Vaginal Birth at Term – Part 2. Guideline of the DGGG, OEGGG and SGGG (S3-Level, AWMF Registry No. 015/083, December 2020)

Michael Abou-Dakn; Rainhild Schäfers; Nina Peterwerth; Kirsten Asmushen; Susanne Bässler-Weber; Ulrike Boes; Andrea Bosch; David Ehm; Thorsten Fischer; Monika Greening; Katharina Hartmann; Günther Heller; Claudia Kapp; Constantin von Kaisenberg; Beate Kayer; Peter Kranke; Burkhard Lawrenz; Frank Louwen; Christine Loytved; Wolf Lütje; Elke Mattern; Renate Nielsen; Frank Reister; Rolf Schlösser; Christiane Schwarz; Volker Stephan; Barbara Stocker Kalberer; Axel Valet; Manuel Wenk; Sven Kehl

doi:10.1055/a-1904-6769

Geburtshilfe und Frauenheilkunde, Table of Contents

Geburtshilfe Frauenheilkd 2022; 82(11): 1194-1248
DOI: 10.1055/a-1904-6769

GebFra Science

Guideline/Leitlinie

Vaginale Geburt am Termin – Teil 2. Leitlinie der DGGG, OEGGG und SGGG (S3-Level, AWMF-Registernummer 015/083, Dezember 2020)

Article in several languages: English | deutsch

Michael Abou-Dakn‡

¹Klinik für Gynäkologie und Geburtshilfe, St. Joseph Krankenhaus, Berlin-Tempelhof, Berlin, Germany

,

Rainhild Schäfers‡

²Hochschule für Gesundheit Department für Angewandte Gesundheitswissenschaften Bochum, Bochum, Germany

,

Nina Peterwerth

²Hochschule für Gesundheit Department für Angewandte Gesundheitswissenschaften Bochum, Bochum, Germany

,

Kirsten Asmushen

³Gesellschaft für Qualität in der außerklinischen Geburtshilfe e. V., Storkow, Germany

,

Susanne Bässler-Weber

⁴Frauenarztpraxis Karlsruhe, Karlsruhe, Germany

,

Ulrike Boes

⁵Frauenarztpraxis Staufen, Staufen, Germany

,

Andrea Bosch

⁶Duale Hochschule Baden-Württemberg Angewandte Hebammenwissenschaft, Stuttgart, Germany

,

David Ehm

⁷Frauenarztpraxis Bern, Bern, Switzerland

,

Thorsten Fischer

⁸Dept. of Gynecology and Obstetrics Paracelcus Medical University, Salzburg, Austria

,

Monika Greening

⁹Hochschule für Wirtschaft und Gesellschaft, Hebammenwissenschaften – Ludwigshafen, Ludwigshafen, Germany

,

Katharina Hartmann

¹⁰Mother Hood e. V., Bonn, Germany

,

Günther Heller

¹¹Institut für Qualitätssicherung und Transparenz im Gesundheitswesen, Berlin, Germany

,

Claudia Kapp

¹²Deutsche Gesellschaft für Hebammenwissenschaft e. V., Edemissen, Germany

,

Constantin von Kaisenberg

¹³Klinik für Frauenheilkunde, Geburtshilfe und Reproduktionsmedizin, Medizinische Hochschule Hannover, Hannover, Germany

,

Beate Kayer

¹⁴Fachhochschule Burgenland, Studiengang Hebammen, Pinkafeld, Austria

,

Peter Kranke

¹⁵Klinik und Poliklinik für Anästhesiologie, Intensivmedizin, Notfallmedizin und Schmerztherapie, Universitätsklinikum Würzburg, Würzburg, Germany

,

Burkhard Lawrenz

¹⁶Berufsverband der Kinder- und Jugendärzte e. V., Köln, Germany

,

Frank Louwen

¹⁷Frauenklinik, Universitätsklinikum Frankfurt, Frankfurt am Main, Germany

,

Christine Loytved

¹²Deutsche Gesellschaft für Hebammenwissenschaft e. V., Edemissen, Germany

,

Wolf Lütje

¹⁸Institut für Hebammen, Departement Gesundheit, Zürcher Hochschule für Angewandte Wissenschaften ZHAW, Winterthur, Switzerland

,

Elke Mattern

¹²Deutsche Gesellschaft für Hebammenwissenschaft e. V., Edemissen, Germany

,

Renate Nielsen

¹⁹Ev. Amalie Sieveking Krankenhaus – Immanuel Albertinen Diakonie Hamburg, Hamburg, Germany

,

Frank Reister

²⁰Frauenklinik, Universitätsklinikum Ulm, Ulm, Germany

,

Rolf Schlösser

²¹Klinik für Kinder- und Jugendmedizin, Universitätsklinikum Frankfurt, Frankfurt am Main, Germany

,

Christiane Schwarz

²²Institut für Gesundheitswissenschaften FB Hebammenwissenschaft, Lübeck, Germany

,

Volker Stephan

²³Deutsche Gesellschaft für Kinder- und Jugendmedizin e. V., Köln, Germany

,

Barbara Stocker Kalberer

²⁴Schweizerischer Hebammenverband, Olten, Switzerland

,

Axel Valet

²⁵Frauenklinik Dill Kliniken GmbH, Herborn, Germany

,

Manuel Wenk

²⁶Klinik für Anästhesiologie, Intensivmedizin und Schmerztherapie Kaiserwerther Diakonie, Düsseldorf, Germany

,

Sven Kehl

²⁷Frauenklinik, Universitätsklinikum Erlangen, Erlangen, Germany

› Author Affiliations

Abstract

Zusammenfassung

Ziel Das Ziel der vorliegenden Leitlinie ist die Zusammenfassung des aktuellen Wissens über die vaginale Geburt am Termin mit dem Fokus auf Definition der physiologischen Geburtsphasen mit Abgrenzung pathologischer Entwicklungen und Zustände sowie einer Einschätzung der Notwendigkeit oder auch Vermeidung einer Intervention. In diesem zweiten Teil werden Empfehlungen und Statements zur Betreuung in der Eröffnungs- und Austrittsphase sowie der Betreuung in der Nachgeburtsperiode präsentiert.

Methoden Die deutschen Empfehlungen geben inhaltlich überwiegend die Empfehlungen der National-Institute-for-Health-and-Care-Excellence-(NICE-)Leitlinie CG 190 „Intrapartum care for healthy women and babies“ wieder. In Einzelfällen wurden für die Erstellung der vorliegenden Leitlinien auch andere internationale Leitlinien verwendet. Darüber hinaus erfolgte, sofern für notwendig erachtet, eine systematische Literaturrecherche und -bewertung anhand von PICO-Fragen und die Berücksichtigung weiterer systematischer Reviews oder Einzelstudien. Zur Bewertung der Qualität zusätzlich berücksichtigter Studien wurden die Bewertungsinstrumente des Scottish Intercollegiate Guidelines Network (SIGN) zur leichteren Verständlichkeit angewendet. Ansonsten wurden in der NICE-Leitlinie sowie den Evidenzberichten des IQWiG das GRADE-System zur Bewertung der Qualität der Evidenz verwendet.

Empfehlungen Die Formulierung von Empfehlungen und Statements erfolgte auf Basis identifizierter Evidenzen und/oder durch eine strukturierte Konsensfindung.

Schlüsselwörter

Leitlinie - vaginale Geburt - Termin - physiologische Geburt

Full Text

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