GLORIA

GEOMAR Library Ocean Research Information Access

X

Your email was sent successfully. Check your inbox.

An error occurred while sending the email. Please try again.

Proceed reservation?

Export
  • 1
    Online Resource
    Online Resource
    Birthing under the Condition of the COVID-19 Pandemic in Germany: Interviews with Mothers, Partners, and Obstetric Health Care Workers
    MDPI AG ; 2022
    In:  International Journal of Environmental Research and Public Health Vol. 19, No. 3 ( 2022-01-28), p. 1486-
    Details
    In: International Journal of Environmental Research and Public Health, MDPI AG, Vol. 19, No. 3 ( 2022-01-28), p. 1486-
    Abstract: Background: The COVID-19 pandemic and the necessary containment measures challenge obstetric care. Support persons were excluded while protection measures burdened and disrupted the professionals’ ability to care and communicate. The objective of this study was to explore the first-hand experience of the impact of the COVID-19 pandemic on mothers, their partners, and obstetric professionals regarding birth and obstetric care in a university hospital. Methods: To answer the descriptive research questions, we conducted a qualitative content analysis using a data triangulation approach. We carried out 35 semi-structured interviews with two stratified purposive samples. Sample one consisted of 25 mothers who had given birth during the pandemic and five partners. Sample two included 10 obstetric professionals whose insights complemented the research findings and contributed to data validation. Participants were recruited from the study sample of a larger project on patient safety from two German university hospitals from February to August 2021. The study was approved by two ethics committees and informed consent was obtained. Results: Mothers complied with the rules, but felt socially isolated and insecure, especially before transfer to the delivery room. The staff equally reported burdens from their professional perspective: They tried to make up for the lack of partner and social contacts but could not live up to their usual professional standards. The exclusion of partners was seen critically, but necessary to contain the pandemic. The undisturbed time for bonding in the maternity ward was considered positive by both mothers and professionals. Conclusion: The negative effects of risk mitigation measures on childbirth are to be considered carefully when containment measures are applied.
    Type of Medium: Online Resource
    ISSN: 1660-4601
    URL: Article
    DOI: 10.3390/ijerph19031486
    Language: English
    Publisher: MDPI AG
    Publication Date: 2022
    detail.hit.zdb_id: 2175195-X
    Location Call Number Limitation Availability
    BibTip Others were also interested in ...
    Online Resource
  • 2
    Online Resource
    Online Resource
    „Hilflosigkeit, das Abgeben jeglicher Selbstverantwortung und Selbstbestimmtheit“ – eine qualitative Auswertung von traumatisierenden Geburtserlebnissen in Relation zum Geburtsmodus
    Georg Thieme Verlag KG ; 2023
    In:  Zeitschrift für Geburtshilfe und Neonatologie Vol. 227, No. 03 ( 2023-06), p. 204-212
    Details
    In: Zeitschrift für Geburtshilfe und Neonatologie, Georg Thieme Verlag KG, Vol. 227, No. 03 ( 2023-06), p. 204-212
    Abstract: Hintergrund Eine Geburt verbindet emotionale Herausforderungen mit individuellen Ängsten. Unerwartete Geburtsverläufe können Stressreaktionen bis hin zu posttraumatischen Belastungsstörungen auslösen.Ziel der Studie Das Ziel der Studie war die qualitative Beschreibung von belastend wahrgenommenen Geburtserlebnissen und gewünschten Maßnahmen nach traumatisierenden Geburtserlebnisse.Methodik Es wurde eine inhaltsanalytische Auswertung von 117 Freitextantworten zu belastenden Geburtserlebnissen und gewünschten Maßnahmen anhand von Kategorien und Häufigkeiten in Relation zum Geburtsmodus vorgenommen.Ergebnisse Fünf Themen wurden herausgearbeitet: (1) Belastende Erfahrungen aufgrund von Ängsten um das Kind und die Trennung vom Kind vor allem nach einer Notsectio, (2) als unzulänglich erfahrene Kommunikation nach operativ vaginalen Geburten und sekundären Sectiones, (3) Gefühle von Versagen und Schuld nach allen ungeplanten Geburtsmodi, (4) Hilflosigkeit aufgrund des erlebten Kontrollverlustes und Ausgeliefertsein nach einer Notsectio sowie (5) Subjektiv ungünstige Versorgung durch mangelnde Empathie oder fehlende Betreuung. Als gewünschte Maßnahmen wurden genannt: unmittelbare Nachbesprechungen des Geburtserlebens mit dem beteiligten Personal sowie das Angebot professioneller psychologischer Unterstützung.Schlussfolgerung Frauenzentrierte Kommunikation insbesondere bei ungeplanten Geburtsverläufen und Nachbesprechungen von belastenden Geburtsverläufen sind bedeutsame Maßnahmen zur Stärkung des mütterlichen Wohlbefindens und der psychischen Gesundheit. Sie können einen positiven Einfluss auf die Entwicklung einer gesunden Mutter-Kind-Beziehung nehmen.
    Type of Medium: Online Resource
    ISSN: 0948-2393 , 1439-1651
    URL: Article
    DOI: 10.1055/a-2039-3017
    Language: German
    Publisher: Georg Thieme Verlag KG
    Publication Date: 2023
    Location Call Number Limitation Availability
    BibTip Others were also interested in ...
    Online Resource
  • 3
    Online Resource
    Online Resource
    Posteriore Sakkulation des Uterus im zweiten Trimenon – Diagnostik, erfolgreiche Therapie und Literatur
    Georg Thieme Verlag KG ; 2021
    In:  Zeitschrift für Geburtshilfe und Neonatologie Vol. 225, No. 02 ( 2021-04), p. 176-179
    Details
    In: Zeitschrift für Geburtshilfe und Neonatologie, Georg Thieme Verlag KG, Vol. 225, No. 02 ( 2021-04), p. 176-179
    Abstract: Eine seltene Komplikation in der Geburtshilfe ist die posteriore Sakkulation des Uterus. Bleibt die Aufrichtung des schwangeren retroflektierten Uterus aus, persistiert der Fundus in der hinteren Kreuzbeinhöhle. Durch die zunehmende Größe verändert sich die gewohnte Anatomie und es kann bei Unkenntnis darüber zu einer hohen Morbidität für die Mutter kommen. Frühzeitige Aufrichtungsversuche können eine komplikationslose Prolongation der Schwangerschaft ermöglichen. In unserem Fall berichten wir von einer Erstgravida mit Erstdiagnose einer posterioren Sakkulation des Uterus in der 21. Schwangerschaftswoche. Nach Bestätigung der Diagnose mittels MRT gelang die Aufrichtung des Uterus durch vaginal digitales Anheben des Uterus sowie zeitgleicher rektoskopischer CO2-Füllung. Im weiteren Verlauf kam es zur komplikationslosen Spontangeburt nach Blasensprung in der 35. Schwangerschaftswoche.
    Type of Medium: Online Resource
    ISSN: 0948-2393 , 1439-1651
    URL: Article
    DOI: 10.1055/a-1285-8338
    Language: German
    Publisher: Georg Thieme Verlag KG
    Publication Date: 2021
    Location Call Number Limitation Availability
    BibTip Others were also interested in ...
    Online Resource
  • 4
    Online Resource
    Online Resource
    Novel and flexible ultrasound simulation with smartphones and tablets in fetal echocardiography
    Springer Science and Business Media LLC ; 2022
    In:  Archives of Gynecology and Obstetrics Vol. 305, No. 1 ( 2022-01), p. 19-29
    Details
    In: Archives of Gynecology and Obstetrics, Springer Science and Business Media LLC, Vol. 305, No. 1 ( 2022-01), p. 19-29
    Abstract: Evaluation of a novel ultrasound-simulation-app for training fetal echocardiography as a possible useful addition for students, residents and specialist doctors. Furthermore, comparison to a conventional learning-method with special attention on orientation and recognition of physiological structures. Methods Prospective two-arm study with the participation of 226 clinical students. 108 students were given an extract from a textbook on fetal echocardiography (PDF-group, n  = 108) for 30 min to study. 118 students were able to use the new ultrasound-simulator-app (Simulator-group, n  = 118) to learn for 30 min. The knowledge of the students was examined both before and after the learning-period by having them identify sonographic structures in videos using single-choice selection. Results There were no significant differences between the two groups regarding age ( p  = 0.87), gender ( p  = 0.28), and the number of previously performed ultrasound-examinations ( p  = 0.45). In the Simulator-group, there was a significantly higher learning effect regarding the proportion of students with an increase of correct answers in the video test examination ( p  = 0.005). At the end of learning, the students in the Simulator-group needed significantly less time to display the structures in the app’s simulation (median initially 10.9 s vs. 6.8 s at the end; p   〈  0.001). Conclusions The novel ultrasound-simulation-app seems to be a useful addition and improvement to ultrasound training. Previous difficulties such as simultaneously having patients, ultrasound-machines, and professors at disposal can thus be avoided. This means that another important step towards remote learning can be taken, which has been proven increasingly essential lately, due to the COVID-19 pandemic.
    Type of Medium: Online Resource
    ISSN: 0932-0067 , 1432-0711
    URL: Article
    DOI: 10.1007/s00404-021-06102-x
    Language: English
    Publisher: Springer Science and Business Media LLC
    Publication Date: 2022
    detail.hit.zdb_id: 1458450-5
    Location Call Number Limitation Availability
    BibTip Others were also interested in ...
    Online Resource
  • 5
    Online Resource
    Online Resource
    Letter to the Editor Regarding the Article: “Antenatal Detection of True Knot in the Umbilical Cord – How Accurate Can We Be?”
    Georg Thieme Verlag KG ; 2023
    In:  Ultraschall in der Medizin - European Journal of Ultrasound
    Details
    In: Ultraschall in der Medizin - European Journal of Ultrasound, Georg Thieme Verlag KG
    Type of Medium: Online Resource
    ISSN: 0172-4614 , 1438-8782
    URL: Article
    DOI: 10.1055/a-2072-0241
    Language: English
    Publisher: Georg Thieme Verlag KG
    Publication Date: 2023
    detail.hit.zdb_id: 2028670-3
    SSG: 12
    Location Call Number Limitation Availability
    BibTip Others were also interested in ...
    Online Resource
  • 6
    Online Resource
    Online Resource
    Mother and child with osteogenesis imperfecta type III. Pregnancy management, delivery, and outcome
    Walter de Gruyter GmbH ; 2021
    In:  Case Reports in Perinatal Medicine Vol. 10, No. 1 ( 2021-01-26)
    Details
    In: Case Reports in Perinatal Medicine, Walter de Gruyter GmbH, Vol. 10, No. 1 ( 2021-01-26)
    Abstract: Thanks to the advances of modern medicine it has become possible to reach a fertile age even in the case of serious illnesses, enabling those patients to realize their desire to have children. This is also the case with the extremely heterogeneous, often autosomal dominantly inherited osteogenesis imperfecta. Due to a disruption in collagen synthesis those patients are faced with multiple fractures, spinal deformities and a decrease in pulmonary capacity throughout the course of their lives, depending on the subtype and severity of the disease. Obstetricians as well as anesthetists face major interdisciplinary challenges in the case of a pregnancy in those patients because of pregnancy-associated risks like uterine rupture, preterm birth and postpartum hemorrhage as well as risks associated with the nature of osteogenesis imperfecta itself, like bone fractures, spinal deformities and decreased mobility in the course of the progressing pregnancy. Mode of delivery should be planned individually in order to minimize maternal morbidity and mortality. In cases in which the fetus is as well affected by the disease, this aspect must be taken into consideration when it comes to supervision of pregnancy and planning of the birth mode. Case presentation We report the case of a woman with osteogenesis imperfecta type III who spontaneously conceived a pregnancy with a fetus who was also affected by the genetic disease. This constellation has up to now been reported by only few sources and requires supervision by an experienced perinatal center. Conclusions Osteogenesis imperfecta is not an exclusion diagnosis for family planning and a successful delivery. Nevertheless, depending on the form of the disease, mother and child can be severely affected by the disturbed collagen synthesis. Each patient has to be individually advised and cared for with the specific risks due to the type of Osteogenesis imperfecta. In the case of type III, due to extreme scoliosis, pelvic deformity and small growth, only a primary cesarean section can be performed.
    Type of Medium: Online Resource
    ISSN: 2192-8932 , 2192-8959
    URL: Article
    DOI: 10.1515/crpm-2020-0045
    Language: English
    Publisher: Walter de Gruyter GmbH
    Publication Date: 2021
    Location Call Number Limitation Availability
    BibTip Others were also interested in ...
    Online Resource
  • 7
    Online Resource
    Online Resource
    Preventable Adverse Events in Obstetrics—Systemic Assessment of Their Incidence and Linked Risk Factors
    MDPI AG ; 2022
    In:  Healthcare Vol. 10, No. 1 ( 2022-01-04), p. 97-
    Details
    In: Healthcare, MDPI AG, Vol. 10, No. 1 ( 2022-01-04), p. 97-
    Abstract: (1) Background: Adverse events (AEs) are an inherent part of all medical care. Obstetrics is special: it is characterized by a very high expectation regarding safety and has rare cases of harm, but extremely high individual consequences of harm. However, there is no standardized identification, documentation, or uniform terminology for the preventability of AEs in obstetrics. In this study, therefore, an obstetrics-specific matrix on the preventable factors of AEs is established based on existing literature to enable standardized reactive risk management in obstetrics. (2) Methods: AEs in obstetrics from one hospital from the year 2018 were retrospectively evaluated according to a criteria matrix regarding preventability. Risk factors for preventable AEs (pAEs) were identified. (3) Results: Out of 2865 births, adverse events were identified in 659 cases (23%). After detailed case analysis, 88 cases (13%) showed at least 1 pAE. A total of 19 risk factors could be identified in 6 categories of pAEs. (4) Conclusion: Preventable categories of error could be identified. Relevant obstetric risk factors related to the error categories were identified and categorized. If these can be modified in the future with targeted measures of proactive risk management, pAEs in obstetrics could also be reduced.
    Type of Medium: Online Resource
    ISSN: 2227-9032
    URL: Article
    DOI: 10.3390/healthcare10010097
    Language: English
    Publisher: MDPI AG
    Publication Date: 2022
    detail.hit.zdb_id: 2721009-1
    Location Call Number Limitation Availability
    BibTip Others were also interested in ...
    Online Resource
  • 8
    Online Resource
    Online Resource
    A Scary Complication: Single-center Study on Management and Outcome of Cesarean Scar Pregnancy
    Georg Thieme Verlag KG ; 2021
    In:  Revista Brasileira de Ginecologia e Obstetrícia / RBGO Gynecology and Obstetrics Vol. 43, No. 04 ( 2021-04), p. 311-316
    Details
    In: Revista Brasileira de Ginecologia e Obstetrícia / RBGO Gynecology and Obstetrics, Georg Thieme Verlag KG, Vol. 43, No. 04 ( 2021-04), p. 311-316
    Abstract: A cesarean scar pregnancy (CSP) is a scary and life-threatening complication of cesarean section (CS). Nevertheless, the incidence of CS is constantly growing. The CSP incidence is 0,15% of pregnancies after CS which represents 6,1% of all ectopic pregnancies in women with condition after CS. Therefore, it should be more present in the clinical daily routine. From mild nonspecific symptoms to hypovolemic shock, diagnosis and therapy must be performed quickly. With the progressive growth of the scar pregnancy, a uterine rupture involves the risk of severe bleeding, and an emergency hysterectomy could be necessary. Prolongation of pregnancy has been successful only in a few cases. We report 11 cases from our hospital in the past 10 years. In the discussion, treatment options of this complication with an increasing incidence, which is associated with serious morbidity and mortality, are presented based on the current literature. Treatment options include drug therapy, but also surgical or combined procedures with radiological intervention.
    Type of Medium: Online Resource
    ISSN: 0100-7203 , 1806-9339
    URL: Article
    DOI: 10.1055/s-0041-1728781
    Language: English
    Publisher: Georg Thieme Verlag KG
    Publication Date: 2021
    detail.hit.zdb_id: 2105176-8
    Location Call Number Limitation Availability
    BibTip Others were also interested in ...
    Online Resource
  • 9
    Online Resource
    Online Resource
    Obstetric and fetal short- and long-term outcomes of delayed-interval delivery in multiple pregnancies
    Elsevier BV ; 2022
    In:  Journal of Gynecology Obstetrics and Human Reproduction Vol. 51, No. 10 ( 2022-12), p. 102486-
    Details
    In: Journal of Gynecology Obstetrics and Human Reproduction, Elsevier BV, Vol. 51, No. 10 ( 2022-12), p. 102486-
    Type of Medium: Online Resource
    ISSN: 2468-7847
    URL: Article
    DOI: 10.1016/j.jogoh.2022.102486
    Language: English
    Publisher: Elsevier BV
    Publication Date: 2022
    detail.hit.zdb_id: 2888202-7
    Location Call Number Limitation Availability
    BibTip Others were also interested in ...
    Online Resource
  • 10
    Online Resource
    Online Resource
    Fishing for (in)continence: long-term follow-up of women with OASIS–still a taboo
    Springer Science and Business Media LLC ; 2021
    In:  Archives of Gynecology and Obstetrics Vol. 303, No. 4 ( 2021-04), p. 987-997
    Details
    In: Archives of Gynecology and Obstetrics, Springer Science and Business Media LLC, Vol. 303, No. 4 ( 2021-04), p. 987-997
    Abstract: Obstetric anal sphincter injuries (OASIS) increase the risk for pelvic floor dysfunctions. The goal of this study was to examine the long-term outcomes after OASIS on pelvic floor functions and quality of life. Material and methods Between 2005 and 2013, 424 women had an OASIS at the Women University Hospital Ulm. Out of these 71 women completed the German pelvic floor questionnaire, which includes questions regarding prolapse symptoms as well as bladder, bowel and sexual function. In addition, 64 women were physically examined, including a speculum examination to evaluate the degree of prolapse, a cough test to evaluate urinary stress incontinence (SI) and an evaluation of both pelvic floor sphincter (modified Oxford score) and anal sphincter contraction. Results A high rate of pelvic floor disorders after OASIS was found, as 74.6% of women reported SI, 64.8% flatus incontinence and 18.3% stool incontinence, respectively. However, only few women stated a substantial negative impact on quality of life. The clinical examination showed that a positive cough test, a weak anal sphincter tone and a diagnosed prolapse correlated with the results of the self-reported questionnaire. Conclusion On one hand, OASIS has an influence on pelvic floor function going along with lots of complaints, while on the other hand, it still seems to be a taboo topic, as none of the participants spoke about the complaints after OASIS with a doctor. Therefore, the gynecologist should actively address these issues and offer therapy options for the women with persisting problems.
    Type of Medium: Online Resource
    ISSN: 0932-0067 , 1432-0711
    URL: Article
    DOI: 10.1007/s00404-020-05878-8
    Language: English
    Publisher: Springer Science and Business Media LLC
    Publication Date: 2021
    detail.hit.zdb_id: 1458450-5
    Location Call Number Limitation Availability
    BibTip Others were also interested in ...
    Online Resource
Close ⊗
This website uses cookies and the analysis tool Matomo. More information can be found here...