Zusammenfassung
Eine gründliche Anamnese und die körperliche Untersuchung jeder Schwangeren sind am besten geeignet, eine Hochrisikoschwangerschaft zu erkennen. Die antepartale Schwangerschaftsvorsorge kann durch verschiedene apparative Untersuchungen sinnvoll ergänzt werden. Die Ultraschalluntersuchung wird sowohl zur Routinediagnostik der gesunden Schwangeren als auch zur Überwachung von Hochrisikoschwangerschaften eingesetzt. Bei Risikoschwangerschaften kommen ferner die antepartale Kardiotokographie (CTG) mit dem Non-Streß-Test und dem Wehenbelastungstest (Oxytocinbelastungstest, OBT), sowie der vibroakustische Stimulationstest (VAST) zum Einsatz.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
Preview
Unable to display preview. Download preview PDF.
Literatur
Drumm JE, Clinch J, MacKenzie G (1976) The ultrasonic measurement of crown-rump length as a method of assessing gestational age. Br J Obstet Gynecol 83: 417–421
Sabbaha RE, Hughey M (1978) Standardization of sonar cephalometry and gestational age. Obstet Gynecol 2: 402–406
Hadlock FP et al (1984) Sonographic estimation of fetal weight. Radiology 150: 535–540
Manning FA et al (1987) Fetal assessment based on fetal biophysical profile scoring: experience in 19, 221 referred high-risk pregnancies. II. An analysis of false-negative fetal deaths. Am J Obstet Gynecol. 157(4 Pt 1): 880–884
Fleischer A et al (1986) Uterine artery doppler velocimetry in pregnant women with hypertension. Am J Obstet Gynecol 154: 806–812
Hecher K, Hackeloer BJ (1997) Cardiotocogram compared to Doppler investigation of the fetal circulation in the premature growth-retarded fetus: longitudinal observations. Ultrasound Obstet Gynecol 9: 152–161
DeVoe LD, Castillo RA, Sherline DM (1985) The non-stress test as a diagnostic test: A clinical reappraisal. Am J Obstet Gynecol 152: 1047–1053
Thacker SB, Berkelman RL (1986) Assessing the diagnostic accuracy and efficacy of selected antepartum fetal surveillance techniques. Obstet Gynecol Sury 41: 121–141
Grade M, Lovett S (1988) Fetal response to sound stimulation: Preliminary report exploring use of sound stimulation in routine obstetrical ultrasound examinations. J Ultrasound Med 7: 499–503
Saltvedt S, Almstrom H (1999) Fetal loss rate after second trimester amniocentesis at different gestational age. Acta Obstet Gynecol Scand 78: 10–14
Daffos F, Capella-Pavlovsky M, Forrestier F (1983) A new preocedure for fetal blood sampling in utero: Preliminary results of 53 cases. Am J Obstet Gynecol 146: 985–987
Antsaklis A, Daskalakis G, Papantoniou N, Michalas S (1998) Fetal blood sampling-indication-related losses. Prenat Diagn 18: 934–940
Torday J, Carson L, Lawson EE (1979) Saturated phosphaditylcholine in amniotic fluid and prediction of the respiratory distress syndrome. N Eng J Med 301: 1013–1018
Russell JC et al (1989) Multicenter evaluation of TDx test for assessing fetal lung maturity. Clin Chem 35: 1005–1010
Lewis PS, Lauria MR, Dzieczkowski J, Utter GO, Dombrowski MP (1999) Amniotic fluid lamellar body count: cost-effective screening for fetal lung maturity. Obstet Gynecol 93: 387–391
Cibils LA (ed) (1981) Electronic Fetal-Maternal Monitoring. Saint Louis, Mosby, Year Book, pp 48–59, 98 f
Cucco C, Osborne MA, Cibils LA (1989) Maternal-fetal outcomes in prolonged pregnancy. Am J Obstet Gynecol. 161 (4): 916–920
Mendez-Bauer C et al (1963) Effects of atropine on the heart rate of the human fetus during labor. Am J Obstet Gynecol 85: 1033
Mendez-Bauer C et al (1963) Effects of atropine on the heart rate of the human fetus during labor. Am J Obstet Gynecol 85: 1033
Barcroft J (1946) Researches on prenatal life. Oxford: Blackwell 123–144
Kelso IM et al (1978) An assessment of continuous fetal heart rate monitoring in labor: a randomized trial. Am J Obstet Gynecol 131: 526–532
MacDonald D et al (1985) A controlled trial of fetal heart rate monitoring in a low-risk obstetric population. Am J Obstet Gynecol 152: 524–539
Haverkamp AD et al (1979) A controlled trial of the differential effects of intrapartum fetal monitoring. Am J Obstet Gynecol 134: 399–412
Grant JM (1991) The fetal heart rate is normal, isn’t it? Observer agreement of categorial assessments. Lancet 337: 215–218
Young DC, Gray JH, Luther ER, Peddle LJ (1980) Fetal scalp blood pH sampling: its value in active obstetric unit. Am J Obstet Gynecol 136: 276–281
Westgren M, Kruger K, Ek S, Grunevald C, Kublickas M, Naka K, Wolff K, Persson B (1998) Lactate compared with pH analysis at fetal scalp blood sampling: a prospective randomised study. Br J Obstet Gynaecol 105: 29–33
Seelbach-Gobel B, Heupel M, Kuhnert M, Butterwegge M (1999) The prediction of fetal acidosis by means of intrapartum fetal pulse oximetry. Am J Obstet Gynecol 180: 73–81
Luttkus AK, Dudenhausen JW (1998) Fetal pulse oximetry. Curr Opin Obstet Gynecol 10: 481–486
Hanson MA, Nijhuis JG (1997) Pulse oximetry-physiological considerations. Eur J Obstet Gynecol Reprod Biol, (Suppl) 72: 3–8.
Peebles DM et al (1992) Changes in human fetal cerebral hemoglobin concentration and oxygenation during labor measured by near infrared spectroscopy. Am J Obstet Gynecol 166: 369–376
Author information
Authors and Affiliations
Rights and permissions
Copyright information
© 2000 Springer-Verlag Wien
About this chapter
Cite this chapter
Frölich, M.A. (2000). Fetales Monitoring. In: Geburtshilfliche Anästhesie und Intensivmedizin. Springer, Vienna. https://doi.org/10.1007/978-3-7091-6317-7_3
Download citation
DOI: https://doi.org/10.1007/978-3-7091-6317-7_3
Publisher Name: Springer, Vienna
Print ISBN: 978-3-211-83172-4
Online ISBN: 978-3-7091-6317-7
eBook Packages: Springer Book Archive