Prävention und Therapie der Frühgeburt. Leitlinie der DGGG, OEGGG und SGGG (S2k-Niveau, AWMF-Registernummer 015/025, Februar 2019) – Teil 1 mit Empfehlungen zur Epidemiologie, Ätiologie, Prädiktion, primären und sekundären Prävention der Frühgeburt

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-0979-1028

Zeitschrift für Geburtshilfe und Neonatologie, Table of Contents

Z Geburtshilfe Neonatol 2019; 223(05): 304-316
DOI: 10.1055/a-0979-1028

Leitlinie

Prävention und Therapie der Frühgeburt. Leitlinie der DGGG, OEGGG und SGGG (S2k-Niveau, AWMF-Registernummer 015/025, Februar 2019) – Teil 1 mit Empfehlungen zur Epidemiologie, Ätiologie, Prädiktion, primären und sekundären Prävention der Frühgeburt

Prevention and Therapy of Preterm Birth. Guideline of the DGGG, OEGGG and SGGG (S2k Level, AWMF Registry Number 015/025, February 2019) – Part 1 with Recommendations on the Epidemiology, Etiology, Prediction, Primary and Secondary Prevention of Preterm Birth

Richard Berger

¹Frauenklinik, Marienhaus Klinikum Neuwied, Neuwied

,

Harald Abele

²Frauenklinik, Universitätsklinikum Tübingen, Tübingen

,

Franz Bahlmann

³Frauenklinik, Bürgerhospital Frankfurt, Frankfurt am Main

,

Ivonne Bedei

⁴Frauenklinik, Klinikum Frankfurt Höchst, Frankfurt am Main

,

Klaus Doubek

⁵Frauenarztpraxis, Wiesbaden

,

Ursula Felderhoff-Müser

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

,

Herbert Fluhr

⁷Frauenklinik, Universitätsklinikum Heidelberg, Heidelberg

,

Yves Garnier

⁸Frauenklinik, Klinikum Osnabrück, Osnabrück

,

Susanne Grylka-Baeschlin

⁹Zürcher Hochschule für angewandte Wissenschaften, Institut für Hebammen, Zürich, Schweiz

,

Hanns Helmer

¹⁰Universitätsklinik für Frauenheilkunde, Medizinische Universität Wien, Wien, Österreich

,

Egbert Herting

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

,

Markus Hoopmann

²Frauenklinik, Universitätsklinikum Tübingen, Tübingen

,

Irene Hösli

¹²Frauenklinik, Universitätsspital Basel, Basel, Schweiz

,

Udo Hoyme

¹³Frauenklinik, Ilm-Kreis-Kliniken, Arnstadt

,

Alexandra Jendreizeck

¹⁴Bundesverband das frühgeborene Kind

,

Harald Krentel

¹⁵Frauenklinik, Annahospital Herne, Elisabethgruppe Katholische Kliniken Rhein Ruhr, Herne

,

Ruben Kuon

¹⁶Frauenklinik, Universitätsklinikum Heidelberg, Heidelberg

,

Wolf Lütje

¹⁷Frauenklinik, Evangelisches Amalie Sieveking-Krankenhaus Hamburg, Hamburg

,

Silke Mader

¹⁸European Foundation for the Care of the Newborn Infants

,

Holger Maul

¹⁹Frauenklinik, Asklepios Kliniken Hamburg, Hamburg

,

Werner Mendling

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

,

Barbara Mitschdörfer

¹⁴Bundesverband das frühgeborene Kind

,

Tatjana Nicin

²¹Frauenklinik, Klinikum Hanau, Hanau

,

Monika Nothacker

²²Arbeitsgemeinschaft der Wissenschaftlichen Medizinischen Fachgesellschaften, Berlin

,

Dirk Olbertz

²³Abteilung Neonatologie und neonatologische Intensivmedizin, Klinikum Südstadt Rostock, Rostock

,

Werner Rath

²⁴Emeritus, Universitätsklinikum Aachen, Aachen

,

Claudia Roll

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

,

Dietmar Schlembach

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

,

Ekkehard Schleußner

²⁷Klinik für Geburtsmedizin, Universitätsklinikum Jena, Jena

,

Florian Schütz

¹⁶Frauenklinik, Universitätsklinikum Heidelberg, Heidelberg

,

Vanadin Seifert-Klauss

²⁸Frauenklinik, Universitätsklinikum rechts der Isar München, München

,

Susanne Steppat

²⁹Deutscher Hebammenverband

,

Daniel Surbek

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

› Author Affiliations

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 I dieser Kurzversion der Leitlinie zeigt Statements und Empfehlungen zur Epidemiologie, Ätiologie, der Prädiktion sowie der primären und sekundären Prävention der Frühgeburt.

Abstract

Aims This is an official guideline of the German Society for Gynecology and Obstetrics (DGGG), the Austrian Society for Gynecology and Obstetrics (ÖGGG) and the Swiss Society for Gynecology and Obstetrics (SGGG). The aim of this guideline is to improve the prediction, prevention and management of preterm birth based on evidence obtained from recent scientific literature, the experience of the members of the guideline commission and the views of self-help groups.

Methods Based on the international literature, the members of the participating medical societies and organizations developed Recommendations and Statements. These were adopted following a formal process (structured consensus conference with neutral moderation, voting was done in writing using the Delphi method to achieve consensus).

Recommendations Part I of this short version of the guideline lists Statements and Recommendations on the epidemiology, etiology, prediction and primary and secondary prevention of preterm birth.

Schlüsselwörter

Frühgeburt - vorzeitige Wehentätigkeit - Zervixinsuffizienz - früher vorzeitiger Blasensprung

Key words

preterm birth - preterm labor - cervical insufficiency - preterm premature rupture of membranes

Full Text

References

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