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. 2022 Nov 3;82(11):1194-1248.
doi: 10.1055/a-1904-6769. eCollection 2022 Nov.

Vaginal Birth at Term - Part 2. Guideline of the DGGG, OEGGG and SGGG (S3-Level, AWMF Registry No. 015/083, December 2020)

Michael Abou-Dakn  1 , Rainhild Schäfers  2 , Nina Peterwerth  2 , Kirsten Asmushen  3 , Susanne Bässler-Weber  4 , Ulrike Boes  5 , Andrea Bosch  6 , David Ehm  7 , Thorsten Fischer  8 , Monika Greening  9 , Katharina Hartmann  10 , Günther Heller  11 , Claudia Kapp  12 , Constantin von Kaisenberg  13 , Beate Kayer  14 , Peter Kranke  15 , Burkhard Lawrenz  16 , Frank Louwen  17 , Christine Loytved  12 , Wolf Lütje  18 , Elke Mattern  12 , Renate Nielsen  19 , Frank Reister  20 , Rolf Schlösser  21 , Christiane Schwarz  22 , Volker Stephan  23 , Barbara Stocker Kalberer  24 , Axel Valet  25 , Manuel Wenk  26 , Sven Kehl  27
Affiliations

Vaginal Birth at Term - Part 2. Guideline of the DGGG, OEGGG and SGGG (S3-Level, AWMF Registry No. 015/083, December 2020)

Michael Abou-Dakn et al. Geburtshilfe Frauenheilkd. .

Abstract

Purpose This guideline aims to summarize the current state of knowledge about vaginal birth at term. The guideline focuses on definitions of the physiological stages of labor as well as differentiating between various pathological developments and conditions. It also assesses the need for intervention and the options to avoid interventions. The second part of this guideline presents recommendations and statements on care during the dilation and expulsion stages as well as during the placental/postnatal stage. Methods The German recommendations largely reproduce the recommendations of the National Institute for Health and Care Excellence (NICE) CG190 guideline "Intrapartum care for healthy women and babies". Other international guidelines were also consulted in individual cases when compiling this guideline. In addition, a systematic search and analysis of the literature was carried out using PICO questions where necessary, and other systematic reviews and individual studies were taken into account. For easier comprehension, the assessment tools of the Scottish Intercollegiate Guidelines Network (SIGN) were used to evaluate the quality of additionally consulted studies. Otherwise, the GRADE system was used for the NICE guideline, and the evidence reports of the IQWiG were used to evaluate the quality of the evidence. Recommendations Recommendations and statements were formulated based on identified evidence and/or a structured consensus.

Keywords: delivery; guideline; term; vaginal birth.

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Conflict of interest statement

Conflict of Interest/Interessenkonflikt The conflicts of interest of all of the authors are listed in the long version of the guideline./Die Interessenkonflikte der Autor*innen sind in der Langfassung der Leitlinie aufgelistet.

Figures

Fig. 1
Fig. 1
Algorithm outlining the appropriate approach for the active dilation stage. [rerif]
Abb. 1
Abb. 1
Algorithmus zum Vorgehen in der aktiven Eröffnungsphase. [rerif]
See this image and copyright information in PMC

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