{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,11,27]],"date-time":"2025-11-27T10:52:05Z","timestamp":1764240725222,"version":"3.46.0"},"reference-count":61,"publisher":"Georg Thieme Verlag KG","issue":"05","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Tierarztl Prax Ausg G Grosstiere Nutztiere"],"published-print":{"date-parts":[[2023,10]]},"abstract":"<jats:title>Zusammenfassung<\/jats:title>\n                  <jats:p>Eine Dystokie stellt f\u00fcr die Stute und das Fohlen einen\n                    lebensbedrohlichen Zustand dar. Anhand einer Literaturauswertung wurden die\n                    Morbidit\u00e4ts- und Todesraten durch eine Schwergeburt bei Stute und Fohlen\n                    sowie der Einfluss auf die weitere Fruchtbarkeit der Stute analysiert.\n                    Erschwerend bei der Auswertung der Literatur ist, dass kein einheitlicher\n                    Diagnoseschl\u00fcssel genutzt wurde und dass in den meisten\n                    Ver\u00f6ffentlichungen nicht deutlich wird, wie umfangreich die\n                    Untersuchungen am Tier durchgef\u00fchrt wurden, um zur Diagnose zu gelangen.\n                    Die Retentio secundinarum ist die h\u00e4ufigste Komplikation nach\n                    Schwergeburt. Weitere Komplikationen der Dystokie sind Verletzungen im weichen\n                    Geburtsweg und des Dickdarmes. Diese treten nach chirurgischer Geburtshilfe\n                    h\u00e4ufiger auf als nach Auszug. Bei Durchf\u00fchrung einer Fetotomie\n                    steigt die Gefahr von Verletzungen im Geburtsweg. Nach einer Sectio caesarea\n                    nimmt das Risiko einer Nachgeburtsverhaltung deutlich zu. Zur Darlegung eines\n                    m\u00f6glichen obstetrischen Fortschritts wurden recherchierte\n                    Mortalit\u00e4tsraten von Stute und Fohlen nach chirurgischer sowie\n                    konservativer Geburtshilfe in die Perioden 1970\u20131990 und\n                    1991\u20132021 unterteilt. Die durchschnittliche maternale Todesrate nach\n                    einer Sectio caesarea liegt im Zeitraum 1970\u20131990 bei 18% und\n                    von 1991 bis 2021 bei 14%. Die 2 ermittelten Angaben zur Todesrate nach\n                    einer Fetotomie betrugen 29% und 10% in der Zeitspanne\n                    1970\u20131990. In der Periode 1991\u20132021 variieren die Daten zwischen\n                    4 und 44%, wobei sich eine durchschnittliche Todesrate von 14%\n                    ergibt. Die durchschnittliche maternale Todesrate nach Auszug unter\n                    Allgemeinan\u00e4sthesie liegt bei 9%. Die Literaturangaben lagen\n                    hierbei allerdings nur f\u00fcr den aktuelleren Zeitraum vor und schwanken\n                    zwischen 6\u201329%. Die Erkrankungs- und Todesrate von Fohlen ist\n                    sehr hoch. Im Rahmen eines Kaiserschnittes werden 53% der Fohlen tot\n                    entwickelt, wobei die Todesrate in den einzelnen Fallserien aus den Jahren\n                    1991\u20132021 von 13\u201379% variiert. Die Anzahl tot\n                    entwickelter Fohlen im Rahmen einer konservativen Geburtshilfe liegt in der\n                    gleichen Gr\u00f6\u00dfenordnung. Postnatale Erkrankungen des\n                    Fohlens sind zum gr\u00f6\u00dften Teil auf die intrapartale Hypoxie\n                    w\u00e4hrend der Dystokie und Verletzungen durch die Geburtshilfe\n                    zur\u00fcckzuf\u00fchren. Nach Schwergeburt zeigen Stuten eine reduzierte\n                    Fertilit\u00e4t, was jedoch durch eine Zuchtpause im gleichen Jahr in vielen\n                    F\u00e4llen kompensiert werden kann. Insgesamt ist die Anzahl ausgewerteter\n                    F\u00e4lle aber bisher zu gering, um verbindliche Hinweise f\u00fcr eine\n                    Zuchtnutzung nach Dystokie formulieren zu k\u00f6nnen.<\/jats:p>","DOI":"10.1055\/a-2180-2182","type":"journal-article","created":{"date-parts":[[2023,11,13]],"date-time":"2023-11-13T18:33:01Z","timestamp":1699900381000},"page":"314-326","source":"Crossref","is-referenced-by-count":4,"title":["Morbidit\u00e4t und Mortalit\u00e4t von Stute und Fohlen nach\n                    Dystokie \u2013 eine Literatur\u00fcbersicht"],"prefix":"10.1055","volume":"51","author":[{"given":"Markus","family":"Ellerbrock","sequence":"additional","affiliation":[{"name":"Tierklinik f\u00fcr Reproduktionsmedizin und Neugeborenenkunde,\n                    Justus-Liebig-Universit\u00e4t Gie\u00dfen"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Axel","family":"Wehrend","sequence":"additional","affiliation":[{"name":"Tierklinik f\u00fcr Reproduktionsmedizin und Neugeborenenkunde,\n                    Justus-Liebig-Universit\u00e4t Gie\u00dfen"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"194","published-online":{"date-parts":[[2023,11,13]]},"reference":[{"key":"ref1","first-page":"1015","volume-title":"Dystocia. 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