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Geburtshilfliche Zervixsonografie und Diagnostik der drohenden Frühgeburt

  • Bettina Hollwitz
Chapter

Zusammenfassung

Das drängendste klinische Problem der Geburtshilfe ist die Frühgeburtlichkeit. Zur Erkennung einer Frühgeburtsgefahr hat sich der transvaginale Zervixultraschall im Laufe der letzten 30 Jahre als Standardmethode etabliert. Sowohl in der Screeningsituation mit und ohne anamnestische Risiken als auch bei der notfallmäßigen Vorstellung symptomatischer Schwangerer vor Erreichen der fetalen Reife im Kreißsaal ist die Zervixsonografie ein unverzichtbares Werkzeug, zumal inzwischen wirksame und effiziente Therapieoptionen bezüglich ihrer korrekten Indikation und Durchführung genauer charakterisiert werden konnten. Hierbei kommt v.a. der Progesteron-Prophylaxe eine entscheidende Rolle zu. Die Vaginalsonographie kann somit einen wertvollen Beitrag zur Vermeidung von Frühgeburten leisten und so nicht nur menschliches Leid(en) verhindern, sondern auch im erheblichen Maß Kosten sparen helfen.

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Copyright information

© Springer-Verlag Berlin Heidelberg 2013

Authors and Affiliations

  • Bettina Hollwitz
    • 1
  1. 1.Klinik und Poliklinik für Geburtshilfe und PränatalmedizinUniversitätsklinikum Hamburg-EppendorfHamburgDeutschland

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