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2016 | OriginalPaper | Buchkapitel

22. Hypertensive Schwangerschaftserkrankungen

verfasst von : Luigi Raio, Marc Baumann, Henning Schneider

Erschienen in: Die Geburtshilfe

Verlag: Springer Berlin Heidelberg

Zusammenfassung

Hypertensive Erkrankungen gehören mit ihren verschiedenen klinischen Ausprägungen und Manifestationsarten zu den häufigsten Komplikationen in der Schwangerschaft, und in den industrialisierten Ländern bleibt die Präeklampsie einer der wichtigsten Gründe für die maternale Mortalität. Die meisten Fachgesellschaften fokussieren auf die verschiedenen Hypertoniemanifestationen in der Schwangerschaft als zentrales Kriterium für die Klassifizierung.
Die Prädiktion der Präeklampsie und anderer plazentagebundener Schwangerschaftserkrankungen wurde verfeinert. Die Kombination von Angiogenesefaktoren zusammen mit Anamnese bzw. bestehenden Risikofaktoren, der Dopplersonographie der Aa. uterinae und gewissen klinischen Daten hat die Risikostratifizierung wesentlich verbessert. Nach wie vor ist die einzige kausale Therapie der Präeklampsie die Entbindung. Auch ein Zusammenhang zwischen Präeklampsie und dem späteren Auftreten mütterlicher kardiovaskulärer Erkrankungen gilt als erwiesen.
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Metadaten
Titel
Hypertensive Schwangerschaftserkrankungen
verfasst von
Luigi Raio
Marc Baumann
Henning Schneider
Copyright-Jahr
2016
Verlag
Springer Berlin Heidelberg
DOI
https://doi.org/10.1007/978-3-662-45064-2_22