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2016 | OriginalPaper | Buchkapitel

36. Geburt und Beckenboden

verfasst von : Annette Kuhn

Verlag: Springer Berlin Heidelberg

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Zusammenfassung

Hauptziel der Geburtshilfe ist die Reduktion der maternalen und perinatalen Mortalität und Morbidität. Ein perineales Trauma kann sich spontan oder sekundär trotz Episiotomien ereignen, deren protektiver Wert kontrovers beurteilt wird. Höhergradige Dammrisse erfordern besondere Aufmerksamkeit, weil nicht erkannte oder nicht adäquat versorgte Dammrisse, die den Kontinenzmechanismus einbeziehen, erhebliche Auswirkungen haben.

Vaginaloperative Geburten zeigen schlechtere Resultate hinsichtlich Beckenbodentraumata. Die elektive Sectio hat einen gewissen präventiven Wert, um Urininkontinenz unmittelbar postpartal zu reduzieren, die Langzeitresultate sind allerdings noch unklar. Wassergeburten haben weder einen positiven noch einen negativen Einfluss.

Eine definitive Beurteilung nach postpartalen Beckenbodenproblemen – auch bzgl. eventueller operativer Sanierung – sollte erst nach Abschluss der Stillzeit, wenn die Frau wieder regelmäßige Zyklen hat und hormonell kein Hypoöstrogenismus vorliegt.

Vorheriges Kapitel Pathologische Geburt und vaginaloperative Entbindung

Nächstes Kapitel Sectio caesarea

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Titel: Geburt und Beckenboden
verfasst von: Annette Kuhn
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_35

Springerpflege

Zusammenfassung

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