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2016 | OriginalPaper | Buchkapitel

10. Fehlbildungsdiagnostik und Ultraschalluntersuchung im 3. Trimenon

verfasst von : Eva Ostermayer, Marcus Schelling, Kinga Maria Chalubinski

Erschienen in: Die Geburtshilfe

Verlag: Springer Berlin Heidelberg

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Zusammenfassung

Bei der 3. Screeninguntersuchung (28 + 0 bis 31 + 6 SSW) werden die zeitgerechte Entwicklung, Fruchtwassermenge, Plazentalokalisation und -struktur und fetale Lage kontrolliert. Hinweiszeichen für Entwicklungsstörungen müssen erneut überprüft werden, da pathologische Befunde möglicherweise erst jetzt erkennbar werden (z. B. Hydrozephalus, Mikrozephalus, Herzklappenstenosen, Darmatresien, obstruktive Uropathie, Hydrops, kardiale Dekompensation). Die Indikationen für sonographische/dopplersonographische Untersuchungen sind in den Mutterschaftsrichtlinen festgelegt. In speziellen Leitlinien der International Society of Ultrasound in Obstetrics and Gynecology (ISUOG) werden die Untersuchungen des ZNS und des fetalen Herzens detailliert beschrieben. Die Ergebnisse der Ultraschalluntersuchung und des Aufklärungsgesprächs müssen dokumentiert werden. Bei dringendem Verdacht auf eine Gesundheitsschädigung des Kindes ist eine Beratung gemäß Gendiagnostik- und Schwangerenkonfliktgesetz verpflichtend.

Vorheriges Kapitel Fehlbildungsdiagnostik und Ultraschalluntersuchung im 2. Trimenon

Nächstes Kapitel Risikostratifizierung im 1. Trimester

Ahmed A, Dunk C, Ahmad S, Khaliq A (2000) Regulation of placental vascular endothelial growth factor (VEGF) and placenta growth factor (PIGF) and soluble Flt-1 by oxygen – a review. Placenta 21:16–24CrossRef

American College of Obstetricians and Gynecologists – ACOG (1993) Ultrasonography in pregnancy, ACOG technical bulletin 187. ACOG, Washington, DC

American College of Obstetricians and Gynecologists – ACOG (2002) Placenta accreta. ACOG Committee Opinion 266

American College of Obstetricians and Gynecologists – ACOG (2013) Practice guideline for the performance of obstetrical ultrasound. ACOG, Washington, DC

AWMF, AgG Medizinrecht in der DGGG (2008) Ultraschalldiagnostik im Rahmen der Schwangerenvorsorge: AWMF-Leitlinienregister 015/044

Barkovich A, Guerrini R, Kuzniecky R, Jackson G, Dobyns W (2012) A developmental and genetic classification for malformations of cortical development: update 2012. Brain 135(5):1348–1369CrossRefPubMedPubMedCentral

Benacerraf B (2008a) Fetal liver calcification. In: Benacerraf B (Hrsg) Ultrasound of fetal syndromes. Churchill Livingstone, Philadelphia, S 205–208

Benacerraf B (2008b) Microcephaly. In: Benacerraf B (Hrsg) Ultrasound of fetal syndromes. Churchill Livingstone, Philadelphia, S 205–208

Carvalho JS, Allan LD, Chaoui R, Copel JA, DeVore GR, Hecher K, Lee W, Munoz H, Paladini D, Tutschek B, Yagel S (2013) ISUOG practice guidelines (updated): sonographic screening examination of the fetal heart. Ultrasound Obstet Gynecol 41:348–359CrossRefPubMed

Chalubinski KM, Pils S, Klein K, Seemann R, Speiser P, Langer M, Ott J (2013) Antenatal sonography can predict the degree of placental invasion. Ultrasound Obstet Gynecol. doi:10.1002/uog.12451 (epub vor Druck)PubMed

Chaumoitre K, Brun M, Cassart M, Maugey-Laulom B, Eurin D, Didier F, Avni EF, And for the Groupe Radiopédiatrique de Recherche en Imagerie Foetale (GRRIF) (2006) Differential diagnosis of fetal hyperechogenic cystic kidneys unrelated to renal tract anomalies: a multicenter study. Ultrasound Obstet Gynecol 28:911–917CrossRefPubMed

Chou MM, Ho ES, Lee YH (2000) Prenatal diagnosis of placenta previa accreta by transabdominal color Doppler ultrasound. Ultrasound Obstet Gynecol 15:28–35CrossRefPubMed

Clark SL, Belfort MA, Dildy GA, Herbst MA, Meyers JA, Hankins GD (2008) Maternal death in the 21st century: causes, prevention, and relationship to cesarean delivery. Am J Obstet Gynecol 199:36.e1–5

Comstock CH (2005) Antenatal diagnosis of placenta accreta: a review. Ultrasound Obstet Gynecol 26:89–96CrossRefPubMed

Daltveit AK, Tollånes MC, Pihlstrøm H, Irgens LM (2008) Cesarean delivery and subsequent pregnancies. Obstet Gynecol 111:1327–1334CrossRefPubMed

Damen-Elias HA, Stoutenbeek PH, Visser GH, Nikkels PG, de Jong TP (2005) Concomitant anomalies in 100 children with unilateral multicystic kidney. Ultrasound Obstet Gynecol 25:384–388CrossRefPubMed

Deutsche Gesellschaft für Gynäkologie und Geburtshilfe – DGGG (2008) Leitlinien, Empfehlungen und Stellungnahmen. AWMF-Leitlinie 015/046 http://www.awmf.org/uploads/. Zugegriffen am 29.10.2013

Dudley NJ (2004) A systematic review of the ultrasound estimation of fetal weight. Ultrasound Obstet Gynecol 25(1):80–89CrossRef

Eckoldt F, Heling KS, Woderich R, Kraft S, Bollmann R, Mau H (2003) Meconium peritonitis and pseudo-cyst formation: prenatal diagnosis and post-natal course. Prenat Diagn 23(11):904–908CrossRefPubMed

Foley PT, Ford WD, McEwing R, Furness M (2005) Is conservative management of prenatal and neonatal ovarian cysts justifiable? Fetal Diagn Ther 20:454–458CrossRefPubMed

Fong K, Ghai S, Toi A, Blaser S, Winsor E, Chitayat D (2004) Prenatal ultrasound findings of lissencephaly associated with Miller–Dieker syndrome and comparison with pre- and postnatal magnetic resonance imaging. Ultrasound Obstet Gynecol 24:716–723CrossRefPubMed

Gendiagnostikgesetz vom 31. Juli 2013 (BGBl. I S. 2529, 3672), das durch Artikel 4 Absatz 18 des Gesetzes vom 7. August 2013 (BGBl. I S. 3154) geändert worden ist. Abschnitt 2

Ghi T, Simonazzi G, Perolo A, Savelli L, Sandri F, Bernard B, Santini D, Bovicelli L, Pilu G (2003) Outcome of antenatally diagnosed intracranial hemorrhage: case series and review of the literature. Ultrasound Obstet Gynecol 22:121CrossRefPubMed

Ghi T, Brondelli L, Simonazzi G, Valeri B, Santini D, Sandri F, Ancora G, Pilu G (2004) Sonographic demonstration of brain injury in fetuses with severe red blood cell alloimmunization undergoing intrauterine transfusions. Ultrasound Obstet Gynecol 23:428–431CrossRefPubMed

Ginsburg ES, Frates MC, Rein MS, Fox JH, Hornstein MD, Friedman AJ (1994) Early diagnosis and treatment of cervical pregnancy in an in vitro fertilization program. Fertil Steril 61:966–969CrossRefPubMed

Grannum PAT, Berkowitz RL, Hobbins JC (1979) The ultrasonographic changes in the maturing placenta and their relation to fetal pulmonic maturity. Am J Obstet Gynecol 133:815–922CrossRef

Guidelines CNS (2007) Sonographic examination of the fetal central nervous system. Guidelines for performing the ‘basic examination’ and the ‘fetal neurosonogram’. Ultrasound Obstet Gynecol 29:109–116CrossRef

Hadlock FP, Deter RL, Harrist RB, Park SK (1984) Estimating fetal age: computer-assisted analysis of multiple fetal growth parameters. Radiology 152:497–501CrossRefPubMed

Hansmann M (1976) Ultraschallbiometrie im II. und III. Trimester der Schwangerschaft. Gynakologe 9:133–155

Hasenöhrl G, Pohlhammer A, Gruber R, Staudach A, Steiner H (2009) Fetale Gewichtsschätzung mittels 2-D- und 3-D-Ultraschall: Vergleich von 6 Schätzformeln. Ultraschall Med 18:585–590CrossRef

Hirose S, Farmer DL, Lee H, Nobuhara KK, Harrison MR (2004) The ex utero intrapartum treatment procedure: looking back at the EXIT. J Pediatr Surg 39:375–380CrossRefPubMed

Hyett J (2009) Fetal hydrops. In: Rodeck C, Whittle M (Hrsg) Fetal medicine. Churchill Livingstone, London, S 514–527

ISUOG Course on Congenital Anomalies & Fetal Echocardiography Paris, (Feb 17-18- 2012), S 114

Ji EK, Lee EK, Kwon TH (2004) Isolated echogenic foci in the left upper quadrant of the fetal abdomen: are they significant? J Ultrasound Med 23:483–488PubMed

Kalache KD, Wauer R, Mau H, Chaoui R, Bollmann R (2000) Prognostic significance of the pouch sign in fetuses with prenatally diagnosed esophageal atresia. Am J Obstet Gynecol 182(4):978–981CrossRefPubMed

Kehl S, Schmidt U, Spaich S, Schild RL, Sütterlin M, Siemer J (2012) What are the limits of accuracy in fetal weight estimation with conventional biometry in two-dimensional ultrasound? A novel postpartum study. Ultrasound Obstet Gynecol 39:543–548CrossRefPubMed

Knox EM, Kilby MD, Martin WL, Khan KS (2006) In-utero pulmonary drainage in the management of primary hydrothorax and congenital cystic lung lesion: a systematic review. Ultrasound Obstet Gynecol 28:726–734CrossRefPubMed

Lee W, Allan L, Carvalho S, Chaoui R, Copel J, Devore G, Hecher K, Munoz H, Nelson T, Paladini D, Yagel S, For the ISUOG Fetal Echocardiography Task Force (2008) ISUOG consensus statement: what constitutes a fetal echocardiogram? Ultrasound Obstet Gynecol 32:239–242CrossRefPubMed

Magann EF, Sanderson M, Martin JN, Chauhan S (1999) The amniotic fluid index, single deepest pocket, and two-diameter pocket in normal human pregnancy. Am J Obstet Gynecol 182:1581–1588CrossRef

Mailath-Pokorny M, Klein K, Klebermass-Schrehof K, Hachemian N, Bettelheim D (2012) Are fetuses with isolated echogenic bowel at higher risk for an adverse pregnancy outcome? Experiences from a tertiary referral center. Prenat Diagn 32:1295–1299CrossRefPubMed

Malinger G, Lev D, Lerman-Sagie T (2011) Imaging of fetal cytomegalovirus infection. Fetal Diagn Ther 29:117–126CrossRefPubMed

Malinger G, Toi A, Ben-Sira L, Lerman-Sagie T (2012) Malformations of cortical development. In: Timor-Tritsch IE, Monteagudo A, Pilu G, Malinger G (Hrsg) Ultrasonography of the fetal brain. Mc Graw Hill, New York, S 248–255

Martinez J, Masoller N (2013) Hydrothorax visual encyclopedia of ultrasound in obstetrics and gynecology. www.isuog.com. Zugegriffen am 08.12.2014

Merz E (1996) Biometrie des Fetus im 2. und 3. Trimenon. In: Merz E (Hrsg) Sonographische Diagnostik in Gynäkologie und Geburtshilfe. Thieme, Stuttgart, S 134–146

Merz E, Wellek S (1996) Das normale fetale Wachstumsprofil – ein einheitliches Modell zur Berechnung von Normalkurven für die gängigen Kopf- und Abdomenparameter sowie die großen Extremitätenknochen. Ultraschall Med 14(4):153–162CrossRef

Monteagudo A, Timor-Tritsch IE (2009) Normal sonographic development of the central nervous system from the second trimester onwards using 2-D, 3-D and transvaginal sonography. Prenat Diagn 29:326–339CrossRefPubMed

Mutterschafts-Richtlinien (2013) Richtlinien des gemeinsamen Bundesausschusses über die ärztliche Betreuung während der Schwangerschaft und nach der Entbindung. Bundesanzeiger AT 19.09.2013, in Kraft getreten 20.09.2013

Nabhan AF, Abdelmoula YA (2009) Amniotic fluid index versus single deepest vertical pocket: a meta-analysis of randomized controlled trials. Int J Gynaecol Obstet 104(3):184–188 (Epub 2008 Nov 30)CrossRefPubMed

Nyberg D, Mack L, Patton R, Cyr D (1987) Fetal bowel: normal sonographic findings. J Ultrasound Med 6:3–6PubMed

Paladini D, Vassallo M, Sglavo G, Lapadula C, Longo M, Nappi C (2005) Venous lymphangioma of the face and neck: prenatal diagnosis by three-dimensional ultrasound. Ultrasound Obstet Gynecol 26(3):300–302CrossRefPubMed

Pilu G, Buyukkurt S (2012) Vein of Galen enlargement. In: Visual encyclopedia of ultrasound in obstetrics and gynecology www.visuog.org. Zugegriffen am 30.11.2013

Pilu G, Malinger G (2013a) Microcephaly. In: Visual encyclopedia of ultrasound in obstetrics and gynecology www.isuog.org. Zugegriffen am 01.11.2013

Pilu G, Malinger G (2013b) Severe fetal cerebral ventriculomegaly. In: Visual encyclopedia of ultrasound in obstetrics and gynecology www.isuog.org. Zugegriffen am 27.10.2013

Pilu G, Ghi T, Carletti A, Segata M, Perolo A, Rizzo N (2007) Three-dimensional ultrasound examination of the fetal central nervous system. Ultrasound Obstet Gynecol 30:233–245CrossRefPubMed

Pilu G, Malinger G, Buyukkurt S (2013) Intracranial hemorrage. In: Visual encyclopedia of ultrasound in obstetrics and gynecology www.isuog.org. Zugegriffen am 01.11.2013

Quarello E, Saada J, Desbriere R, Rousseau V, Lagausie PD, Benachi A (2011) Prenatal diagnosis and evaluation of defect length in esophageal atresia using direct and indirect (tracheal print) signs. Ultrasound Obstet Gynecol 38:225–228CrossRefPubMed

Rizzo G, Abuhamad AZ, Benacerraf BR, Chaoui R, Corral E, Addario VD, Espinoza J, Lee W, Mercé Alberto LT, Pooh R, Sepulveda W, Sinkovskaya E, Viñals F, Volpe P, Pietrolucci ME, Arduini D (2011) Collaborative study on 3-dimensional sonography for the prenatal diagnosis of central nervous system defects. J Ultrasound Med 30(7):1003–1008PubMed

Roume J, Ville Y (2004) Prenatal diagnosis of genetic renal diseases: breaking the code. Ultrasound Obstet Gynecol 24:10–18CrossRefPubMed

Saada J, Hadj Rabia S, Fermont L, Le Bidois J, Bernades-Stein L, Martinovic J, Sonigo P, Dumez Y, Bonnet D, Benachi A (2009) Prenatal diagnosis of cardiac rhabdomyomas: incidence of associated cerebral lesions of tuberous sclerosis complex. Ultrasound Obstet Gynecol 34:155–159CrossRefPubMed

Sairam S, Al-Habib A, Sasson S, Thilaganathan B (2001) Natural history of fetal hydronephrosis diagnosed on mid-trimester ultrasound. Ultrasound Obstet Gynecol 17:191–196CrossRefPubMed

Salomon LJ, Sonigo P, Ou P, Ville Y, Brunelle F (2009) Real-time fetal magnetic resonance imaging for the dynamic visualization of the pouch in esophageal atresia. Ultrasound Obstet Gynecol 34:471–474CrossRefPubMed

Schwangerschaftskonfliktgesetz (SchKG) vom 27. Juli 2013 (BGBl. I S. 1398), das durch Artikel 7 des Gesetzes vom 28. August 2013 (BGBl. I S. 3458) geändert worden ist, § 2a

Sepulveda W, Sebire NJ (2000) Fetal echogenic bowel: a complex scenario. Ultrasound Obstet Gynecol 16:510–514CrossRefPubMed

Shulman A, Mazkereth R, Zalel Y, Kuint J, Lipitz S, Avigad I, Achiron R (2002) Prenatal identification of esophageal atresia: the role of ultrasonography for evaluation of functional anatomy. Prenat Diagn 22:669–674CrossRefPubMed

Simchen MJ, Toi A, Bona M, Alkazaleh F, Ryan G, Chitayat D (2002) Fetal hepatic calcifications: prenatal diagnosis and outcome. Am J Obstet Gynecol 187(6):1617–1622CrossRefPubMed

Toi A, Lister WS, Fong KW (2004) How early are fetal cerebral sulci visible at prenatal ultrasound and what is the normal pattern of early fetal sulcal development? Ultrasound Obstet Gynecol 24(7):706–715CrossRefPubMed

Twickler DM, Lucas MJ, Balis AB, Santos-Ramos R, Martin L, Malone S (2000) Color flow mapping for myometrial invasion in women with a prior cesarean delivery. J Matern Fetal Med 9:330–335CrossRefPubMed

Tworetzky W, McElhinney DB, Margossian R, Moon-Grady AJ, Sallee D, Goldmuntz E, van der Velde ME, Silverman NH, Allan LD (2003) Association between cardiac tumors and tuberous sclerosis in the fetus and neonate. Am J Cardiol 92:487–489CrossRefPubMed

Van Gelder-Hasker M, Van Wezel-Meijler G, De Groot L, Van Geijn P, De Vries J (2003) Peri- and intraventricular cerebral sonography in second- and third-trimester high-risk fetuses: a comparison with neonatal ultrasound and relation to neurological development. Ultrasound Obstet Gynecol 22:110–120CrossRefPubMed

Viora E, Grassi Pirrone P, Comoglio F, Bastonero S, Campogrande M (2000) Sonographic detection of fetal cranio-facial hemangioma: case report and review of the literature. Ultrasound Obstet Gynecol 15(5):431–434CrossRefPubMed

Warshak CR, Ramos GA, Eskander R, Benirschke K, Saenz CC, Kelly TF, Moore TR, Resnik R (2010) Effect of predelivery diagnosis in 99 consecutive cases of placenta accreta. Obstet Gynecol 115(1):65–69CrossRefPubMed

Wehrum MJ, Buhimschi IA, Salafia C, Thung S, Bahtiyar MO, Werner EF et al (2011) Accreta complicating complete placenta previa is characterized by reduced systemic levels of vascular endothelial growth factor and by epithelial-to- mesenchymal transition of the invasive trophoblast. Am J Obstet Gynecol 204:411CrossRefPubMedPubMedCentral

Wollenberg A, Neuhaus TJ, Willi UV, Wisser J (2005) Outcome of fetal renal pelvic dilatation diagnosed during the third trimester. Ultrasound Obstet Gynecol 25:483–488CrossRefPubMed

Wu S, Kocherginsky M, Hibbard JU (2005) Abnormal placentation: twenty year analysis. Am J Obstet Gynecol 192:1458–1461CrossRefPubMed

Yagel S, Sonigo P, Rousseau V, Sarnacki S, Cohen S, Benachi A (2005) Esophageal atresia diagnosed with three-dimensional ultrasonography. Ultrasound Obstet Gynecol 26(3):307–308CrossRefPubMed

Yagel S, Cohen S, Messing B, Achiron R (2009) First and early second trimester fetal heart screening. In: Yagel S, Silverman N, Gembruch (Hrsg) Fetal cardiology. Informa Healthcare, S 145–196. New York

Yamamoto M, Insunza A, Caaillo J, Caicedo LA, Paiva E, Ville Y (2007) Intrathoracic pressure in congenital chylothorax: keystone for the rationale of thoracoamniotic shunting? Fetal Diagn Ther 22:169–171CrossRefPubMed

Yinon Y, Grisaru-Granovsky S, Chaddha V, Windrim R, Seaward PGR, Kelly EN, Beresovska O, Ryan G (2010) Perinatal outcome following fetal chest shunt insertion for pleural effusion. Ultrasound Obstet Gynecol 36:58–64CrossRefPubMed

Yinon Y, Katorza E, Nassie DI, Ben-Meir E, Gindes L, Hoffmann C, Lipitz S, Achiron R, Weisz B (2013) Late diagnosis of fetal central nervous system anomalies following a normal second trimester anatomy scan. Prenat Diagn 33:929–934PubMed

Titel: Fehlbildungsdiagnostik und Ultraschalluntersuchung im 3. Trimenon
verfasst von: Eva Ostermayer
Marcus Schelling
Kinga Maria Chalubinski
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_10

Springerpflege

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