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Rezidivierende Spontanaborte

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Therapiehandbuch Gynäkologie und Geburtshilfe

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Zusammenfassung

Habituelle Aborte (RSA) sind von der WHO definiert als 3 oder mehr konsekutive spontane Fehlgeburten vor der 22. SSW und betreffen ca. 1–3 % aller Paare im reproduktionsfähigen Alter. Eine Reihe an Risikofaktoren wie genetische Auffälligkeiten, Veränderungen in der Hämostase und anatomische Ursachen sind im Rahmen der Abklärung etabliert. Trotz intensiver Diagnostik bleibt bei fast 50 % der Patientinnen die Ursache ungeklärt. Die Behandlung von Paaren mit habituellen Aborten stellt für jeden Frauenarzt eine besondere Herausforderung dar und bedarf einer intensiven Betreuung. Das Kapitel fasst die Ursachen und therapeutischen Möglichkeiten zusammen und orientiert sich an den Empfehlungen der nationalen und internationalen Leitlinien.

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Authors and Affiliations

  1. Gynäkologische Endokrinologie und Reproduktionsmedizin, Innsbruck, Österreich

    Kilian Vomstein

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  1. Kilian Vomstein
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Correspondence to Kilian Vomstein .

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  1. Fürst-Stirum-Klinik Bruchsal Frauenklinik, Bruchsal, Germany

    Jürgen Wacker

  2. Praxisklinik am Rosengarten, Mannheim, Germany

    Martin Sillem

  3. Praxisklinik am Rosengarten, Mannheim, Germany

    Gunther Bastert

  4. Frauenklinik, Universitätsklinikum Erlangen-Nürnberg Frauenklinik, Erlangen, Germany

    Matthias W. Beckmann

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Vomstein, K. (2020). Rezidivierende Spontanaborte. In: Wacker, J., Sillem, M., Bastert, G., Beckmann, M. (eds) Therapiehandbuch Gynäkologie und Geburtshilfe. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-662-59809-2_6

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