[Possibilities and limits of the intrauterine reanimation (author's transl)].
Intrauterine reanimation means the removal of acute maternal or fetal distress. Beside of maternal shock (traumatic, hoaemorrhagic, supine hypotension syndrome) all acute distress situation are seen during labour. The therapeutical possibilities and premises on the one side, the limits and dangers on the other are discussed. There are the change of position in bed, infusion of low molecular dextrane, O2- breathing, buffering of the mother, infusion of vasodilatators and beta-stimulators to the mother. The main therapeutical principle for intrauterine reanimation are change of side position and beta-stimulator therapy in case of disturbances in feto-maternal respiration because of an acute utero-placental insufficiency or a cord complication. As to an own patient group with intrauterine reanimation with the beta-stimulator "Partusisten" in 174 deliveries with cardiotocographic signs of fetal distress in the first stage of labour there is shown that threatened fetal distress because of uterine hyperactivity and cord complication is successfully treated by tocolysis. In case of chronic placental insufficiency there is no therapeutical success by intra partum tocolysis in 30%.
D000136:Acid-Base Equilibrium / Q000187:drug effects; D000318:Adrenergic beta-Agonists / Q000008:administration & dosage; D000328:Adult; D000818:Animals; D003911:Dextrans / Q000627:therapeutic use; D004562:Electrocardiography; D005260:Female; D005316:Fetal Distress / Q000628:therapy*; D005318:Fetal Heart / Q000187:drug effects; D006801:Humans; D007545:Isoproterenol / Q000008:administration & dosage; D007744:Obstetric Labor Complications / Q000628:therapy*; D010100:Oxygen / Q000627:therapeutic use; D010920:Placenta / Q000098:blood supply; D011187:Posture; D011247:Pregnancy; D012039:Regional Blood Flow / Q000187:drug effects; D012151:Resuscitation; D012756:Sheep; D012769:Shock / Q000188:drug therapy; D013806:Theophylline / Q000008:administration & dosage; D014590:Uterine Contraction; D014599:Uterus / Q000098:blood supply; D014665:Vasodilator Agents / Q000008:administration & dosage; D014682:Vena Cava, Inferior / Q000503:physiopathology
D000318:Adrenergic beta-Agonists; D003911:Dextrans; D014665:Vasodilator Agents; D013806:Theophylline; D007545:Isoproterenol; D010100:Oxygen
Möglichkeiten und Grenzen der intrauterinen Reanimation