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Geburtshilfe Frauenheilkd 2023; 83(05): 517-546
DOI: 10.1055/a-2003-5983
GebFra Science
Guideline/Leitlinie

SARS-CoV-2 in Schwangerschaft, Geburt und Wochenbett. Leitlinie der DGGG und DGPM (S2k-Level, AWMF-Registernummer 015/092, März 2022)

Article in several languages: deutsch | English
Ulrich Pecks
1   Klinik für Gynäkologie und Geburtshilfe, Universitätsklinikum Schleswig-Holstein, Kiel, Germany
,
Lena Agel
2   Technische Hochschule Aschaffenburg, Hebammenkunde, Aschaffenburg, Germany
,
Klaus J. Doubek
3   Praxis Doubek, Wiesbaden, Germany
,
Carsten Hagenbeck
4   Geburtshilfe und Perinatalmedizin, Universitätsklinikum Düsseldorf, Düsseldorf, Germany
,
Lukas Jennewein
5   Geburtshilfe und Pränatalmedizin, Universitätsklinikum Frankfurt Goethe-Universität, Frankfurt am Main, Germany
,
Constantin von Kaisenberg
6   Pränatalmedizin und Geburtshilfe im Perinatalzentrum, Universitätsklinik der Medizinischen Hochschule Hannover, Hannover, Germany
,
Peter Kranke
7   Klinik und Poliklinik für Anästhesiologie, Intensivmedizin, Notfallmedizin und Schmerztherapie, Universitätsklinikum Würzburg, Würzburg, Germany
,
Sabine Leitner
8   Bundesverband „Das frühgeborene Kind“ e. V., Frankfurt, Germany
,
Nadine Mand
9   Philipps-Universität Marburg, Zentrum für Kinder- und Jugendmedizin, Marburg, Germany
,
Mario Rüdiger
10   Klinik für Kinder- und Jugendmedizin, Fachbereich Neonatologie und pädiatrische Intensivmedizin, Medizinische Fakultät der TU Dresden, Dresden, Germany
,
Janine Zöllkau
11   Klinik für Geburtsmedizin, Universitätsklinikum Jena, Jena, Germany
,
Nina Mingers
1   Klinik für Gynäkologie und Geburtshilfe, Universitätsklinikum Schleswig-Holstein, Kiel, Germany
,
Magdalena Sitter
7   Klinik und Poliklinik für Anästhesiologie, Intensivmedizin, Notfallmedizin und Schmerztherapie, Universitätsklinikum Würzburg, Würzburg, Germany
,
Frank Louwen
5   Geburtshilfe und Pränatalmedizin, Universitätsklinikum Frankfurt Goethe-Universität, Frankfurt am Main, Germany
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Zusammenfassung

Ziel Die S2k-Leitlinie der Deutschen Gesellschaft für Gynäkologie und Geburtshilfe (DGGG) und der Deutschen Gesellschaft für Perinatale Medizin (DGPM) enthält konsensbasierte Empfehlungen zur Betreuung und Behandlung von Schwangeren, Gebärenden, Wöchnerinnen, und Stillenden mit SARS-CoV-2-Infektion sowie deren Neugeborene. Sie hat das Ziel, Handlungsempfehlungen in der Zeit der COVID-19-Pandemie für Berufsgruppen zu gegeben, die mit der Versorgung der oben beschriebenen Personengruppe beauftragt sind.

Methoden Spezifische Fragen wurden im PICO-Format ausgearbeitet. Gezielte systematische Literaturrecherchen wurde unter Nutzung von Pubmed durchgeführt oder es wurden die bereits ausgearbeiteten Stellungnahmen und Empfehlungen der DGGG und DGPM zur Zusammenfassung der Evidenz verwendet. Ergänzend wurde auf die Forschungsdaten des CRONOS-Registers zurückgegriffen. Da die Datengrundlage für rein evidenzbasierte Leitlinien unzureichend war, erfolgte Durchführung der Leitlinienarbeit in Form eines Konsensverfahrens auf dem Level S2k. Nach Zusammenfassung und Darstellung der zur Verfügung stehenden Daten wurden Empfehlungen zu den formulierten PICO-Fragen in der Leitliniengruppe herausgearbeitet, diskutiert und abgestimmt.

Empfehlungen Es wurden Empfehlungen zu Hygienemaßnahmen, Präventionsmaßnahmen und der Betreuung in der Schwangerschaft, bei Geburt sowie im Wochenbett und der Stillzeit verfasst. Dies beinhaltet Aspekte der Überwachung von Mutter und Kind mit und nach COVID-19, Indikation zur Thromboseprophylaxe, Betreuung erkrankter Frauen unter Geburt, Anwesenheit einer Geburtsbegleitung, und postnatale Betreuung, Testung und Überwachung des Kindes im Rooming-in oder in der Kinderklinik.

Schlüsselwörter

Coronavirus - COVID-19 - Geburtshilfe - Neonatologie - Hebammen


Publication History

Received: 08 December 2022

Accepted: 14 December 2022

Article published online:
09 March 2023

© 2023. Thieme. All rights reserved.

Georg Thieme Verlag KG
Rüdigerstraße 14, 70469 Stuttgart, Germany

 

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