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Die intracraniellen blutungen des Neugeborenen

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Zusammenfassung

Risikofaktoren für eine IVH sind: Der Transport des Frühgeborenen, schwere fetale Depressionszustände, schwere fetale Azidosen und in besonderem Maße ein mechanisch traumatisierter Geburtsmodus. Hierbei ist nicht die Traumatisierung des Kopfes, sondern die des gesamten Organismus ausschlaggebend. Es konnte nachgewiesen werden, daß sich durch Vermeiden einer traumatisierenden Entbindung die Inzidenz der IVH entscheidend senken läßt. Gleiches gilt für die Vermeidung des Transportes eines eben geborenen Frühgeborenen.

Die Konsequenz aus diesen Ergebnissen muß eine möglichst lückenlose Regionalisierung aller Fälle von noch rechtzeitig erkannter drohender Frühgeburten Ze Zentren sein, in denen Geburtshilfe und neonatologische Intensivmedizin funktionell verzahnt und räumlich eng benachbart gemeinsam um das ungeschädigte Aufwachsen gefährdeter Kinder bemüht sind.

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Authors and Affiliations

  1. Frankfurt

    V. von Loewenich (Teilnehmer)

  2. Mainz

    M. Brand

  3. Frankfurt

    E. Halberstadt

  4. Berlin

    E. Saling

Authors
  1. V. von Loewenich
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  2. M. Brand
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  3. E. Halberstadt
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  4. E. Saling
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von Loewenich, V., Brand, M., Halberstadt, E. et al. Die intracraniellen blutungen des Neugeborenen. Arch. Gynecol. 238, 263–270 (1985). https://doi.org/10.1007/BF02429968

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