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2016 | OriginalPaper | Buchkapitel

18. Fetale Wachstumsrestriktion (FGR)

verfasst von : Henning Schneider, Karl-Theo M. Schneider, Silvia M. Lobmaier

Verlag: Springer Berlin Heidelberg

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Zusammenfassung

Feten mit restringiertem Wachstumspotenzial können dieses nicht vollständig ausschöpfen. Bei dieser Diagnosestellung spielt die Dopplersonographie, v. a. bei früher („early-onset“) fetaler Wachstumsrestriktion bis zu 34 SSW, eine wichtige Rolle. Mit fortgeschrittenem Schwangerschaftsalter zeigen die meisten SGA-Feten („small for gestational age“) keine Auffälligkeiten im Umbilikalarteriendoppler. Neuere Studien zeigen, dass auch diese „late-onset“ SGA-Feten (>34 SSW) signifikant häufiger Geburtsprobleme, eine suboptimale neurologische Entwicklung und höhere kardiovaskuläre Risiken haben. Im Gegensatz dazu steht die frühe „early-onset“ FGR, die mit den typischen Dopplerveränderungen einhergeht, mit hoher Morbidität und Mortalität vergesellschaftet ist und v. a. vom Schwangerschaftsalter bei Diagnose abhängt.

Die große Herausforderung der frühen FGR ist die Optimierung des Entbindungszeitpunktes, die Schwierigkeit der späten FGR ist bereits die diagnostische Erfassung.

Vorheriges Kapitel Der Fetus als Patient - Chirurgische und medikamentöse Therapie

Nächstes Kapitel Fetale Programmierung

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Titel: Fetale Wachstumsrestriktion (FGR)
verfasst von: Henning Schneider
Karl-Theo M. Schneider
Silvia M. Lobmaier
Verlag: Springer Berlin Heidelberg
Buch: Die Geburtshilfe
Print ISBN: 978-3-662-45063-5

Electronic ISBN: 978-3-662-45064-2

Copyright-Jahr: 2016
DOI: https://doi.org/10.1007/978-3-662-45064-2_18

Springerpflege

Zusammenfassung

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