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Gestörte Frühschwangerschaft – Diagnostik und Therapie

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Weiterbildung Gynäkologie und Geburtshilfe

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Zussamenfassung

Vaginale Blutungen und/oder Schmerzen während der Frühschwangerschaft sind eine dia-gnostische Herausforderung, um die Integrität und die Lokalisation der Schwangerschaft festzustellen. Die Kombination serieller ß-HCG-Bestimmungen mit vaginalsonographischen Untersuchungen ermöglicht die frühzeitige Unterscheidung zwischen einer Schwangerschaft, einem Abort und ektoper Gravidität. Mithilfe dieser diagnostischen Tools ist es möglich geworden, die Mortalität bei ektoper Gravidität signifikant zu verringern. Die tatsächlich verfügbaren diagnostischen Maßnahmen ermöglichen die Auswahl der individuell optimalen Behandlung, einschließlich der Optionen abwartend-exspektative Beobachtung, chirurgische Intervention und medikamentöse Therapie. Neben den ausgezeichneten diagnostischen und therapeutischen Möglichkeiten ist die psychische Belastung von Frauen mit frühem Schwangerschaftsverlust zu berücksichtigen.

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Author information

Authors and Affiliations

  1. Frauenklinik, Johanna-Etienne-Krankenhaus, Neuss, Deutschland

    M. Korell

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  1. M. Korell
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Editor information

Editors and Affiliations

  1. Klinikum Kassel, Frauenklinik, Kassel, Deutschland

    Thomas Dimpfl

  2. Universitätsklinik Ulm, Frauenklinik, Ulm, Deutschland

    Wolfgang Janni

  3. Landshut, Deutschland

    Rolf Kreienberg

  4. Klinik für Gynäkologie und Geburtshilfe, Universitätsklinik Kiel, Kiel, Deutschland

    Nicolai Maass

  5. Klinik für Frauenheilkunde und Geburtshilfe, Caritas-Krankenhaus St. Josef, Regensburg, Deutschland

    Olaf Ortmann

  6. Frauenklinik, Universitätsklinik Heidelberg, Heidelberg, Deutschland

    Thomas Strowitzki

  7. Klinik für Frauenheilkunde, Vivantes Klinikum Neuköln, Berlin, Deutschland

    Klaus Vetter

  8. Klinik für Geburtshilfe, Universitätsspital Zürich, USZ, Zürich, Schweiz

    Roland Zimmermann

  9. Pränatale Medizin, Endokrinologie und Osteologie, amedes experts Hamburg Facharzt-Zentrum für Kinderwunsch, Hamburg, Deutschland

    Barbara Sonntag

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Korell, M. (2017). Gestörte Frühschwangerschaft – Diagnostik und Therapie. In: Dimpfl, T., et al. Weiterbildung Gynäkologie und Geburtshilfe. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-662-49480-6_12

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  • DOI: https://doi.org/10.1007/978-3-662-49480-6_12

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