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Adipositas und Schwangerschaftsrisiken

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Praxisbuch Adipositas in der Geburtshilfe

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Zusammenfassung

Frauen mit einem erhöhten BMI gelten als Risikoschwangere sowohl hinsichtlich mütterlicher Komplikationen als auch in Bezug auf fetal-neonatale Risiken. Die signifikant erhöhte Prävalenz hypertensiver Schwangerschaftserkrankungen bei adipösen Frauen konnte in zahlreichen Studien belegt werden. Darüber hinaus ist eine maternale Adipositas nachweislich ein unabhängiger Risikofaktor für die Entstehung eines manifesten Gestationsdiabetes. Für beide Entitäten sind erhöhte Inzidenzraten für kongenitale Malformationen beschrieben worden, was letztlich unterstreicht, dass gerade adipöse Gestationsdiabetikerinnen ein besonderes Risikokollektiv von Schwangeren darstellen und impliziert folglich, dass bei diesen Schwangeren bereits frühzeitig Screening-Untersuchungen angeboten werden sollten. Auf die Detektionsraten fetaler Anomalien und die eingeschränkte Visualisierung fetaler Zielstrukturen im Rahmen der pränatalen sonografischen Diagnostik soll in diesem Kapitel explizit eingegangen werden.

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Weichert, J. (2022). Adipositas und Schwangerschaftsrisiken. In: Strauss, A., Strauss, C. (eds) Praxisbuch Adipositas in der Geburtshilfe . Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-662-61906-3_6

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  • DOI: https://doi.org/10.1007/978-3-662-61906-3_6

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