Zusammenfassung
Wie kein anderer Bereich in der Medizin ist die Geburtshilfe in den vergangenen Jahrzehnten durch die Pränatalmedizin beeinflusst worden. Sie hat entscheidend dazu beigetragen, dass sich das vorgeburtliche Problemspektrum gänzlich gewandelt hat und viele der früheren Herausforderungen gelöst sind. Stellten früher noch das Erkennen von Mehrlingen oder die Bestimmung des Gestationsalters zentrale Probleme dar, können diese heute durch den Ultraschall als gelöst betrachtet werden. Dagegen sind neue Fragestellungen entstanden, die risikostratifiziert erörtert werden. Einen maßgeblichen Einfluss auf die Reduktion der postpartalen Mortalität und Morbidität hat die pränatale Diagnose fetaler Fehlbildungen.
Abstract
During recent decades, prenatal medicine has had a substantial influence on obstetric management. As a result, some of the obstetric problems such as correct estimation of the delivery date or detection of multiple pregnancies can be considered as resolved. However, we are now confronted with other medical questions, which we try to sort out by assessing patient-specific risks. The detection of fetal anomalies plays a major role in the reduction of postnatal morbidity and mortality.
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Kagan, K., Hoopmann, M. Frauenärztlich-pädiatrische Kooperation. Gynäkologe 44, 429–435 (2011). https://doi.org/10.1007/s00129-010-2746-7
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DOI: https://doi.org/10.1007/s00129-010-2746-7