Erschienen in:

2025 | OriginalPaper | Buchkapitel

18. Schwierigkeiten der pränatalen Diagnostik und fetalen Überwachung bei maternaler Adipositas

verfasst von : Prof. Dr. med. Ulrich Gembruch

Erschienen in: Ultraschalldiagnostik in Geburtshilfe und Gynäkologie

Verlag: Springer Berlin Heidelberg

Zusammenfassung

Eine maternale Adipositas bedingt einerseits eine häufig deutlich schlechtere sonografische Darstellbarkeit der fetalen Organe, ist aber andererseits mit höheren Risiken bezüglich Schwangerschaft-spezifischer Komplikationen, wie Präeklampsie und Plazentainsuffizienz, aber auch bezüglich des Auftretens fetaler Fehlbildungen assoziiert. Ferner beeinträchtigt die maternale Adipositas auch die Diagnostik mittels biochemischer Parameter sowie der zellfreien DNA im maternalen Blut, ebenso die invasive Diagnostik und Therapie. Dies hat bedeutsame Implikationen für Beratung, Vorgehen und Interpretation im Rahmen pränataler diagnostischer Untersuchungen sowie für die fetale Überwachung. Möglichkeiten, die sonografische Darstellbarkeit des Feten zu verbessern, werden dargelegt.

Vorheriges Kapitel Fetale Magnetresonanztomographie

Nächstes Kapitel Prädiktiver Ultraschall, Screening und Vorhersage für Präeklampsie und fetale Wachstumsrestriktion im II. und III. Trimester

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Titel: Schwierigkeiten der pränatalen Diagnostik und fetalen Überwachung bei maternaler Adipositas
verfasst von: Prof. Dr. med. Ulrich Gembruch
Verlag: Springer Berlin Heidelberg
Buch: Ultraschalldiagnostik in Geburtshilfe und Gynäkologie
Print ISBN: 978-3-662-67372-0

Electronic ISBN: 978-3-662-67373-7

Copyright-Jahr: 2025
DOI: https://doi.org/10.1007/978-3-662-67373-7_18

Springerpflege

Zusammenfassung

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