{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,11,28]],"date-time":"2025-11-28T05:36:13Z","timestamp":1764308173704,"version":"3.46.0"},"reference-count":10,"publisher":"Georg Thieme Verlag KG","issue":"03","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Z Geburtshilfe Neonatol"],"published-print":{"date-parts":[[2025,6]]},"abstract":"Zusammenfassung<\/jats:title>\n Die Ergebnis-Zahlen f\u00fcr die perinatale Versorgung in Deutschland sind sowohl f\u00fcr\n die S\u00e4uglingssterblichkeit als auch die Fr\u00fchgeborenen-Raten seit Jahren nur im\n Mittelfeld der europ\u00e4ischen L\u00e4nder, ohne dass es hierf\u00fcr entscheidende\n medizinische und sozio\u00f6konomische Erkl\u00e4rungen wie zum Beispiel das m\u00fctterliche\n Alter gibt. Die Struktur der perinatalen Versorgung ist in Deutschland gepr\u00e4gt\n durch ein dichtes Netz an geburtshilflichen Einrichtungen, die im europ\u00e4ischen\n Vergleich eher wenige Geburten p.\u2009a. betreuen und fast zur H\u00e4lfte nicht direkt\n mit einer P\u00e4diatrie betrieben werden. In z.\u2009B. den nordeurop\u00e4ischen Staaten ist\n hingegen praktisch jede \u2013 ohnehin gr\u00f6\u00dfere Geburtshilfe \u2013 gemeinsam mit einer\n P\u00e4diatrie organisiert. In diesen Strukturen sind trotz l\u00e4ngerer Fahrtwege sowohl\n die Fr\u00fchgeborenenraten \u2013 gerade in den kritischen Wochen (<28+0 SSW) \u2013 als\n auch die S\u00e4uglingssterblichkeit deutlich niedriger als bei uns. In der\n Krankenhausplanung sollten daher diese epidemiologisch relevanten Unterschiede\n bedacht und also Geburtshilfe und P\u00e4diatrie grunds\u00e4tzlich nur gemeinsam\n betrieben werden, auch unter Inkaufnahme l\u00e4ngerer Anfahrtswege.<\/jats:p>","DOI":"10.1055\/a-2550-6215","type":"journal-article","created":{"date-parts":[[2025,3,24]],"date-time":"2025-03-24T20:02:17Z","timestamp":1742846537000},"page":"169-172","source":"Crossref","is-referenced-by-count":0,"title":["Ist die Struktur der perinatalmedizinischen Versorgung in Deutschland\n f\u00fcr die im europ\u00e4ischen Vergleich nicht optimalen, sondern nur\n durchschnittlichen Ergebnisse bez\u00fcglich der S\u00e4uglings- und der m\u00fctterlichen\n Sterblichkeit und sowie der Fr\u00fchgeborenenraten verantwortlich?"],"prefix":"10.1055","volume":"229","author":[{"given":"Rainer","family":"Rossi","sequence":"additional","affiliation":[{"name":"Ehemals (bis 10\/2022) Klinik f\u00fcr Kinder- und Jugendmedizin, Vivantes\n Klinikum Neuk\u00f6lln, Berlin, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"194","published-online":{"date-parts":[[2025,3,24]]},"reference":[{"key":"ref3","doi-asserted-by":"crossref","first-page":"957","DOI":"10.1016\/S0140-6736(14)60497-9","article-title":"Global, regional, and national levels of neonatal, infant, and under-5 mortality\n during 1990\u20132013: a systematic analysis for the Global Burden of Disease Study\n 2013","volume":"384","author":"H Wang","year":"2014","journal-title":"Lancet"},{"key":"ref4","doi-asserted-by":"crossref","first-page":"743","DOI":"10.1016\/S0140-6736(15)60692-4","article-title":"Global, regional, and national levels and causes of maternal mortality during\n 1990\u20132013: a systematic analysis for the Global Burden of Disease Study\n 2013","volume":"386","author":"N J Kassebaum","year":"2015","journal-title":"Lancet"},{"key":"ref6","first-page":"227","article-title":"The prevention, diagnosis and treatment of premature labor","volume":"110","author":"E Schleu\u00dfner","year":"2013","journal-title":"Dtsch Arztebl Int"},{"key":"ref9","doi-asserted-by":"crossref","first-page":"1422","DOI":"10.1111\/apa.16753","article-title":"Preterm birth in the Nordic countries \u2013 Capacity, Management, and outcome in\n neonatal care","volume":"112","author":"M Norman","year":"2023","journal-title":"Acta Paediatr"},{"key":"ref14","doi-asserted-by":"publisher","DOI":"10.1016\/j.resuscitation.2024.110309","article-title":"Short-term outcomes of asphyxiated neonates 5 depending on requirement for\n transfer in the first 24h of life","author":"N Bruns","journal-title":"Resuscitation"},{"key":"ref15","first-page":"1138","article-title":"Aufkl\u00e4rungspflicht als Abwehrrecht","volume":"111","author":"T Neelmeier","year":"2014","journal-title":"Dtsch \u00c4rztebl"},{"key":"ref16","doi-asserted-by":"crossref","first-page":"443","DOI":"10.1007\/s00129-014-3365-5","article-title":"Einrichtungsbezogene Patientenaufkl\u00e4rung in der Geburtshilfe","volume":"47","author":"T Neelmeier","year":"2014","journal-title":"Gyn\u00e4kologe"},{"key":"ref21","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0162506","article-title":"Cross-Country Individual Participant Analysis of 4.1 Million Singleton Births in\n 5 Countries with Very High Human Development Index Confirms Known Associations\n but Provides No Biologic Explanation for 2\/3 of All Preterm Births","volume":"11","author":"D M Ferrero","year":"2016","journal-title":"PLOS one"},{"key":"ref22","doi-asserted-by":"crossref","first-page":"1349","DOI":"10.1080\/08035250600615135","article-title":"Perinatal care in Portugal: Effects of 15 years of a regionalized system","volume":"95","author":"M T Neto","year":"2006","journal-title":"Acta Paediatr"},{"key":"ref25","doi-asserted-by":"crossref","first-page":"238","DOI":"10.1055\/a-2077-2098","article-title":"Die Versorgung von Schwangeren und Neugeborenen \u2013 ein Blick auf die 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Neonatologie"],"original-title":[],"language":"de","link":[{"URL":"http:\/\/www.thieme-connect.de\/products\/ejournals\/pdf\/10.1055\/a-2550-6215.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,11,28]],"date-time":"2025-11-28T05:34:15Z","timestamp":1764308055000},"score":1,"resource":{"primary":{"URL":"http:\/\/www.thieme-connect.de\/DOI\/DOI?10.1055\/a-2550-6215"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,3,24]]},"references-count":10,"journal-issue":{"issue":"03","published-online":{"date-parts":[[2025,5,19]]},"published-print":{"date-parts":[[2025,6]]}},"URL":"https:\/\/doi.org\/10.1055\/a-2550-6215","archive":["Portico","CLOCKSS"],"relation":{},"ISSN":["0948-2393","1439-1651"],"issn-type":[{"type":"print","value":"0948-2393"},{"type":"electronic","value":"1439-1651"}],"subject":[],"published":{"date-parts":[[2025,3,24]]}}}