Überdenken einer altbekannten Methode – Überlegungen zur Episiotomie

Jan Pauluschke-Fröhlich; Heiko B. G. Franz; Harald Abele

doi:10.1055/a-0813-6194

Geburtshilfe und Frauenheilkunde, Table of Contents

Geburtshilfe Frauenheilkd 2019; 79(03): 247-249
DOI: 10.1055/a-0813-6194

GebFra Magazin

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Georg Thieme Verlag KG Stuttgart · New York

Überdenken einer altbekannten Methode – Überlegungen zur Episiotomie

Jan Pauluschke-Fröhlich

,

Heiko B. G. Franz

,

Harald Abele

Abstract

Der Ursprung der Episiotomie ist unklar. Einer der Erstbeschreiber war Sir Fielding Ould, der 1742 diese Methode als hilfreich bei einer prolongierten Entbindung vorschlug. Wenngleich es viele Verfechter dieser Methode gibt und die Indikationen heute wesentlich weiter gefasst werden, zählt die Episiotomie wissenschaftlich gesehen nicht zu den Methoden der geburtshilflichen Routine. Vielmehr ist sie mehr und mehr als ein chirurgischer Eingriff zu sehen, der im Kontext der Physiologie einer Geburt wohl bedacht sein will, um für Mutter und Kind messbar von Nutzen zu sein.

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References

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