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Frauenheilkunde up2date 2019; 13(03): 271-289
DOI: 10.1055/a-0830-2304
Geburtshilfe und Perinatalmedizin
Georg Thieme Verlag KG Stuttgart · New York

Management des vorzeitigen Blasensprungs

Peter Jakubowski
,
Jan Pauluschke-Fröhlich
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Publication History

Publication Date:
19 June 2019 (online)

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Ein vorzeitiger Blasensprung, d. h. ein Blasensprung vor Einsetzen der Wehentätigkeit (sog. PROM), manifestiert sich bei ca. 11% aller Schwangerschaften. Dabei tritt er nur in 3% der Fälle vor der 37 + 0 Schwangerschaftswoche (SSW) auf; er wird dann als früher vorzeitiger Blasensprung bezeichnet (PPROM). Das klinische Management ist entscheidend vom Zeitpunkt des Blasensprungs abhängig.
Kernaussagen

  • Der vorzeitige Blasensprung ist ein häufiges geburtshilfliches Ereignis (ca. 11%).

  • Das Vorgehen hängt maßgeblich vom Zeitpunkt des vorzeitigen Blasensprungs ab.

  • Infektionen stellen die wichtigste und häufigste Komplikation dar.

  • Bei korrektem Management ist das perinatale Outcome ab der 37. SSW kaum beeinflusst.

  • Ein Blasensprung vor der 24 + 0 SSW stellt eine Extremsituation dar. Hier muss aufgrund der besonderen mütterlichen und kindlichen Risikokonstellation individuell beraten werden.

Schlüsselwörter

vorzeitiger Blasensprung - Amnioninfektionssyndrom - drohende Frühgeburt - Management
 

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