Empfehlungen für die strukturellen Voraussetzungen der
                    perinatologischen Versorgung in Deutschland (Entwicklungsstufe S2k,
                    AWMF-Leitlinien-Register Nr. 087–001, März 2021)

Rossi, Rainer; Bauer, Nicola H.; Becke‐Jakob, Karin; Grab, Dieter; Herting, Egbert; Mitschdörfer, Barbara; Olbertz, Dirk; Rösner, Bianka; Schlembach, Dietmar; Tillig, Bernd; Trotter, Andreas; Kehl, Sven

doi:10.1055/a-1502-5869

Cited by 7 publications

(9 citation statements)

References 22 publications

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“…4 Apart from these international guidelines, there are also local and national standard procedures, 5,6 with differing approaches to caring for infants who are newly born. 7,8 However, data that describe the variance between hospitals and individual approaches are rare and not based on objective data collection.…”

mentioning

confidence: 99%

Delivery Room Management of Infants with Very Low Birth Weight in 3 European Countries—The Video Apgar Study

Simma

Walter

Konstantelos

et al. 2020

The Journal of Pediatrics

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mentioning

confidence: 99%

Delivery Room Management of Infants with Very Low Birth Weight in 3 European Countries—The Video Apgar Study

Simma

Walter

Konstantelos

et al. 2020

The Journal of Pediatrics

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“…Personnel setups required for novel treatments, such as transfer procedures, require specialized training and may easily exceed staffing availability. For example, the health workforce requirements in German perinatal centers demand the presence of 2 gynecologists, one neonatologist (present or on-call), one fellow pediatrician, one anesthesiologist, one scrub nurse, one surgical technical assistant, and one medical assistant ( 182 ). Within the context of a transfer procedure, to cover delivery, cannulation, and placement in the LFC, the majority of this team would likely be needed, thereby preventing them from caring for other patients.…”

Section: Discussionmentioning

confidence: 99%

Transferring an extremely premature infant to an extra-uterine life support system: a prospective view on the obstetric procedure

van Haren,

Delbressine,

Schoberer

et al. 2024

Front. Pediatr.

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To improve care for extremely premature infants, the development of an extrauterine environment for newborn development is being researched, known as Artificial Placenta and Artificial Womb (APAW) technology. APAW facilitates extended development in a liquid-filled incubator with oxygen and nutrient supply through an oxygenator connected to the umbilical vessels. This setup is intended to provide the optimal environment for further development, allowing further lung maturation by delaying gas exposure to oxygen. This innovative treatment necessitates interventions in obstetric procedures to transfer an infant from the native to an artificial womb, while preventing fetal-to-neonatal transition. In this narrative review we analyze relevant fetal physiology literature, provide an overview of insights from APAW studies, and identify considerations for the obstetric procedure from the native uterus to an APAW system. Lastly, this review provides suggestions to improve sterility, fetal and maternal well-being, and the prevention of neonatal transition.

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“…Viele Länder haben eine dezentrale Behandlungsstruktur für SARS-CoV-2-positive/an COVID-19 erkrankte Menschen vorgesehen, um die Ressourcen des Gesundheitssystems optimal auslasten zu können. In Bezug auf die Versorgung geburtshilflicher Patientinnen ist die Leitliniengruppe der Auffassung, dass geburtshilfliche Kriterien zur Verortung stationärer Krankenhausbehandlung in die unterschiedlichen Versorgungsstufen diesem Sachverhalt ausreichend Rechnung tragen 4 , 5 . Es gibt keine Hinweise darauf, dass eine (asymptomatische oder mild verlaufende) SARS-CoV-2-Infektion der Schwangeren allein eine Zuweisung in spezielle Zentren notwendig macht, die eine maximale Versorgungsstruktur einschließlich neonatologischer Intensivbehandlung vorhält.…”

Section: Leitlinieunclassified

“…Many of the federal states in Germany envisaged a decentralized treatment structure to deal with persons who were SARS-CoV-2-positive or who developed COVID-19 to make optimum use of the resources of the healthcare system. When considering the care of obstetric patients, the guideline authors are of the opinion that obstetric criteria used when deciding whether patients need to be treated in hospital and the care level available at the center treating them are already sufficient to deal with the issue 4 , 5 . There are no indications that a pregnant woman with only (asymptomatic or mild) SARS-CoV-2 infection needs to be transferred to a special center of maximum care with a neonatal intensive care unit.…”

Section: Guidelinementioning

confidence: 99%

SARS-CoV-2 in Pregnancy, Birth and Puerperium. Guideline of the DGGG and DGPM (S2k-Level, AWMF Registry Number 015/092, March 2022)

Pecks

Agel

Doubek

et al. 2023

Geburtshilfe Frauenheilkd

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Objective This S2k guideline of the German Society for Gynecology and Obstetrics (DGGG) and the German Society of Perinatal Medicine (DGPM) contains consensus-based recommendations for the care and treatment of pregnant women, parturient women, women who have recently given birth, and breastfeeding women with SARS-CoV-2 infection and their newborn infants. The aim of the guideline is to provide recommendations for action in the time of the COVID-19 pandemic for professionals caring for the above-listed groups of people. Methods The PICO format was used to develop specific questions. A systematic targeted search of the literature was carried out using PubMed, and previously formulated statements and recommendations issued by the DGGG and the DGPM were used to summarize the evidence. This guideline also drew on research data from the CRONOS registry. As the data basis was insufficient for a purely evidence-based guideline, the guideline was compiled using an S2k-level consensus-based process. After summarizing and presenting the available data, the guideline authors drafted recommendations in response to the formulated PICO questions, which were then discussed and voted on. Recommendations Recommendations on hygiene measures, prevention measures and care during pregnancy, delivery, the puerperium and while breastfeeding were prepared. They also included aspects relating to the monitoring of mother and child during and after infection with COVID-19, indications for thrombosis prophylaxis, caring for women with COVID-19 while they are giving birth, the presence of birth companions, postnatal care, and testing and monitoring the neonate during rooming-in or on the pediatric ward.

show abstract

Empfehlungen für die strukturellen Voraussetzungen der perinatologischen Versorgung in Deutschland (Entwicklungsstufe S2k, AWMF-Leitlinien-Register Nr. 087–001, März 2021)

Cited by 7 publications

References 22 publications

Delivery Room Management of Infants with Very Low Birth Weight in 3 European Countries—The Video Apgar Study

Delivery Room Management of Infants with Very Low Birth Weight in 3 European Countries—The Video Apgar Study

Transferring an extremely premature infant to an extra-uterine life support system: a prospective view on the obstetric procedure

SARS-CoV-2 in Pregnancy, Birth and Puerperium. Guideline of the DGGG and DGPM (S2k-Level, AWMF Registry Number 015/092, March 2022)

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