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Abnormale Plazentation: Fetale Wachstumsrestriktion

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Die Geburtshilfe

Part of the book series: Springer Reference Medizin ((SRM))

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Zusammenfassung

Die fetale Wachstumsrestriktion (FGR, fetal growth restriction; oder auch IUGR, intrauterine growth restriction) ist eine häufige Schwangerschaftskomplikation (ca. 8 % aller Geburten (Statistisches Bundesamt 2018)), die zu perinatalen Komplikationen führen kann. Es gibt keine einheitliche Definition oder diagnostische Kriterien für FGR, was zu Unsicherheiten im Management und Zeitpunkt der Geburt führt. Obwohl es Ansätze gibt, um ein Hochrisikokollektiv für Plazentastörungen und FGR zu erkennen, erfolgen im Allgemeinen regelmäßige fetometrische Ultraschalluntersuchungen. Die Unterscheidung zwischen konstitutionell kleinen Feten und kleinen Feten aufgrund einer zugrunde liegenden Pathologie ist schwierig, aber je geringer das fetale Wachstum ist, desto höher ist die Wahrscheinlichkeit für eine FGR. Eine Verlaufssonografie mit Erhebung biometrischer Parameter ermöglicht u. U. zwischen diesen beiden Entitäten zu differenzieren. Die große Herausforderung im Management der frühen FGR (< 32 + 0 SSW) ist die Optimierung des Entbindungszeitpunktes, die der späten FGR (ab 32 + 0 SSW) das Erkennen einer solchen.

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Authors and Affiliations

  1. Frauenklinik, Universitätsklinikum Erlangen, Erlangen, Deutschland

    Sven Kehl

  2. Vivantes Netzwerk für Gesundheit GmbH, Klinikum Neukölln, Klinik für Geburtsmedizin, Berlin, Deutschland

    Dietmar Schlembach

  3. Universitätsklinik für Frauenheilkunde, Inselspital Bern, Bern, Schweiz

    Marc Baumann

  4. Universitätsklinik für Frauenheilkunde und Geburtshilfe, Medizinische Universität Graz, Graz, Österreich

    Philipp Klaritsch

  5. Frauenklinik, Klinikum rechts der Isar der Technischen Universität München, München, Deutschland

    Silvia Lobmaier

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  1. Sven Kehl
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  2. Dietmar Schlembach
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  3. Marc Baumann
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  4. Philipp Klaritsch
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  5. Silvia Lobmaier
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Correspondence to Sven Kehl .

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Editors and Affiliations

  1. Frauenklinik, Medizinische Hochschule Hannover, Hannover, Niedersachsen, Deutschland

    Constantin von Kaisenberg

  2. Klinische Abteilung für Geburtshilfe, Medizinische Universität Graz, Graz, Steiermark, Österreich

    Philipp Klaritsch

  3. Geburtshilfe, Universitätsspital Basel, Basel Universitätsspital, Basel Stadt, Schweiz

    Irene Hösli-Krais

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© 2024 Springer-Verlag GmbH Deutschland, ein Teil von Springer Nature

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Kehl, S., Schlembach, D., Baumann, M., Klaritsch, P., Lobmaier, S. (2024). Abnormale Plazentation: Fetale Wachstumsrestriktion. In: von Kaisenberg, C., Klaritsch, P., Hösli-Krais, I. (eds) Die Geburtshilfe. Springer Reference Medizin. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-662-44369-9_80-1

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  • DOI: https://doi.org/10.1007/978-3-662-44369-9_80-1

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  • Print ISBN: 978-3-662-44369-9

  • Online ISBN: 978-3-662-44369-9

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