Zeitschrift fur Geburtshilfe und Neonatologie最新文献

[Preparedness for professional practice and field preferences of student midwives in Germany]. [德国学生助产士的专业实践准备和领域偏好]。

IF 0.7 4区医学

Zeitschrift fur Geburtshilfe und Neonatologie Pub Date : 2025-07-10 DOI: 10.1055/a-2625-2758

Caroline Johanna Agricola, Ilona Efimov, Matthias Augustin, Volker Harth, Albert Nienhaus, Stefanie Mache, Birgit-Christiane Zyriax

{"title":"[Preparedness for professional practice and field preferences of student midwives in Germany].","authors":"Caroline Johanna Agricola, Ilona Efimov, Matthias Augustin, Volker Harth, Albert Nienhaus, Stefanie Mache, Birgit-Christiane Zyriax","doi":"10.1055/a-2625-2758","DOIUrl":"https://doi.org/10.1055/a-2625-2758","url":null,"abstract":"Student midwives are trained to provide care for women and their families. With academisation in 2019, theoretical education was transferred from vocational schools to institutions of higher education in order to meet the increasing demands of the profession. The aim of this study is to examine the preparedness for professional practice and interprofessional collaboration as well as preferences in fields of practice of student midwives.The cross-sectional study \"Healthy MidStudents\" examining the health and working conditions of student midwives (n=342, response rate 61.3%) was conducted in Northern Germany at nine institutions of higher education between 17 October 2022 and 31 January 2023. The data was analysed using descriptive and inferential statistics.The majority of primary-qualifying students (n=249) rated that they were on average moderately prepared for both the professional practice (47.0%) and interprofessional collaboration (47.4%). Students (n=342) most preferred working in out-of-hospital birth care (24.3%), followed by clinical birth care (21.6%) and out-of-hospital postnatal care (14.6%).The findings implicate measures, e.g. mentoring programmes, to promote preparedness for professional practice and interprofessional collaboration. The study results indicate a broad interest in various fields of practice, particularly in out-of-hospital fields.","PeriodicalId":23854,"journal":{"name":"Zeitschrift fur Geburtshilfe und Neonatologie","volume":" ","pages":""},"PeriodicalIF":0.7,"publicationDate":"2025-07-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144609748","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Overweight and obesity in pregnancy - a retrospective cohort study in Germany. 妊娠期超重和肥胖——德国的一项回顾性队列研究。

IF 0.7 4区医学

Zeitschrift fur Geburtshilfe und Neonatologie Pub Date : 2025-06-18 DOI: 10.1055/a-2607-8668

Clara Illi, Lars Hellmeyer, Elena Groening, Josefine Königbauer, Julia Kummer, Charlotte Reinhardt, Paul Rostin

{"title":"Overweight and obesity in pregnancy - a retrospective cohort study in Germany.","authors":"Clara Illi, Lars Hellmeyer, Elena Groening, Josefine Königbauer, Julia Kummer, Charlotte Reinhardt, Paul Rostin","doi":"10.1055/a-2607-8668","DOIUrl":"https://doi.org/10.1055/a-2607-8668","url":null,"abstract":"Overweight and obesity are common among women of reproductive age. 43.8% of women in Germany and 50% of women in the US entering their pregnancy have a body mass index (BMI)≥25. Studies indicate that gestational overweight is associated with maternal and neonatal complications.2034 women from 2015 until 2018 were included. Trends in BMI, gestational weight gain, pregnancy outcome, complications, neonatal weight, and outcome were analyzed. Gestational weight gain was evaluated according to the Institute of Medicine (IOM) guidelines. 34% of the population were overweight with a BMI≥25. The overall weight gain was similar across BMI groups (median 11.0-14.0 kg). 44.1% gained more than recommended. These women were at higher risk of labor induction (33.1% vs. 27.0%, p=0.003), unplanned cesarean section (18.6% vs. 13.6%, p=0.004), lower incidence of spontaneous vaginal birth (54.5% vs. 59.9%, p=0.009), and higher neonatal birth weight (>90th percentile, 14.5% vs. 5.7%, p<0.001). Gestational diabetes was linked to a lower gestational weight gain (odds ratio 0.92, confidence interval 0.90-0.95, p<0.001).One third of the analyzed population was already overweight or obese at the beginning of the pregnancy. In 44.1% of cases, weight gain during pregnancy exceeded the recommended amount. This was associated with complications in pregnancy and labor as well as higher neonatal birth weight. This study highlights the importance of prenatal counseling and intervention on BMI and weight gain.","PeriodicalId":23854,"journal":{"name":"Zeitschrift fur Geburtshilfe und Neonatologie","volume":" ","pages":""},"PeriodicalIF":0.7,"publicationDate":"2025-06-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144327001","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Postpartum Balance and Kinesiophobia in Cesarean Delivery: Impact of Abdominal Fascial Scars. 剖宫产的产后平衡和运动恐惧症：腹部筋膜疤痕的影响。

IF 0.7 4区医学

Zeitschrift fur Geburtshilfe und Neonatologie Pub Date : 2025-06-18 DOI: 10.1055/a-2629-6700

Yağmur Mengü, Emine Atici

{"title":"Postpartum Balance and Kinesiophobia in Cesarean Delivery: Impact of Abdominal Fascial Scars.","authors":"Yağmur Mengü, Emine Atici","doi":"10.1055/a-2629-6700","DOIUrl":"https://doi.org/10.1055/a-2629-6700","url":null,"abstract":"Considering that the incisions made during cesarean delivery may damage subcutaneous tissue and fascia, and pelvic floor muscle contractions are effective in femoral head movements, it is hypothesized that the mode of delivery may have an impact on balance and kinesiophobia. This study aimed to investigate the effect of cesarean delivery on balance, kinesiophobia, and body awareness.A total of 70 women participated in the study. Demographic and obstetric data of the participants were recorded. Thoracolumbar fascia was assessed using a goniometric platform, trunk flexibility with the Modified Schober test, static balance with the Flamingo Balance test, and dynamic balance with the Y Balance Test. The Tampa Scale of Kinesiophobia was used to evaluate movement fear, and the Body Awareness Questionnaire was used to assess body awareness.No significant differences were found between cesarean and vaginal deliveries in terms of thoracolumbar fascia assessment, static balance, or dynamic balance measurements (p>0.05). In women who delivered vaginally, dynamic balance was observed to decrease with advancing age (p<0.05). Moreover, in vaginal deliveries, a shorter time since last birth was associated with improved anterior dynamic balance, while an increased number of deliveries was linked to impaired anterior dynamic balance (p<0.05). Regardless of the mode of delivery, all women experienced a decline in static balance and reduced anterior reach with increasing age. Additionally, an increased number of deliveries was associated with impaired static balance, and shorter postpartum duration was linked to decreased dynamic balance (p<0.05). No significant difference was found between vaginal and cesarean deliveries in terms of kinesiophobia (p>0.05). However, in women who delivered vaginally, body awareness decreased with age (p<0.05). In conclusion, the study found that cesarean scars had no adverse effects on balance, kinesiophobia, or body awareness. Nevertheless, further research focusing on balance is recommended.","PeriodicalId":23854,"journal":{"name":"Zeitschrift fur Geburtshilfe und Neonatologie","volume":" ","pages":""},"PeriodicalIF":0.7,"publicationDate":"2025-06-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144327002","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

[Understaffed nursing shifts and risk-adjusted survival of very preterm infants - an analysis of neonatal intensive care units level 1 in Germany 2019-2023]. [人员不足的护理班次和极早产儿的风险调整生存率——德国2019-2023年新生儿重症监护1级病房的分析]。

IF 0.7 4区医学

Zeitschrift fur Geburtshilfe und Neonatologie Pub Date : 2025-06-18 DOI: 10.1055/a-2618-6341

Claudia Roll, Kerstin Liersch-Baumann, Christoph Bührer

{"title":"[Understaffed nursing shifts and risk-adjusted survival of very preterm infants - an analysis of neonatal intensive care units level 1 in Germany 2019-2023].","authors":"Claudia Roll, Kerstin Liersch-Baumann, Christoph Bührer","doi":"10.1055/a-2618-6341","DOIUrl":"https://doi.org/10.1055/a-2618-6341","url":null,"abstract":"Higher nurse-to-patient ratios have been linked to decreased mortality and morbidity. Federal German regulations call for nurse shift staffing requirements in neonatal intensive care units and mandatory reporting of understaffed shifts. What is the relationship between the percentage of understaffed nurse shifts and outcome of very preterm infants?We analyzed data published for 163 hospitals providing level 3 neonatal intensive care in Germany 2019-2023, linking percentages of fully staffed nurse shifts with mortality and major morbidity of preterm infants<1500 g birthweight (gestational age 240/7 bis 316/7 weeks).No correlation was found between percentages of fully staffed shifts and survival (Rs=0.008, p=0.918) or survival without major morbidity (Rs=0.050, p=0.529). Hospitals with ≤ 95% fully staffed shifts (n=82), as opposed to>95% (n=81), had higher annual caseloads of preterm infants<1500 g (median [interquartile range] 53 [37-77] vs. 41 [33-55], p=0.001) und higher risk-adapted caseloads (56 [35-77] vs. 42 [30-58], p=0.002) while there was no difference in rates of survival relative to the national average (1.00 [0.99-1.01] vs. 1.00 [0.99-1.01], p=0.722) or survival without major morbidity (1.00 [0.97-1.03] vs. 0.99 [0.97-1.02], p=0.346). There were also no significant differences in outcome with other cut-offs or when comparing the lowest with the highest quartile.In this analysis, percentages of understaffed nurse shifts were unrelated to mortality or major morbidity of very preterm infants.","PeriodicalId":23854,"journal":{"name":"Zeitschrift fur Geburtshilfe und Neonatologie","volume":" ","pages":""},"PeriodicalIF":0.7,"publicationDate":"2025-06-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144327000","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Methylene Blue for Refractory Shock in A Neonate. 亚甲基蓝治疗新生儿难治性休克。

IF 0.7 4区医学

Zeitschrift fur Geburtshilfe und Neonatologie Pub Date : 2025-06-16 DOI: 10.1055/a-2625-2706

Ferhan Demirtaş, Yasemin Ezgi Köstekci, Aziz Kılıç, Engin Köse, Ömer Erdeve, Tanıl Kendirli, Begum Atasay

{"title":"Methylene Blue for Refractory Shock in A Neonate.","authors":"Ferhan Demirtaş, Yasemin Ezgi Köstekci, Aziz Kılıç, Engin Köse, Ömer Erdeve, Tanıl Kendirli, Begum Atasay","doi":"10.1055/a-2625-2706","DOIUrl":"https://doi.org/10.1055/a-2625-2706","url":null,"abstract":"Neonatal shock has a high mortality rate in neonates. New treatment approaches are being researched. Methylene blue (MB) may have the ability to enhance blood pressure but is rarely used on newborns. MB usage in a newborn with catecholamine-resistant shock who needed renal replacement therapy (RRT) due to hyperammonemia from an underlying urea cycle defect is presented here. A 3050-g female neonate, born at 38 weeks' gestation, was admitted to our neonatal intensive care unit on the fourth postnatal day due to hyperammonemia and encephalopathy. She was in shock but did not have sepsis, and her cardiological evaluation was normal. Upon detection of severe hyperammonemia, protein intake was ceased and ammonia-reducing medications were initiated. She required RRT due to persistent severe hyperammonemia, but despite receiving fluid resuscitation, vasopressors, and hydrocortisone, her blood pressure remained low until starting MB. Afterwards, RRT waseffectively performed. After continuous RRT, the patient's ammonia level decreased. Unfortunately, the patient died on the tenth day following delivery due to multiple organ failure. Catecholamine-resistant shock is a significant factor in neonatal mortality. In neonates with decompensated catecholamine-resistant shock and normal cardiac function, MB might be a novel therapeutic alternative. However, more studies are required to examine the efficacy, dose, and use.","PeriodicalId":23854,"journal":{"name":"Zeitschrift fur Geburtshilfe und Neonatologie","volume":" ","pages":""},"PeriodicalIF":0.7,"publicationDate":"2025-06-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144310509","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

The Predictive Role of Fetal Growth for Placental Invasion Anomalies in Placenta Previa. 胎儿生长对前置胎盘侵袭异常的预测作用。

IF 0.7 4区医学

Zeitschrift fur Geburtshilfe und Neonatologie Pub Date : 2025-06-16 DOI: 10.1055/a-2607-8603

Evrim Koca, Burcu Dincgez, Gulten Ozgen, Deniz Simsek

{"title":"The Predictive Role of Fetal Growth for Placental Invasion Anomalies in Placenta Previa.","authors":"Evrim Koca, Burcu Dincgez, Gulten Ozgen, Deniz Simsek","doi":"10.1055/a-2607-8603","DOIUrl":"https://doi.org/10.1055/a-2607-8603","url":null,"abstract":"To evaluate the predictive role of fetal percentile for placental invasion anomalies in placenta previa cases. Study Design: Retrospective studyPlace & Duration of the Study: Training and Research Hospital, January 2018 and December 2023A total of 298 placenta previa cases was divided into two groups: PAS (placenta accreta spectrum)-positive placenta previa (n=98) and PAS-negative placenta previa (n=200). Then PAS-positive placenta previa cases were divided into two subgroups: placenta increta-accreta (n=59) and placenta percreta (n=39). Sociodemographic findings, obstetric features, fetal percentile measurements between 22 and 28 gestational weeks and perioperative characteristics of patients were recorded and compared between groups.Fetal percentile was significantly lower in PAS-positive placenta previa cases as compared to PAS-negative placenta previa cases (p<0.001). Moreover, fetal percentile≤52.5 discriminated PAS-positive placenta previa cases from PAS-negative placenta previa cases with 75.51% sensitivity and 51.5% specificity (p<0.001, AUC=0.654). In multivariate analysis, a fetal percentile of 52.5 and below increased the risk of PAS by approximately 4 times (Hosmer-Lemeshow p=0.101, model p<0.001). No significant difference was detected between placenta percreta and placenta accreta-increta groups in terms of fetal percentile (p=0.224). Fetal percentiles calculated between 22 and 28 gestational weeks could discriminate PAS-positive placenta previa cases from PAS-negative placenta previa cases, although it had no role in discriminating placenta percreta from accreta and increta cases. Therefore, the evaluation of fetal percentile in placenta previa cases can be considered as a supportive finding in the prediction of invasion anomaly although it does not determine the depth of invasion.","PeriodicalId":23854,"journal":{"name":"Zeitschrift fur Geburtshilfe und Neonatologie","volume":" ","pages":""},"PeriodicalIF":0.7,"publicationDate":"2025-06-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144310510","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Annular Migratory Rash In a Newborn Related to Prostaglandin E1 Infusion: A Case Report. 与前列腺素E1输注有关的新生儿环状迁移性皮疹1例报告。

IF 0.7 4区医学

Zeitschrift fur Geburtshilfe und Neonatologie Pub Date : 2025-06-06 DOI: 10.1055/a-2615-1248

Buse Önen Ocak, Refika Sirma Dokuzboy, Hayriye Gözde Kanmaz Kutman

引用次数: 0

A Simple Combined Method for Vaginal Breech Presentation Delivery: A Retrospective Single Tertiary Center Comparison of Outcomes Across Two Generational Approaches (2007-2022). 阴道臀位分娩的简单联合方法：回顾性单三级中心比较两代方法的结果（2007-2022）。

IF 0.7 4区医学

Zeitschrift fur Geburtshilfe und Neonatologie Pub Date : 2025-06-05 DOI: 10.1055/a-2607-7667

Christina Kouskouti, Alex Horky, Simon Hajda, Sergej Haide, Franz Kainer

{"title":"A Simple Combined Method for Vaginal Breech Presentation Delivery: A Retrospective Single Tertiary Center Comparison of Outcomes Across Two Generational Approaches (2007-2022).","authors":"Christina Kouskouti, Alex Horky, Simon Hajda, Sergej Haide, Franz Kainer","doi":"10.1055/a-2607-7667","DOIUrl":"https://doi.org/10.1055/a-2607-7667","url":null,"abstract":"The management of breech presentation at term has been a subject of controversy in recent decades. The Term Breech Trial (TBT) in 2000 demonstrated a significant reduction in perinatal morbidity and mortality through planned cesarean delivery, leading to increased rates of cesarean breech deliveries. Subsequent publications questioned the TBT results, yet without a significant increase in vaginal breech deliveries. This decline in vaginal breech deliveries has raised concerns about the training of the new generation. Here we introduce an individualized approach with careful selection of appropriate candidates and the application of a simple 3-step method (Hold - Lever - Rotate) for vaginal breech delivery.We conducted a retrospective analysis of two distinct periods: 2007-2012 and 2013-2022 to compare approaches to vaginal breech deliveries. The vaginal breech delivery rate was 8% (n=65) from 2007 to 2012 and 10% (n=146) from 2013 to 2022. The success rate for planned vaginal breech deliveries decreased from 62% to 53%.Risk stratification and informed patient selection are pivotal in managing vaginal breech deliveries. The proposed 3-step algorithm (Hold - Lever - Rotate) provides a simple and efficient method for obstetricians and midwives to manage breech deliveries safely, even with limited training opportunities.","PeriodicalId":23854,"journal":{"name":"Zeitschrift fur Geburtshilfe und Neonatologie","volume":" ","pages":""},"PeriodicalIF":0.7,"publicationDate":"2025-06-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144235385","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

[Effects of Pregnancy on Sexuality, Physical Activity, and Well-Being of Women During Pregnancy]. [怀孕对怀孕期间女性性行为、身体活动和健康的影响]。

IF 0.7 4区医学

Zeitschrift fur Geburtshilfe und Neonatologie Pub Date : 2025-06-03 DOI: 10.1055/a-2607-7766

Duygu Adiyaman, Andrea Korzoum, Stefan Lukac, Beate Hüner, Christiane Lato, Leonie Burkert, Annika Schmid, Wolfgang Janni, Krisztian Lato

{"title":"[Effects of Pregnancy on Sexuality, Physical Activity, and Well-Being of Women During Pregnancy].","authors":"Duygu Adiyaman, Andrea Korzoum, Stefan Lukac, Beate Hüner, Christiane Lato, Leonie Burkert, Annika Schmid, Wolfgang Janni, Krisztian Lato","doi":"10.1055/a-2607-7766","DOIUrl":"https://doi.org/10.1055/a-2607-7766","url":null,"abstract":"Pregnancy induces significant physical and emotional changes affecting sexual behavior and maternal well-being. This study examined these changes and the possible influence of fetal sex.A total of 320 women with singleton pregnancies in early gestation participated. For analysis, 296 complete questionnaires were included; miscarriages and fetal anomalies were excluded.After pregnancy onset, 27% reported ceasing intercourse; overall frequency declined significantly (p<0.001). Women over 30 showed a stronger decline (p=0.035). Physical activity decreased especially in women under 30 (p=0.038). No significant difference was found between primigravida and multigravida (p=0.173). Common symptoms included low energy (78%), poor sleep (59%), nausea (55%), constipation (49%), increased appetite (46%), and mood swings (45%). Fetal sex had no significant influence on most symptoms (p>0.05). However, concentration problems were more frequent with female fetuses (p=0.024), hair loss with male fetuses (p=0.038). Changes in vaginal discharge occurred more often when fetal sex differed from previous pregnancies (p=0.025).Pregnancy leads to marked changes in sexual behavior, physical activity, and well-being. Understanding these can support more personalized and compassionate prenatal care.","PeriodicalId":23854,"journal":{"name":"Zeitschrift fur Geburtshilfe und Neonatologie","volume":" ","pages":""},"PeriodicalIF":0.7,"publicationDate":"2025-06-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144217105","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Shoulder Dystocia. Guideline of the DGGG, OEGGG and SGGG (S2k-Level, AWMF Registry No. 015/098, 10/2024). 肩难产。DGGG、OEGGG和SGGG指南（s2k级，AWMF注册号015/098,10/2024）。

IF 0.7 4区医学

Zeitschrift fur Geburtshilfe und Neonatologie Pub Date : 2025-06-01 Epub Date: 2025-06-10 DOI: 10.1055/a-2588-4890

Peter Jakubowski, Harald Abele, Christian Bamberg, Gerhard Bogner, Katharina Desery, Claudius Fazelnia, Julia Jückstock, Amr Sherif Hamza, Anne Heihoff-Klose, Luise Janning, Andrea Köbke, Ioannis Kyvernitakis, Wolf Lütje, Frank Reister, Anke Reitter, Sven Seeger, Peggy Seehafer, Laila Springer, Axel Valet, Stephanie Wallwiener, Nina Kimmich

{"title":"Shoulder Dystocia. Guideline of the DGGG, OEGGG and SGGG (S2k-Level, AWMF Registry No. 015/098, 10/2024).","authors":"Peter Jakubowski, Harald Abele, Christian Bamberg, Gerhard Bogner, Katharina Desery, Claudius Fazelnia, Julia Jückstock, Amr Sherif Hamza, Anne Heihoff-Klose, Luise Janning, Andrea Köbke, Ioannis Kyvernitakis, Wolf Lütje, Frank Reister, Anke Reitter, Sven Seeger, Peggy Seehafer, Laila Springer, Axel Valet, Stephanie Wallwiener, Nina Kimmich","doi":"10.1055/a-2588-4890","DOIUrl":"10.1055/a-2588-4890","url":null,"abstract":"Purpose: This is an official guideline of the German Society for Gynecology and Obstetrics (Deutsche Gesellschaft für Gynäkologie und Geburtshilfe, DGGG), the Austrian Society for Gynecology and Obstetrics (Österreichische Gesellschaft für Gynäkologie und Geburtshilfe, ÖGGG) and the Swiss Society for Gynecology and Obstetrics (Schweizerische Gesellschaft für Gynäkologie und Geburtshilfe, SGGG). Shoulder dystocia is a rare but feared obstetric complication with potentially far-reaching medical consequences for mother and child. The purpose of this guideline is to standardize the processes which provide individual obstetric solutions for shoulder dystocia in accordance with current scientific knowledge and current clinical practice. The aim is also to emphasize that no matter how good the medical care, shoulder dystocia and its associated complications cannot be entirely prevented and are not fully controllable.Methods: Representative members from different medical specialties were commissioned by the guidelines programm of the DGGG, OEGGG and SGGG to develop this S2k-guideline using a structured consensus process.Recommendations: The guideline provides recommendations about the definition, diagnosis, epidemiology, risk factors and prevention, logistics, and measures to treat shoulder dystocia including an algorithm for action, and the associated complications, documentation requirements, debriefing, forensic aspects, education, training and simulation as well as follow-up discussions on the shoulder dystocia event.","PeriodicalId":23854,"journal":{"name":"Zeitschrift fur Geburtshilfe und Neonatologie","volume":"229 3","pages":"173-182"},"PeriodicalIF":0.7,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144267404","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0