Zusammenfassung
Die Entbindung Frühgeborener setzt eine optimale perinatalmedizinische und neonatologische Versorgung voraus. Viele Faktoren müssen zusammenwirken, um ein optimales Outcome der Kinder und Mütter zu erzielen. Es geht dabei nicht nur um den günstigsten Entbindungszeitpunkt, sondern vor allem um die dann zur Verfügung stehende Logistik und fachliche Kompetenz. Ob bei einer Frühgeburt eine vaginale, eine vaginal operative oder eine Schnittentbindung zum Zuge kommen, hängt von der jeweiligen Risikoeinschätzung und Erfahrung des Zentrums ab. In diesem Kapitel wird daher neben dem Geburtsmodus auf die rückenmarksnahe Anästhesie, das Spätabnabeln, die Eltern-Kind-Bindung und auf den postpartalen Zugang zum frühgeborenen Kind eingegangen.
This is a preview of subscription content, log in via an institution to check access.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
Literatur
Aberg K, Norman M, Ekeus C (2014) Preterm birth by vacuum extraction and neonatal outcome: a population-based cohort study. BMC Pregnancy Childbirth 14: 42
Afors K, Chandraharan E (2011) Use of continuous electronic fetal monitoring in a preterm fetus: clinical dilemmas and recommendations for practice. J Pregnancy 2011: 848794
Alexander JM et al. (2008) Cesarean delivery for the second twin. Obstet Gynecol 112(4): 748–752
Alfirevic Z, Milan SJ, Livio S (2013) Caesarean section versus vaginal delivery for preterm birth in singletons. Cochrane Database Syst Rev 9: CD000078
Backes CH et al. (2014) Placental transfusion strategies in very preterm neonates: a systematic review and meta-analysis. Obstet Gynecol 124(1): 47–56
Biswas A, Su LL, Mattar C (2013) Caesarean section for preterm birth and, breech presentation and twin pregnancies. Best Pract Res Clin Obstet Gynaecol 27(2): 209–219
Chung JH et al. (2010) The effect of neonatal intensive care level and hospital volume on mortality of very low birth weight infants. Med Care 48(7): 635–644
Demirci O et al. (2012) Pregnancy outcomes by mode of delivery among breech births. Arch Gynecol Obstet 285(2): 297–303
Hannah ME et al. (2000) Planned caesarean section versus planned vaginal birth for breech presentation at term: a randomised multicentre trial. Lancet 356(9239): 1375–1383
Hirnle P et al. (2000) Caesarean section for the second twin after vaginal delivery of first. J Obstet Gynaecol 20(4): 392–395
Hoffenkamp HN et al. (2015) Effectiveness of hospital-based video interaction guidance on parental interactive behavior, bonding, and stress after preterm birth: A randomized controlled trial. J Consult Clin Psychol 83(2): 416–429
Hummler HD, Poets C (2011) Mortality of extremely low birthweight infants - large differences between quality assurance data and the national birth/death registry. Z Geburtshilfe Neonatol 215(1): 10–17
Laudenbach V et al. (2009) Anaesthesia mode for caesarean section and mortality in very preterm infants: an epidemiologic study in the EPIPAGE cohort. Int J Obstet Anesth 18(2): 142–149
Lobb MO, Duthie SJ, Cooke RW (1986) The influence of episiotomy on the neonatal survival and incidence of periventricular haemorrhage in very-low-birth-weight infants. Eur J Obstet Gynecol Reprod Biol 22(1-2): 17–21
Morales R et al. (1995) Vacuum extraction of preterm infants with birth weights of 1.500-2.499 grams. J Reprod Med 40(2): 127–130
Obican SG et al. (2015) Mode of delivery at periviability and early childhood neurodevelopment. Am J Obstet Gynecol 213(4): 578 e1–4
Rabe H et al. (2012) Effect of timing of umbilical cord clamping and other strategies to influence placental transfusion at preterm birth on maternal and infant outcomes. Cochrane Database Syst Rev 8: CD003248
Reddy UM et al. (2015) Serious maternal complications after early preterm delivery (24-33 weeks’ gestation). Am J Obstet Gynecol 213(4): 538 e1–9
Rydhstrom H (1990) Prognosis for twins with birth weight less than 1500 gm: the impact of cesarean section in relation to fetal presentation. Am J Obstet Gynecol 163(2): 528–533
Vlemmix F et al. (2014) Term breech deliveries in the Netherlands: did the increased cesarean rate affect neonatal outcome? A population-based cohort study. Acta Obstet Gynecol Scand 93(9): 888–896
Watson SI et al. (2014) The effects of designation and volume of neonatal care on mortality and morbidity outcomes of very preterm infants in England: retrospective population-based cohort study. BMJ Open 4(7): e004856
Wilson S et al. (2011) The effect of nurse staffing on clinical outcomes of children in hospital: a systematic review. Int J Evid Based Health 9(2): 97–121
Wolke D, Eryigit-Madzwamuse S, Gutbrod T (2014) Very preterm/very low birthweight infants’ attachment: infant and maternal characteristics. Arch Dis Child Fetal Neonatal Ed 99(1): F70–75
Zhang J et al. (1996) Twin delivery and neonatal and infant mortality: a population-based study. Obstet Gynecol 88(4 Pt 1): 593–598
Author information
Authors and Affiliations
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2017 Springer-Verlag Berlin Heidelberg
About this chapter
Cite this chapter
Abele, H., Hoopman, M., Kagan, K.O. (2017). Geburtsmodus bei Frühgeburt. In: Toth, B. (eds) Fehlgeburten Totgeburten Frühgeburten. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-662-50424-6_35
Download citation
DOI: https://doi.org/10.1007/978-3-662-50424-6_35
Published:
Publisher Name: Springer, Berlin, Heidelberg
Print ISBN: 978-3-662-50423-9
Online ISBN: 978-3-662-50424-6
eBook Packages: Medicine (German Language)