{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,2]],"date-time":"2026-06-02T13:43:59Z","timestamp":1780407839661,"version":"3.54.1"},"reference-count":66,"publisher":"Georg Thieme Verlag KG","issue":"03","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Tierarztl Prax Ausg G Grosstiere Nutztiere"],"published-print":{"date-parts":[[2025,6]]},"abstract":"<jats:title>Zusammenfassung<\/jats:title>\n                  <jats:p>Ziel der Untersuchung ist die Darstellung der Situation der Schwergeburt beim\n                        Rind anhand einer retrospektiven Auswertung von Klinikdaten.<\/jats:p>\n                  <jats:p>1345 F\u00e4lle von K\u00fchen mit Dystokie, die zwischen 2007 und 2019 in einer\n                        universit\u00e4ren geburtshilflichen Klinik vorgestellt wurden, wurden\n                        retrospektiv ausgewertet. Es wurde das Alter, die Rasse bzw.\n                        Nutzungsrichtung, die Ursachen der Schwergeburt, der gew\u00e4hlte Eingriff,\n                        aufgetretene Komplikationen und Mortalit\u00e4tsraten erfasst. Dar\u00fcber hinaus\n                        wurden Zusammenh\u00e4nge einzelner Parameter ermittelt.<\/jats:p>\n                  <jats:p>Es waren 29,9% der K\u00fche j\u00fcnger als 2,5 Jahre und 49,0% befanden sich in der\n                        ersten Parit\u00e4t. Die h\u00e4ufigsten Ursachen waren Lage-, Stellungs-,\n                        Haltungsanomalien (46,3%), zu gro\u00dfe Fr\u00fcchte (41,3%), Geb\u00e4rmutterverdrehungen\n                        (26,5%) und eine mangelhaft ge\u00f6ffnete Cervix (19,3%). \u00dcbergangene Geburten\n                        kamen zu 7,6% vor. Von einer Geb\u00e4rmutterverdrehung waren insbesondere\n                        Milchrassen (p&lt;0,0001) und K\u00fche zwischen 2,5\u20133,5 Jahren betroffen\n                        (p&lt;0,0001). Zu gro\u00dfe Fr\u00fcchte (p&lt;0,0001) und eine Enge der weichen\n                        (p=0,0082) und kn\u00f6chernen Geburtswege (p&lt;0,0001) traten vor allem bei\n                        K\u00fchen, die j\u00fcnger als 2,5 Jahre alt waren und bei Fleischrassen\n                        (p&lt;0,0001) auf. Cervixmanschetten kamen am h\u00e4ufigsten in den\n                        Altersgruppen&lt;2,5 Jahre (18,5%),&gt;2,5\u20133,5 Jahre (19,7%) und&gt;3,5\u20134,5\n                        Jahre (18,5%) vor und in der Gruppe der&gt;6,5 Jahre alten K\u00fche (20,6%)\n                        (p&lt;0,0001). Eine Zwillingsgravidit\u00e4t konnte am h\u00e4ufigsten bei K\u00fchen \u00e4lter\n                        als 6,5 Jahre nachgewiesen werden (p&lt;0,0001).<\/jats:p>\n                  <jats:p>Die Mortalit\u00e4tsrate der K\u00fche betrug 9,4%. Traten Komplikationen w\u00e4hrend des\n                        Eingriffs auf, so war die Mortalit\u00e4tsrate erh\u00f6ht (p&lt;0,0001). F\u00fcr die\n                        K\u00e4lber nach Auszug und Kaiserschnitt lag die Mortalit\u00e4t bei 46,0%. Der\n                        Anteil der K\u00e4lber, die \u00fcberlebten, war nach konservativer Geburtshilfe h\u00f6her\n                        als nach Kaiserschnitt (p=0,005). Von den tot geborenen K\u00e4lbern waren 41,7%\n                        bereits l\u00e4nger tot.<\/jats:p>\n                  <jats:p>Die Daten zeigen, dass Optimierungsbedarf hinsichtlich der Pr\u00e4vention von\n                        Schwergeburten besteht. Dies gilt insbesondere f\u00fcr den hohen Anteil junger\n                        K\u00fche mit zu gro\u00dfen Fr\u00fcchten. Einen vermeidbaren Risikofaktor stellt\n                        beispielsweise eine zu fr\u00fche Belegung dar. Der hohe Anteil an K\u00e4lbern, die\n                        schon l\u00e4nger tot sind, l\u00e4sst vermuten, dass zu viele Dystokien zu sp\u00e4t\n                        erkannt werden. Daher sollte durch eine Intensivierung der\n                        Geburts\u00fcberwachung das Risiko f\u00fcr \u00fcbergangene Geburten reduziert werden.<\/jats:p>","DOI":"10.1055\/a-2536-5314","type":"journal-article","created":{"date-parts":[[2025,3,28]],"date-time":"2025-03-28T19:54:22Z","timestamp":1743191662000},"page":"145-154","source":"Crossref","is-referenced-by-count":1,"title":["Die aktuelle Situation der Geburtshilfe beim Rind \u2013 eine\n                    retrospektive Auswertung von Klinikdaten"],"prefix":"10.1055","volume":"53","author":[{"given":"Lisa","family":"Ulrich","sequence":"additional","affiliation":[{"name":"Tierklinik f\u00fcr Reproduktionsmedizin und Neugeborenenkunde,\n                    Justus-Liebig-Universit\u00e4t Gie\u00dfen"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Axel","family":"Wehrend","sequence":"additional","affiliation":[{"name":"Tierklinik f\u00fcr Reproduktionsmedizin und Neugeborenenkunde,\n                    Justus-Liebig-Universit\u00e4t Gie\u00dfen"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"194","published-online":{"date-parts":[[2025,3,28]]},"reference":[{"key":"ref1","doi-asserted-by":"crossref","first-page":"289","DOI":"10.1055\/a-2410-1505","article-title":"Forschungsschwerpunkte und Qualit\u00e4t der wissenschaftlichen Literatur zur\n                    Dystokie beim Rind von 1960\u20132020","volume":"52","author":"L Ulrich","year":"2024","journal-title":"Tierarztl Prax Ausg G Grosstiere Nutztiere"},{"key":"ref2","first-page":"32","article-title":"Relationship of dystocia to dairy cow health and productivity","volume":"86","author":"J E Lombard","year":"2003","journal-title":"J Dairy Sci"},{"key":"ref3","doi-asserted-by":"crossref","first-page":"1751","DOI":"10.3168\/jds.2006-295","article-title":"Impacts of dystocia on health and survival of dairy calves","volume":"90","author":"J E Lombard","year":"2007","journal-title":"J Dairy 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