[Resource oriented interventions in pregnancy].
Premature labour and premature birth keep on being an unsolved problem in spite of diverse medical measures in the obstetrics. The system of risk catalogues did not meet the expectations and can lead even for the disconcertion from pregnant women. If one places the risks performed in the German mother passport as a basis, approximately 50% of all pregnant women would be risk cases. In current publications stress finds strong attention as a psychophysiological declaration model of premature birth. Own results refer to psychosomatic connections at premature birth. Social relief and here particularly the one through the babies father seems to be a preventive factor with regard to some premature birth. Under a resource-oriented visual angle the salutogenetic-model of Antonovsky is employed for care concepts of the primary and second prevention in the pregnancy as a basis. Specific target group offers for pregnant woman that focus also on the stabilization of their competence feeling, particularly next to knowledge transfer, relaxation training and learning of coping strategies, the activation of social nets and, where appropriate, early inclusion of the partner and offer of communication training for pregnant couples are described as a good complement to traditional prenatal care. A bearing away of the risk-model opens the resources-model for prenatal care new ways and is a challenge also for science.
Universitätklinikum Charité, Berlin, Institut für Sexualwissenschaft und Sexualmedizin. martina.rauchfuss@charite.de
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D000328:Adult; D005260:Female; D005858:Germany; D006801:Humans; D007752:Obstetric Labor, Premature / Q000209:etiology / Q000517:prevention & control*; D011247:Pregnancy; D011248:Pregnancy Complications / Q000517:prevention & control*; D011295:Prenatal Care / Q000379:methods*; D011322:Primary Prevention / Q000379:methods; D012307:Risk Factors; D012657:Self-Help Groups; D018454:Spouses / Q000193:education / Q000523:psychology*; D013315:Stress, Psychological / Q000517:prevention & control*