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Abstract

Ode of delivery in cases of pre-existing eye diseases

Many ophthalmologists and obstetricians recommend either an assisted vaginal delivery with forceps or vacuum extraction or a Caesarean section in cases of pre-existing eye diseases such as myopia, retinal detachment, glaucoma, or diabetic retinopathy. This is mainly based on the increase of intraocular pressure during the second stage of labor. These recommendations, however, are not evidence-based. None of the published trials have reported any retinal changes after vaginal delivery. This report provides information on the influence of physiological changes on eye diseases during the second stage of delivery. In general, eye disease is not an indication for an instrumental or operative delivery provided that regular eye examinations (once each trimester) have been performed.

CME Prakt Fortbild Gynakol Geburtsmed Gynakol Endokrinol 2016; 12(3): 234–245

Keywords
Eye diseases, pregnancy, ode of delivery, section caesarean, vaginal operative

Anselm G. M. Jünemann1, Robert Rejdak2,
Bettina Hohberger3
1 Klinik und Poliklinik für Augenheilkunde, Universitätsmedizin Rostock,
Universität Rostock
2 Klinik für Augenheilkunde, Medizinische Universität Lublin, Polen
3 Klinik für Augenheilkunde, Universitätsklinikum Erlangen,
Friedrich-Alexander-Universität, Erlangen-Nürnberg
Reviewer: Thomas Hammer, Halle (Saale),
und Sven Seeger, Halle (Saale)

Jünemann A. Geburtsmodus ... Gynakol Geburtsmed Gynakol Endokrinol 2016; 12(3): 234–245 publiziert 30.11.2016 www.akademos.de/gyn ©akademos Wissenschaftsverlag 2016 ISSN 1614-8533