Hebamme 2012; 25(1): 29-33
DOI: 10.1055/s-0031-1286161
Geburt
Vorzeitiger Blasensprung
Hippokrates Verlag in MVS Medizinverlage Stuttgart GmbH & Co. KG Stuttgart

Das abwartende Management beim vorzeitigen Blasensprung am Termin

Anna Maria Rath
Hebamme, A-Wiener Neudorf
› Author Affiliations
Further Information

Publication History

Publication Date:
19 March 2012 (online)

Der vorzeitige Blasensprung tritt in 5–10 % aller Schwangerschaften auf, 60 % der vorzeitigen Blasensprünge finden am Termin statt ([3]). Bei 85 % der Schwangeren kommt es nach einem vorzeitigen Blasensprung am Termin innerhalb von 24 Stunden zum Einsetzen spontaner Wehentätigkeit ([10]).
Trotz dieses physiologischen Prozesses wird das Management rund um den vorzeitigen Blasensprung sehr kontrovers diskutiert, und es werden unterschiedliche Empfehlungen in den relevanten Richtlinien gegeben.

 
  • Literatur

  • 1 Da Graça Krupa F, Cecatti JG, de Castro Surita FG, Milanez HM B P, Parpinelli MÂ. Misoprostol versus expectant management in premature rupture of membranes at term. BJOG: An International Journal of Obstetrics & Gynaecology 2005; 112 (9): 1284-1290
  • 2 Dare MR, Middelton P, Crowther CA, Flenady V, Varatharaju B. Planned early versus expectant management (waiting) for prelabour rupture of membranes at term (37 weeks or more) (Review). Cochrane Database of systematic Reviews, Issue 1 2009
  • 3 Duff P. Management of Premature Rupture of Membranes in Term Patients. Clinical Obstetrics and Gynecology 1991; 34 (4): 723-729
  • 4 Gilson GJ, O’Brien ME, Vera RW, Block A, Grubb PN. Expectant Management of Premature Rupture of Membranes at Term in a Birthing Center Setting. Journal of Nurse-Midwifery 1988; 33 (3): 134-140
  • 5 Hagskog K, Nisell H, Sarman I, Westgren M. Conservative ambulatory management of prelabor rupture of the membranes at term in nulliparous women. Acta Obstetricia et Gynecologica Scandinavica 1994; 73 (10): 765-769
  • 6 Hannah ME, Ohlsson A, Farine D, Hewson SA, Hodnett ED, Myhr TL, Willan AR. Induction of Labor compared with expectant Management for prelabor rupture of the Membranes at term. The New England Journal of Medicine 1996; 334 (16): 1005-1010
  • 7 Hannah ME, Hodnett ED, Willan A, Foster GA, Di Cecco R, Helewa M. Prelabor Rupture of the Membranes at Term: Expectant Management at Home or in Hospital?. Obstetrics & Gynecology 2000; 96 (4): 533-538
  • 8 Hodnett ED, Hannah ME, Weston JA, Ohlsson A, Myhr TL, Wang EE I, Farine D. Women‘s Evaluations of Induction of Labor Versus Expectant Management for Prelabor Rupture of the Membranes at Term. 1997; Birth 24 (4): 214-220
  • 9 Jomeen J, Martin CR. The impact of clinical management type on maternal and neo-natal outcome following pre-labour rupture of membranes at term. Clinical Effectiveness in Nursing 2002; 6 (1): 3-9
  • 10 Kappy KA, Cetrulo CL, Knuppel RA, Ingardia CJ, Sbarra AJ, Scerebo JC, Mitchell GW. Premature rupture of the membranes: A conservative approach. American Journal Obstetrics and Gynecology 1979; 134 (6): 655-661
  • 11 National Institute for Health and Clinical Excellence. 2007 Intrapartum care of healthy women and their babies during childbirth. Zugriff am 15. Mai, 2011, von http://www.nice.org.uk/nicemedia/live/11837/36275/36275.pdf
  • 12 Schutte MF, Treffers PE, Kloosterman GJ, Soepatmi S. Management of premature rupture of membranes: The risk of vaginal examination to the infant. American Journal of Obstetrics and Gynecology 1983; 146 (4): 395-400
  • 13 Seaward PG, Hannah ME, Myhr TL, Farine D, Ohlsson A, Wang EE, Hodnett ED. International Multicentre Term Prelabor Rupture of Membranes Study: Evaluation of predictors of clinical chorioamnionitis and postpartum fever in patients with prelabor rupture of membranes at term. American Journal of Obstetrics and Gynecology 1997; 177 (5): 1024-1029
  • 14 Soper DE, Mayhall CG, Dalton HP. Risk factors for intraamniotic infection: A prospective epidemiologic study. American Journal of Obstetrics and Gynecology 1989; 161 (3): 562-568
  • 15 Zamzami TY Y. Prelabor rupture of membranes at term in low-risk women: induce or wait?. Archives of Gynecology and Obstetrics 2006; 273 (5): 278-282