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Siedentopf F, Tariverdian N, Hagen E, Kentenich H, Arck PC. Erhöhte psychosoziale Belastung und reduzierte Lebensqualität bei Patientinnen mit Endometriose. Geburtshilfe Frauenheilkd 2007. [DOI: 10.1055/s-2007-989187] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/19/2022] Open
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Tariverdian N, Siedentopf F, Blois SM, Kentenich H, Arck PC. Endometriose – Circulus vitiosus zwischen Immunsystem und Stress? Geburtshilfe Frauenheilkd 2007. [DOI: 10.1055/s-2007-989190] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/19/2022] Open
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Borkenhagen A, Brähler E, Wisch S, Stöbel-Richter Y, Strauss B, Kentenich H. Attitudes of German infertile couples towards preimplantation genetic diagnosis for different uses: a comparison to international studies. Hum Reprod 2007; 22:2051-7. [PMID: 17582146 DOI: 10.1093/humrep/dem110] [Citation(s) in RCA: 15] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/12/2022] Open
Abstract
BACKGROUND In Germany, preimplantation genetic diagnosis (PGD) is currently not legal, but there is still a controversial debate about legalization. Studies about the attitudes of infertile couples towards PGD are rare. METHODS A survey was conducted with 265 German infertile couples about knowledge, attitudes and prospective use of PGD. The influence of independent variables associated with approval of PGD is analysed by binary logistic regression. RESULTS Sixty percent of respondents have heard about PGD. Eighty-seven percent support a general legalization of PGD in Germany for severe, early-onset genetic diseases. Seventy-four percent consider PGD morally acceptable. Sixty percent supported legalizing PGD for HLA-matching. But only a minority approved PGD to test for non-health-related traits. Respondents with a higher education level were the least supportive to all uses of PGD. CONCLUSIONS Our results suggest that German infertile couples are as liberal towards PGD for health-related uses as in other western countries. They would legalize and use PGD to raise the rates to get pregnant and to avoid severe diseases of the offspring. Taking the opinions of German infertile couples into consideration could help redefine and reframe the public debate towards legalization of PGD and the moral status of the embryo in Germany.
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Kothé B, Kentenich H, Vetter K. Allgemeine Gynäkologie. Argumente für einen offeneren Umgang mit Levonorgestrel als Notfallkontrazeptivum. Geburtshilfe Frauenheilkd 2007. [DOI: 10.1055/s-2007-965445] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/23/2022] Open
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Borkenhagen A, Kentenich H. Wie beeinflussen individuelle Werthaltungen, religiöse Überzeugung und Vorteil- bzw. Nachteilswahrnehmung die Meinung von Kinderwunschpaaren zur Präimplantationsdiagnostik? Geburtshilfe Frauenheilkd 2007. [DOI: 10.1055/s-2007-972100] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/21/2022] Open
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Kölm P, Tandler-Schneider A, Stief G, Siemann A, Buurman O, Kentenich H. Erfolgreiche assistierte Reproduktion bei einer HIV-infizierten Patientin - ethische und medizinische Aspekte. Geburtshilfe Frauenheilkd 2007. [DOI: 10.1055/s-2006-924674] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/23/2022] Open
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Borkenhagen A, Janke S, Brähler E, Fink C, Meister U, Steble-Richter Y, Strauß B, Wisch S, Kentenich H. Einstellungen und Bewertungen von Kinderwunschpaaren zur gespaltenen Elternschaft. Geburtshilfe Frauenheilkd 2006. [DOI: 10.1055/s-2006-952319] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/20/2022] Open
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Utz-Billing I, Rothmann K, Kentenich H, David M. Prätherapeutische Ängste, Erwartungen, Wünsche und Informiertheit von Frauen mit Uterus myomatosus. Geburtshilfe Frauenheilkd 2006. [DOI: 10.1055/s-2006-924359] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/24/2022] Open
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David M, Berg G, Werth I, Pachaly J, Mansfeld A, Kentenich H. Intrapartum transfer from a birth centre to a hospital – reasons, procedures, and consequences1. Acta Obstet Gynecol Scand 2006; 85:422-8. [PMID: 16612703 DOI: 10.1080/00016340600593174] [Citation(s) in RCA: 13] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/20/2022]
Abstract
BACKGROUND Investigation of the reasons for the transfer of women from a birth centre to a hospital in the course of childbirth as well as modalities and effects. PATIENTS AND METHOD In the prospective investigation from September 1, 1999 to August 31, 2001, information was collected for all women in Berlin and Bavaria transferred intrapartum from a birth centre to a hospital concerning the reason for the transfer, stage of delivery at the start of transfer, details of the transport, accompaniment, state of mother and medical diagnosis on arrival at the hospital, further progress of delivery, and the condition of the baby postnatum. Comparison groups were formed by all birth centre deliveries in Berlin and Bavaria 1999/2000 (n = 3060) and hospital deliveries in Berlin and Bavaria 1998/1999 (selected data, n = 89 696 births). RESULTS Three hundred and sixty transfer cases could be evaluated, and a majority of these were nulliparous. The most frequent reasons for transfer were prior premature rupture of membranes and failure to progress in labor. Fifty-seven percentages of the women who were transferred subsequently delivered spontaneously, with an episiotomy rate of approximately 30%. 1-min Apgar value < or = 7 were frequently in nulliparous and multiparous patients in the transfer group than in the comparison groups, as were 5-min Apgar values < or = 7 and pH < 7.10 in arterial cord blood in particular for nulliparous in the transfer group. Hospitalisation of neonates born to the transfer group and in particular the nulliparous was significantly more common. CONCLUSIONS Women delivering in a birth centre represent in general a low-risk group as a result of careful preselection by the centres. However, some neonatal data and the high rate of operative deliveries (cesarean section, forceps, and vaginal extraction) indicate that the intrapartum-transferred women, in particular when nulliparous, represent than a special high-risk group.
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Rauchfuss M, Kentenich H, Siedentopf F, Danzer G. New challenges in medical education. The psychosomatic training program for gynecologists in Germany. J Psychosom Obstet Gynaecol 2005; 26:85-91. [PMID: 16050533 DOI: 10.1080/01674820500162510] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/25/2022] Open
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Borkenhagen A, Meister U, Finck C, Stöbel-Richter Y, Wisch S, Brähler E, Strauß BM, Kentenich H. Einstellungen und Bewertungen von Kinderwunschpaaren zu Formen gespaltener Elternschaft. Psychother Psychosom Med Psychol 2005. [DOI: 10.1055/s-2005-863451] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/26/2022]
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Wisch S, Dye L, Brähler E, Stöbel-Richter Y, Meister U, Finck C, Kentenich H, Borkenhagen A, Strauß BM. Einstellungen zur Präimplantationsdiagnostik und Pränataldiagnostik - ein deutsch-englischer Vergleich. Psychother Psychosom Med Psychol 2005. [DOI: 10.1055/s-2005-863583] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/26/2022]
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Borkenhagen A, Meister U, Finck C, Stöbel-Richter Y, Brähler E, Kentenich H. Einstellungen und Akzeptanz von Kinderwunsch- und Risikopatienten zur Präimplantationsdiagnostik, dem Embryonenscreening und der präkonzeptionellen Geschlechtswahl. Geburtshilfe Frauenheilkd 2005. [DOI: 10.1055/s-2004-830401] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/25/2022] Open
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Siedentopf F, Kentenich H. Der chronische Unterbauchschmerz - a never ending story? Geburtshilfe Frauenheilkd 2004. [DOI: 10.1055/s-2004-830577] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/26/2022] Open
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Tandler-Schneider A, Kentenich H. Kongressbericht. Highlights und wichtigste Ergebnisse der 20. Jahrestagung der European Society for Human Reproduction and Embryology. Geburtshilfe Frauenheilkd 2004. [DOI: 10.1055/s-2004-821336] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/26/2022] Open
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Ulrich D, Gagel DE, Hemmerling A, Pastor VS, Kentenich H. Couples becoming parents: something special after IVF? J Psychosom Obstet Gynaecol 2004; 25:99-113. [PMID: 15715033 DOI: 10.1080/17402520400004599] [Citation(s) in RCA: 36] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/26/2022] Open
Abstract
The majority of catamnestic studies on successful IVF treatment deal with the development of the children and the parent-child-relationship. Far fewer studies pay attention to the changes within the relationship of couples that become parents. This particular study focused on the transition from partnership to parenthood with assessments at different measuring points (T1: the last trimester of pregnancy; T2: 3 months after birth; and T3: 12 months after birth) and compared 47 IVF couples with 45 couples that conceived naturally. The couples were observed with psychodynamic couple interviews and standardized as well as non-standardized questionnaires. The most striking result of our study was the inconspicuousness of IVF couples and their parent-child-relationship. Partnerships featured a high degree of satisfaction among the couples; the progress of pregnancy was described as very satisfying and free of complaints. Surprisingly these descriptions were given despite more frequent and longer hospital stays by the IVF women during their pregnancy. However, IVF couples acted less openly in the interviews and expressed their own feelings less often, especially the more negative ones. In the partnerships we found that IVF women displayed more avoiding tendencies in their relationships 1 year after the birth of their child/children.
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David M, Pachaly J, Vetter K, Kentenich H. Geburtsort Geburtshaus - Perinataldaten im Vergleich zu Klinikentbindungen in Bayern und Berlin. Z Geburtshilfe Neonatol 2004; 208:110-7. [PMID: 15229818 DOI: 10.1055/s-2004-819004] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/26/2022]
Abstract
QUESTION The purpose of this investigation is to find any differences between important maternal and infantile perinatal data from a clinic and a birth center group. Is the perinatal and/or maternal mortality in the birth center group higher? What influence do different socioeconomic factors have on the clinic group? PATIENTS AND METHODS We have carried out a retrospective comparison of the obstetric parameters from all birth center deliveries in the states Berlin and Bavaria for the years 1999 and 2000 (n = 3,060) and the perinatal data investigations of selected clinical groups of both states (n = 55,875). RESULTS Objective parameters in both groups regarding week of potation at delivery, parity, age of pregnant women, infantile measures, primi- and multiparae and Apgar scales were comparable. There are significant differences in the delivery mode (spontaneous deliveries: birth centers > clinics; operative deliveries: birth centers < clinics), in blood loss over 1,000 ml (birth centers > clinics), in the episiotomy and perineal tear rate (birth centers < clinics), in the infantile transfer rate to a neonatology unit (birth centers < clinics) and in the frequency of necessary neonatological measures in the neonate (birth centers > clinics). The perinatal and maternal mortality in the groups were similar. Within the clinical group the socioeconomic status and a background of immigration had no significant influence on the perinatal data. CONCLUSION The retrospective data show that the more "invasive" clinical obstetrics leads to a similar postnatal condition of the neonates in comparison to the birth house group. Further comparative studies over several years are necessary to make statements about the occurrence of rare risks and maternal mortality in the free-standing birth center groups.
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Siedentopf F, Kentenich H. [Chronic pelvic pain in women]. ZENTRALBLATT FUR GYNAKOLOGIE 2004; 126:61-6. [PMID: 15112130 DOI: 10.1055/s-2004-44881] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 04/29/2023]
Abstract
In this review we discuss the pathophysiological mechanisms and diagnostic criteria of chronic pelvic pain in women. The psychosomatic correlations and important somatic reasons of this complicated disease picture is discussed. For a large number of the patients the diagnostic criteria of somatoform pain disorder are fitting. The therapeutic approaches, which to a large extend are based on experience, are described. Psychosomatic knowledge is very helpful in the management of chronic pelvic pain in women and contributes to a satisfying doctor-patient-relationship.
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Borde T, David M, Kentenich H. [What Turkish-speaking women expect in a German hospital and how satisfied they are with health care during their stay in a gynaecological hospital in Berlin - a comparative approach]. DAS GESUNDHEITSWESEN 2002; 64:476-85. [PMID: 12221612 DOI: 10.1055/s-2002-33775] [Citation(s) in RCA: 22] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/27/2022]
Abstract
Although cultural diversity in German metropolises is rapidly increasing, immigrant patients are rarely included in clinical studies. Specific needs of these patients are hardly known. In a comparative study, 320 German and 262 Turkish immigrant women, respectively, were interviewed via bilingual questionnaires to assess their expectations from and their satisfaction with provided health care services. While no significant differences could be found between basic expectations concerning anticipated health care standards between the two study groups, women of Turkish origin were markedly less satisfied with provided health care services. High expectations of immigrant patients towards information during their stay, communication with doctors and nurses and psychosocial services were only insufficiently met. The results indicate that specific health-relevant factors, such as social and educational status, knowledge of German language and health knowledge together with structural deficiencies of a health care service that is not prepared to correspond properly to patients of different social and cultural backgrounds, have a negative impact on patient satisfaction for migrant women.
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Janitschke K, Stoffels G, Schleyer K, Kentenich H. Untersuchungen auf Toxoplasma-Infektionen in der Sterilitätsbehandlung. Geburtshilfe Frauenheilkd 2002. [DOI: 10.1055/s-2002-32286] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/14/2022] Open
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David M, Borde T, Kentenich H. Die psychische Belastung von Migrantinnen im Vergleich zu einheimischen Frauen - der Einfluss von Ethnizität, Migrationsstatus und Akkulturationsgrad. Geburtshilfe Frauenheilkd 2002. [DOI: 10.1055/s-2002-29095] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/16/2022] Open
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David M, Borde T, Kentenich H. Ist die Hyperemesis gravidarum heute vor allem eine Erkrankung von Migrantinnen? Geburtshilfe Frauenheilkd 2002. [DOI: 10.1055/s-2002-29101] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/16/2022] Open
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