Vaginal Birth at Term – Part 1. Guideline of the DGGG, OEGGG and SGGG (S3-Level, AWMF Registry No. 015/083, December 2020)
Journal
Geburtshilfe und Frauenheilkunde
ISSN
0016-5751
Date Issued
2022
Author(s)
Michael Abou-Dakn
Rainhild Schäfers
Nina Peterwerth
Kirsten Asmushen
Susanne Bässler-Weber
Ulrike Boes
Andrea Bosch
David Ehm
Thorsten Fischer
Monika Greening
Katharina Hartmann
Günther Heller
Claudia Kapp
Constantin von Kaisenberg
Peter Kranke
Burkhard Lawrenz
Frank Louwen
Christine Loytved
Wolf Lütje
Elke Mattern
Renate Nielsen
Frank Reister
Rolf Schlösser
Christiane Schwarz
Volker Stephan
Barbara Stocker Kalberer
Axel Valet
Manuel Wenk
Sven Kehl
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. This first part presents
recommendations and statements about patient information and counselling, general patient care, monitoring of patients, pain management and quality control measures for vaginal birth.
Methods The German recommendations largely reproduce the recommendations of the National Institute for Health and Care Excellence (NICE) CG 190 guideline “Intrapartum care for
healthy women and babies”. Other international guidelines were also consulted in specific cases when compiling this guideline. In addition, a systematic search and analysis of the literature
was carried out using PICO questions, if this was considered 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 the 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.
as differentiating between various pathological developments and conditions. It also assesses the need for intervention and the options to avoid interventions. This first part presents
recommendations and statements about patient information and counselling, general patient care, monitoring of patients, pain management and quality control measures for vaginal birth.
Methods The German recommendations largely reproduce the recommendations of the National Institute for Health and Care Excellence (NICE) CG 190 guideline “Intrapartum care for
healthy women and babies”. Other international guidelines were also consulted in specific cases when compiling this guideline. In addition, a systematic search and analysis of the literature
was carried out using PICO questions, if this was considered 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 the 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.
Type
Wissenschaftlicher Artikel