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Schwangerenvorsorge

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Therapiehandbuch Gynäkologie und Geburtshilfe

Zusammenfassung

Gesunde Frauen, befragt nach ihren Erwartungen an ihre Schwangerschaft und Geburt antworteten: „Aufrechterhaltung der körperlichen und soziokulturellen Normalität, eine unauffällig verlaufende, gesunde Schwangerschaft, ein problemloser Übergang in effektive Geburtswehen und Geburt sowie eine positive Mutterschaft.“ Unbestritten ist, dass eine Schwangerenvorsorge im Vergleich zu keiner Vorsorge Leben retten kann. In Deutschland ist die Schwangerenvorsorge gesetzlich durch die sogenannten „Mutterschafts-Richtlinien“ des Gemeinsamen Bundesausschusses (G-BA) geregelt. Dabei ist „... das vorrangige Ziel der ärztlichen Schwangerenvorsorge ... die frühzeitige Erkennung von Risikoschwangerschaften und Risikogeburten.“ Besondere Erwähnung findet neben der Vermeidung unnötiger Kosten auch die Forderung, dass nur Maßnahmen angewendet werden sollen, deren diagnostischer und vorbeugender Wert ausreichend gesichert ist. Aber gerade unter diesen gibt es auch Maßnahmen, die nicht ausreichend untersucht oder gar evidenzbasiert sind. Das vorliegende Kapitel will etablierte Vorsorgeuntersuchungen unter dem Gesichtspunkt der Aktualität und der Evidenz kritisch beleuchten.

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  1. Klinik für Frauenheilkunde und Geburtshilfe, Klinikum Ludwigsburg, Ludwigsburg, Deutschland

    Wolfgang Heyl

  2. Fürst-Stirum-Klinik Bruchsal Frauenklinik, Bruchsal, Deutschland

    Jürgen Wacker

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  1. Fürst-Stirum-Klinik Bruchsal Frauenklinik, Bruchsal, Germany

    Jürgen Wacker

  2. Praxisklinik am Rosengarten, Mannheim, Germany

    Martin Sillem

  3. Praxisklinik am Rosengarten, Mannheim, Germany

    Gunther Bastert

  4. Frauenklinik, Universitätsklinikum Erlangen-Nürnberg Frauenklinik, Erlangen, Germany

    Matthias W. Beckmann

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Heyl, W., Wacker, J. (2020). Schwangerenvorsorge. In: Wacker, J., Sillem, M., Bastert, G., Beckmann, M. (eds) Therapiehandbuch Gynäkologie und Geburtshilfe. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-662-59809-2_4

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