Fetal Assessment in Pregnancy (Indication and Methodology for Fetal Monitoring in a Low-risk Population). Guideline of the DGGG, DEGUM, OEGGG and SGGG (S3-Level, AWMF Registry No. 015/089, February 2023)

Author:

Schiermeier Sven1,von Kaisenberg Constantin Sylvius2,Kehl Sven3,Reister Frank4,Mosimann Beatrice5,Reif Philipp6,Harlfinger Werner7,König Klaus8,Schwarz Christiane9,Matern Elke10,Kühnert Maritta11,Schmitz Ralf12,Hoopmann Markus13,Ramsell Andrea14,Kalberer Barbara Stocker15,Heule Petra Graf15,Heinzl Silke16,Kayer Beate16,Gruber Patricia14,Steiner Horst17,Schaeffer Leonard18

Affiliation:

1. Lehrstuhl für Frauenheilkunde und Geburtshilfe der Universität Witten/Herdecke, Marien-Hospital Witten, Witten, Germany

2. Obstetrics and Gynecology, Medical School of Hannover (MHH), Hannover, Germany

3. Gynecology & Obstetrics, Universitätsklinikum Erlangen, Erlangen, Germany

4. Sektion Geburtshilfe, Univ.-Frauenklinik, Univ.-Klinikum Ulm, Ulm, Germany

5. University Womenʼs Hospital, Department of Obstetrics, Inselspital, Bern, Switzerland

6. Obstetrics & Gynecology, Medical University of Graz, Graz, Austria

7. Frauenarztpraxis, Mainz, Germany

8. Berufsverband der Frauenärzte, Eschborn, Germany

9. Institute of Health Sciences, Department of Midwifery Science, Universität zu Lübeck, Lübeck, Germany

10. Medical Department, Martin Luther University Halle Wittenberg, Halle, Germany

11. Geburtshilfe, Philipps-Universität Marburg, Marburg, Germany

12. Gynecology and Obstetrics, University Hospital Münster, Münster, Germany

13. Department of Obstetrics and Gynecology, University of Tübingen, Tübingen, Germany

14. Deutscher Hebammenverband e. V., Karlsruhe, Germany

15. Schweizerischer Hebammenverband, Olten, Switzerland

16. Österreichisches Hebammengremium, Wien, Austria

17. Universitätsklinik für Frauenheilkunde und Geburtshilfe, Landeskrankenhaus Salzburg, Paracelsus, Salzburg, Austria

18. Kantonsspital Baden AG, Baden, Switzerland

Abstract

Abstract Purpose The aim of this guideline was to find evidence on whether carrying out Doppler examinations and CTGs in low-risk cohorts of pregnant women improves outcomes. Methods First, a systematic search for guidelines was carried out. Identified guidelines were evaluated using the DELPHI instrument of the AWMF. Three guidelines were found to be suitable to evaluate CTG. Two DEGUM best practice guidelines were judged suitable to describe the methods. All studies on this issue were additionally analyzed using 8 PICO questions. A structured consensus of the participating professional societies was achieved using a nominal group process and a structured consensus conference moderated by an independent moderator. Recommendations No antepartum Doppler sonography examinations should be carried out in low-risk cohorts in the context of antenatal care. No antepartum CTG should be carried out in low-risk cohorts. Note The guideline will be published simultaneously in the official journals of both professional societies (i.e., Geburtshilfe und Frauenheilkunde for the DGGG and Ultraschall in der Medizin/European Journal of Ultrasound for the DEGUM).

Publisher

Georg Thieme Verlag KG

Subject

Maternity and Midwifery,Obstetrics and Gynecology

Reference24 articles.

1. Qualitätsanforderungen an die weiterführende differenzierte Ultraschalluntersuchung in der pränatalen Diagnostik (DEGUM-Stufen II und III) im Zeitraum 11–13 + 6 Schwangerschaftswochen [Quality Requirements for the early Fetal Ultrasound Assessment at 11–13 + 6 Weeks of Gestation (DEGUM Levels II and III)];C Von Kaisenberg;Ultraschall Med,2016

2. Empfehlungen der DEGUM, der ÖGUM, der SGUM und der FMF Deutschland zum Einsatz von Ersttrimester-Screening, früher Fehlbildungsdiagnostik, Screening an zellfreier DNA (NIPT) und diagnostischen Punktionen [DEGUM, ÖGUM, SGUM and FMF Germany Recommendations for the Implementation of First-Trimester Screening, Detailed Ultrasound, Cell-Free DNA Screening and Diagnostic Procedures];P Kozlowski;Ultraschall Med,2019

3. Aktualisierte Qualitätsanforderungen an die Ultraschall-Screeninguntersuchung in der pränatalen Basisdiagnostik (= DEGUM-Stufe I) im Zeitraum 18 + 0 bis 21 + 6 Schwangerschaftswochen [Updated DEGUM Quality Requirements for the Basic Prenatal Screening Ultrasound Examination (DEGUM Level I) between 18 + 0 and 21 + 6 weeks of gestation];C Kähler;Ultraschall Med,2020

4. Aktualisierte Qualitätsanforderungen an die weiterführende differenzierte Ultraschalluntersuchung in der pränatalen Diagnostik (= DEGUM-Stufe II) im Zeitraum von 18 + 0 bis 21 + 6 Schwangerschaftswochen [Updated quality requirements regarding secondary differentiated ultrasound examination in prenatal diagnostics (= DEGUM level II) in the period from 18 + 0 to 21 + 6 weeks of gestation];E Merz;Ultraschall Med,2012

5. Qualitätsanforderungen der DEGUM zur Durchführung der fetalen Echokardiografie [Quality standards of the DEGUM for performance of fetal echocardiography];R Chaoui;Ultraschall Med,2008

同舟云学术

1.学者识别学者识别

2.学术分析学术分析

3.人才评估人才评估

"同舟云学术"是以全球学者为主线,采集、加工和组织学术论文而形成的新型学术文献查询和分析系统,可以对全球学者进行文献检索和人才价值评估。用户可以通过关注某些学科领域的顶尖人物而持续追踪该领域的学科进展和研究前沿。经过近期的数据扩容,当前同舟云学术共收录了国内外主流学术期刊6万余种,收集的期刊论文及会议论文总量共计约1.5亿篇,并以每天添加12000余篇中外论文的速度递增。我们也可以为用户提供个性化、定制化的学者数据。欢迎来电咨询!咨询电话:010-8811{复制后删除}0370

www.globalauthorid.com

TOP

Copyright © 2019-2024 北京同舟云网络信息技术有限公司
京公网安备11010802033243号  京ICP备18003416号-3