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2017 | OriginalPaper | Buchkapitel

30. Besonderheiten der Frühgeburtsprävention bei Zwillingen und höhergradigen Mehrlingen inklusive selektiver Mehrlingsreduktion

verfasst von : Holger Maul

Erschienen in: Fehlgeburten Totgeburten Frühgeburten

Verlag: Springer Berlin Heidelberg

Zusammenfassung

Das Frühgeburtsrisiko ist bei Mehrlingen gegenüber Einlingen erhöht. Die Vorhersage einer Frühgeburt bei einer Mehrlingsschwangerschaft ist kaum möglich. Bekannte Maßnahmen zur Prävention oder Hemmung der Wehentätigkeit wie z.B. Progesteron, Bettruhe, Cerclage und tokolytische Therapie reduzieren die Frühgeburtenrate bei Mehrlingsschwangerschaften nicht. Durch eine selektive Mehrlingsreduktion sollen bei höhergradigen Mehrlingsschwangerschaften Risiken für die Mutter und die verbleibenden Feten vermindert werden. Der selektive Fetozid ist ethisch allerdings äußerst problematisch.
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Metadaten
Titel
Besonderheiten der Frühgeburtsprävention bei Zwillingen und höhergradigen Mehrlingen inklusive selektiver Mehrlingsreduktion
verfasst von
Holger Maul
Copyright-Jahr
2017
Verlag
Springer Berlin Heidelberg
DOI
https://doi.org/10.1007/978-3-662-50424-6_30

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