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Schwangerschaftsinduzierte Hypertonie und Präeklampsie

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Dopplersonographie in Geburtshilfe und Gynäkologie

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Die schwangerschaftsinduzierte Hypertonie (SIH) und Präeklampsie stellen für die Schwangerschaft ein relevantes Risiko dar. Mittels Dopplersonographie ist eine Risikoeinschätzung (Screening) für das Auftreten — oder besser noch — den Ausschluss von schweren Verlaufsformen von SIH und Präeklampsien durch die Untersuchung der Uterinarterien im 2. Trimenon in Risikokollektiven möglich. Im Fall der klinisch manifesten Hypertonie, SIH und Präeklampsie (PE) ermöglicht eine dopplersonographische Untersuchung des uteroplazentaren und umbilikalen bzw. fetalen Gefäßgebiets einen Einblick in die aktuelle Hämodynamik und erlaubt damit ein optimiertes Management. Aus diesen Gründen ist sowohl bei anamnestischem Risiko (Zustand nach Präeklampsie und Eklampsie) als auch bei bestehender SIH und Präeklampsie eine Indikation zur dopplersonographischen Untersuchung gegeben und in den Mutterschaftsrichtlinien festgelegt [Standardkommission der Arbeitsgemeinschaft Dopplersonographie und maternofetale Medizin (AGDMFM) 1996].

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Authors and Affiliations

  1. Universitätsklinik für Frauenheilkunde und Geburtshilfe, Paracelsus Medizinische Privatuniversität Müllner, Hauptstraße, 485020, Salzburg österreich

    H. Steiner Univ.-Doz. Dr. med.

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  1. H. Steiner Univ.-Doz. Dr. med.
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  1. Paracelsus Medizinische Privatuniversität, Universitätsklinik für Frauenheilkunde und Geburtshilfe, Müllner Hauptstraße 48, 5020, Salzburg, Österreich

    Horst Steiner

  2. Klinikum rechts der Isar, Frauenklinik und Poliklinik, Technische Universität München, Ismaninger Straße 22, 81675, München

    Karl-Theo M. Schneider

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Steiner, H. (2008). Schwangerschaftsinduzierte Hypertonie und Präeklampsie. In: Steiner, H., Schneider, KT.M. (eds) Dopplersonographie in Geburtshilfe und Gynäkologie. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-540-72371-4_9

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  • DOI: https://doi.org/10.1007/978-3-540-72371-4_9

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-540-72370-7

  • Online ISBN: 978-3-540-72371-4

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