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Geburtshilfe pp 677–683Cite as

Vorzeitiger Blasensprung am Termin

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Zusammenfassung

Etwa 8–10 % aller Schwangerschaften werden durch einen vorzeitigen Blasensprung am Termin kompliziert. Für die Diagnose eines vorzeitigen Blasensprungs haben sich neben gängigen Untersuchungsverfahren wie dem Nitrazintest biochemische Tests etabliert, die das fetale Fibronektin oder das IGF-bindende Protein im Fruchtwasser nachweisen.

Bei Vorliegen eines reifen Zervixbefundes, der mittels steriler Spekulumeinstellung erhoben werden soll, stellt die Geburtseinleitung nach einem Intervall von etwa 6 h die Therapie der Wahl dar. Einzig bei Nullipara und sehr unreifem Zervixbefund ist ein Zuwarten bei engmaschiger Kontrolle der Entzündungsparameter und Vermeidung digitaler vaginaler Untersuchungen möglicherweise von Vorteil, da die Anzahl operativer Entbindungen reduziert werden kann. Bei einem Intervall von mehr als 12 h zwischen Blasensprung und Geburt sollte eine Antibiotikaprophylaxe durchgeführt werden.

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Authors
  1. K. Reisenberger
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  2. P. Husslein
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Editor information

Editors and Affiliations

  1. Universitäts-Frauenklinik, Inselspital, Schanzeneckstr. 1, CH-3012, Bern, Switzerland

    Henning Schneider

  2. Universitätsklinik für Frauenheilkunde Abteilung für Geburtshilfe und Gynäkologie, AKH, Währinger Gürtel 18-20, A-1090, Wien, Austria

    Peter Husslein

  3. Frauenklinik und Poliklinik, Technischen Universität München Klinikum rechts der Isar, Ismaninger Str. 22, D-81675, München, Deutschland

    Karl Theo M. Schneider

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© 2000 Springer-Verlag Berlin Heidelberg

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Reisenberger, K., Husslein, P. (2000). Vorzeitiger Blasensprung am Termin. In: Schneider, H., Husslein, P., Schneider, K.T.M. (eds) Geburtshilfe. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-98004-6_35

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  • DOI: https://doi.org/10.1007/978-3-642-98004-6_35

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-642-98005-3

  • Online ISBN: 978-3-642-98004-6

  • eBook Packages: Springer Book Archive

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