Prevention and Therapy of Preterm Birth. Guideline of the DGGG, OEGGG and SGGG (S2k Level, AWMF Registry Number 015/025, February 2019) – Part 2 with Recommendations on the Tertiary Prevention of Preterm Birth and the Management of Preterm Premature Rupture of Membranes

Richard Berger; Harald Abele; Franz Bahlmann; Ivonne Bedei; Klaus Doubek; Ursula Felderhoff-Müser; Herbert Fluhr; Yves Garnier; Susanne Grylka-Baeschlin; Hanns Helmer; Egbert Herting; Markus Hoopmann; Irene Hösli; Udo Hoyme; Alexandra Jendreizeck; Harald Krentel; Ruben Kuon; Wolf Lütje; Silke Mader; Holger Maul; Werner Mendling; Barbara Mitschdörfer; Tatjana Nicin; Monika Nothacker; Dirk Olbertz; Werner Rath; Claudia Roll; Dietmar Schlembach; Ekkehard Schleußner; Florian Schütz; Vanadin Seifert-Klauss; Susanne Steppat; Daniel Surbek

doi:10.1055/a-0903-2735

Geburtshilfe und Frauenheilkunde, Table of Contents

Geburtshilfe Frauenheilkd 2019; 79(08): 813-833
DOI: 10.1055/a-0903-2735

GebFra Science

Guideline/Leitlinie

Georg Thieme Verlag KG Stuttgart · New York

Prävention und Therapie der Frühgeburt. Leitlinie der DGGG, OEGGG und SGGG (S2k-Niveau, AWMF-Registernummer 015/025, Februar 2019) – Teil 2 mit Empfehlungen zur tertiären Prävention der Frühgeburt und zum Management des frühen vorzeitigen Blasensprungs

Article in several languages: English | deutsch

Authors

Richard Berger

¹Frauenklinik, Marienhaus Klinikum Neuwied, Neuwied, Germany
Harald Abele

²Frauenklinik, Universitätsklinikum Tübingen, Tübingen, Germany
Franz Bahlmann

³Frauenklinik, Bürgerhospital Frankfurt, Frankfurt am Main, Germany
Ivonne Bedei

⁴Frauenklinik, Klinikum Frankfurt Höchst, Frankfurt am Main, Germany
Klaus Doubek

⁵Frauenarztpraxis, Wiesbaden, Germany
Ursula Felderhoff-Müser

⁶Klinik für Kinderheilkunde I/Perinatalzentrum, Universitätsklinikum Essen, Universität Duisburg-Essen, Essen, Germany
Herbert Fluhr

⁷Frauenklinik, Universitätsklinikum Heidelberg, Heidelberg, Germany
Yves Garnier

⁸Frauenklinik, Klinikum Osnabrück, Osnabrück, Germany
Susanne Grylka-Baeschlin

⁹Zürcher Hochschule für angewandte Wissenschaften, Institut für Hebammen, Zürich, Switzerland
Hanns Helmer

¹⁰Universitätsklinik für Frauenheilkunde, Medizinische Universität Wien, Wien, Austria
Egbert Herting

¹¹Klinik für Kinder- und Jugendmedizin, Universitätsklinikum Schleswig-Holstein, Campus Lübeck, Lübeck, Germany
Markus Hoopmann

²Frauenklinik, Universitätsklinikum Tübingen, Tübingen, Germany
Irene Hösli

¹²Frauenklinik, Universitätsspital Basel, Basel, Switzerland
Udo Hoyme

¹³Frauenklinik, Ilm-Kreis-Kliniken, Arnstadt, Germany
Alexandra Jendreizeck

¹⁴Bundesverband das frühgeborene Kind, Germany
Harald Krentel

¹⁵Frauenklinik, Annahospital Herne, Elisabethgruppe Katholische Kliniken Rhein Ruhr, Herne, Germany
Ruben Kuon

¹⁶Frauenklinik, Universitätsklinikum Heidelberg, Heidelberg, Germany
Wolf Lütje

¹⁷Frauenklinik, Evangelisches Amalie Sieveking-Krankenhaus Hamburg, Hamburg, Germany
Silke Mader

¹⁸European Foundation for the Care of the Newborn Infants
Holger Maul

¹⁹Frauenklinik, Asklepios Kliniken Hamburg, Hamburg, Germany
Werner Mendling

²⁰Deutsches Zentrum für Infektionen in Gynäkologie und Geburtshilfe an der Frauenklinik, Helios Universitätsklinikum Wuppertal, Wuppertal, Germany
Barbara Mitschdörfer

¹⁴Bundesverband das frühgeborene Kind, Germany
Tatjana Nicin

²¹Frauenklinik, Klinikum Hanau, Hanau, Germany
Monika Nothacker

²²Arbeitsgemeinschaft der Wissenschaftlichen Medizinischen Fachgesellschaften, Berlin, Germany
Dirk Olbertz

²³Abteilung Neonatologie und neonatologische Intensivmedizin, Klinikum Südstadt Rostock, Rostock, Germany
Werner Rath

²⁴Emeritus, Universitätsklinikum Aachen, Aachen, Germany
Claudia Roll

²⁵Vestische Kinder- und Jugendklinik Datteln, Universität Witten/Herdecke, Datteln, Germany
Dietmar Schlembach

²⁶Klinik für Geburtsmedizin, Klinikum Neukölln/Berlin Vivantes Netzwerk für Gesundheit, Berlin, Germany
Ekkehard Schleußner

²⁷Klinik für Geburtsmedizin, Universitätsklinikum Jena, Jena, Germany
Florian Schütz

¹⁶Frauenklinik, Universitätsklinikum Heidelberg, Heidelberg, Germany
Vanadin Seifert-Klauss

²⁸Frauenklinik, Universitätsklinikum rechts der Isar München, München, Germany
Susanne Steppat

²⁹Deutscher Hebammenverband, Germany
Daniel Surbek

³⁰Universitäts-Frauenklinik, Inselspital, Universität Bern, Bern, Switzerland

Abstract

Zusammenfassung

Ziel Offizielle Leitlinie der Deutschen Gesellschaft für Gynäkologie und Geburtshilfe (DGGG), der Österreichischen Gesellschaft für Gynäkologie und Geburtshilfe (ÖGGG) und der Schweizerischen Gesellschaft für Gynäkologie und Geburtshilfe (SGGG). Ziel der Leitlinie ist es, die Prädiktion, die Prävention und das Management der Frühgeburt anhand der aktuellen Literatur, der Erfahrung der Mitglieder der Leitlinienkommission einschließlich der Sicht der Selbsthilfe evidenzbasiert zu verbessern.

Methoden Anhand der internationalen Literatur entwickelten die Mitglieder der beteiligten Fachgesellschaften und Organisationen Empfehlungen und Statements. Diese wurden in einem formalen Prozess (strukturierte Konsensuskonferenzen mit neutraler Moderation, schriftliche Delphi-Abstimmung) verabschiedet.

Empfehlungen Der Teil 2 dieser Kurzversion der Leitlinie zeigt Statements und Empfehlungen zur tertiären Prävention der Frühgeburt sowie zum Management des frühen vorzeitigen Blasensprungs.

Schlüsselwörter

Frühgeburt - vorzeitige Wehentätigkeit - Zervixinsuffizienz - früher vorzeitiger Blasensprung

Full Text

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