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Soziales Risiko – geburtshilfliches Risiko?

Social risk – obstetric risk?

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Der Gynäkologe Aims and scope

Zusammenfassung

Laut Armutsbericht der Bundesrepublik Deutschland nehmen Kinder- und Familienarmut kontinuierlich zu. Viele der einzelnen Indikatoren für soziale Benachteiligung haben einen negativen Einfluss auf den Verlauf von Schwangerschaft, Geburt und postpartaler Phase. Daher muss auch in Deutschland mit relevanten gesundheitlichen Problemen für Frauen und Kinder durch soziale Benachteiligung gerechnet werden. Eindeutig belegt ist die Bedeutung sozialer Faktoren insbesondere für die Rate von Frühgeburt und intrauteriner Wachstumsretardierung sowie für die Entstehung einer postpartalen Depression. Für die Praxis ist bedeutsam zu erkennen, dass soziale Faktoren ein relevantes Risiko in der Geburtshilfe in Deutschland darstellen. Bei der Betreuung von Schwangeren sollten eine Abschätzung sozialer Problematiken, potentielle Interventionen, aber auch präventive Maßnahmen verstärkt berücksichtigt werden.

Abstract

According to the report on poverty in young people in Germany the number of children in poor families is continually growing. Many of the single indicators for social inequality have major adverse effects on pregnancy, birth and the postpartum period. Therefore, it is clear that even in Germany relevant health issues for women and children are linked to social inequality. The impact of social factors in particular on the rate of preterm delivery, low birth weight and postnatal depression is well known. Socioeconomic factors are a relevant health risk in Germany and should not be neglected. Preventive strategies, an effective assessment of the social situation and social interventions are essential parts of perinatal care.

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Authors and Affiliations

  1. Universitätsfrauenklinik Heidelberg, Voßstr. 9, 69115, Heidelberg, Deutschland

    M. Goeckenjan

  2. Klinik für Geburtsmedizin, Vivantes-Klinikum Neukölln, Berlin, Deutschland

    B. Ramsauer, M. Hänel & K. Vetter

  3. Frauenklinik, Evangelisches Diakonie-Krankenhaus Bremen, Bremen, Deutschland

    R. Unkels

Authors
  1. M. Goeckenjan
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  2. B. Ramsauer
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  3. M. Hänel
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  4. R. Unkels
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  5. K. Vetter
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Correspondence to M. Goeckenjan.

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Goeckenjan, M., Ramsauer, B., Hänel, M. et al. Soziales Risiko – geburtshilfliches Risiko?. Gynäkologe 42, 102–110 (2009). https://doi.org/10.1007/s00129-008-2258-x

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  • DOI: https://doi.org/10.1007/s00129-008-2258-x

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