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Antepartale Überwachung

  • Chapter
Die Geburtshilfe

Zusammenfassung

Nach Auswertung der vorliegenden prospektiv randomisierten Studien hat sich gezeigt, dass die elektronische fetale Herzfrequenzregistrierung (CTG) als das am häufigsten antepartal eingesetztes Überwachungsverfahren die in die Methode gesetzten Erwartungen nicht erfüllt hat. Selbst bei konsequentem Einsatz in Hochrisikokollektiven konnten weder die perinatale Morbidität noch die Mortalität signifikant gesenkt werden. Umso mehr ist es auch volkswirtschaftlich kaum sinnvoll, dass diese Methode unreflektiert nahezu bei jeder Gravidität, d. h. auch bei Schwangeren ohne Risiko, angewandt wird. Gründe für die enttäuschende Bilanz sind neben den zahlreichen bei der Interpretation meist nicht berücksichtigten Einfluss- und Störgrößen auch die uneinheitlichen Interpretationskriterien.

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Authors and Affiliations

  1. Abt. für Perinatalmedizin, Poliklinik der TU München Klinikum rechts der Isar Frauenklinik, Ismaninger Straße 22, München, 81675

    Univ.-Prof. Dr. med. K.T.M. Schneider

  2. Policlinica Miramar, Camino da la Vileta, 30, Palma de Mallorca/Balearen, 07011, Spanien

    J. Gnirs

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  1. Univ.-Prof. Dr. med. K.T.M. Schneider
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  2. J. Gnirs
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  1. Univ.Klinikum Bern Frauenklinik, Bern, Schweiz

    Henning Schneider

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

    Peter-Wolf Husslein

  3. Frauenklinik und Poliklinik Abt. Perinatalmedizin, TU München Klinikum Rechts der Isar, München, Deutschland

    Karl Theo Maria Schneider

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Schneider, K., Gnirs, J. (2011). Antepartale Überwachung. In: Schneider, H., Husslein, PW., Schneider, K. (eds) Die Geburtshilfe. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-12974-2_30

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  • DOI: https://doi.org/10.1007/978-3-642-12974-2_30

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