle. Thrombosen treten in allen 3 Trimestern auf, etwa 5-mal häufiger als außerhalb der Schwangerschaft, die Inzidenz ist im Wochenbett am höchsten. Zusätzliche transiente oder persistierende Risikofaktoren können das Thromboserisiko weiter erhöhen. Gegen die Thrombosen kann der Therapeut prophylaktisch oder therapeutisch wirken. Schwerpunkt dieser Intervention stellt die parenterale Antikoagulation mit Heparinen dar. Im folgenden Text werden Pathogenese, Diagnose und Behandlung der Thrombosen in Schwangerschaft und Wochenbett veranschaulicht. Vorhandene nationale und internationale Leitlinien werden dargestellt und vergleichsweise als Praxistipps zusammengefasst.

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Authors and Affiliations

  1. Medizinische Fakultät, Universitätsspital Basel, Basel, Schweiz

    Dimitrios A. Tsakiris

  2. Nationale und Kapodistria Universität Athen, Athen, Griechenland

    Serena Valsami

  3. Medizinische Fakultät, Universitätsspital Basel, Basel, Schweiz

    Serena Valsami

  4. Frauenklinik, Universitätsspital Basel, Basel, Schweiz

    Katharina Redling

  5. Universitätsklinik für Frauenheilkunde, Medizinische Universität Wien, Wien, Österreich

    Christian Göbl

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  1. Dimitrios A. Tsakiris
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  2. Serena Valsami
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  3. Katharina Redling
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  4. Christian Göbl
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Correspondence to Dimitrios A. Tsakiris .

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Editors and Affiliations

  1. Frauenklinik, Medizinische Hochschule Hannover, Hannover, Niedersachsen, Deutschland

    Constantin von Kaisenberg

  2. Klinische Abteilung für Geburtshilfe, Medizinische Universität Graz, Graz, Steiermark, Österreich

    Philipp Klaritsch

  3. Geburtshilfe, Universitätsspital Basel, Basel Universitätsspital, Basel Stadt, Schweiz

    Irene Hösli-Krais

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Tsakiris, D.A., Valsami, S., Redling, K., Göbl, C. (2022). Thromboembolische Komplikationen in Schwangerschaft und Wochenbett. In: von Kaisenberg, C., Klaritsch, P., Hösli-Krais, I. (eds) Die Geburtshilfe. Springer Reference Medizin. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-662-44369-9_24-2

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  1. Latest

    Thromboembolische Komplikationen in Schwangerschaft und Wochenbett
    Published:
    05 November 2022

    DOI: https://doi.org/10.1007/978-3-662-44369-9_24-2

  2. Original

    Thromboembolische Komplikationen in Schwangerschaft und Wochenbett
    Published:
    11 March 2015

    DOI: https://doi.org/10.1007/978-3-662-44369-9_24-1

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