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Related Experiment Videos

Fever in term labour.

Dan R Reilly1, Lawrence W Oppenheimer

  • 1Department of Obstetrics and Gynecology, The Ottawa Hospital, Ottawa, Ontario, Canada.

Journal of Obstetrics and Gynaecology Canada : JOGC = Journal D'Obstetrique Et Gynecologie Du Canada : JOGC
|June 7, 2005
PubMed
Summary

Fever during labor is linked to longer labor, extended membrane rupture, and epidural use. Febrile women face increased interventions and higher infant NICU admission rates.

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Area of Science:

  • Obstetrics and Gynecology
  • Maternal-Fetal Medicine

Background:

  • Fever during labor without prolonged rupture of membranes is a clinical concern.
  • Understanding its associations is crucial for optimizing labor management and outcomes.

Purpose of the Study:

  • To identify factors associated with the onset of fever during term labor.
  • To determine the outcomes of labor and treatment effects in febrile laboring women.

Main Methods:

  • Retrospective review of laboring women with less than 24 hours of ruptured membranes.
  • Comparison of febrile cases with non-febrile controls.
  • Analysis of treatment effects (acetaminophen, antibiotics) in febrile women.

Main Results:

  • Fever associated with epidural analgesia, longer labor stage 2, and longer rupture of membranes (ROM).
  • Meconium, nonreassuring electronic fetal monitoring (EFM), and failure to progress were linked to fever.
  • Neonatal intensive care unit (NICU) admission showed a strong association with maternal fever.

Conclusions:

  • Fever during labor correlates with prolonged labor, extended ROM, and epidural use.
  • Febrile labor increases the likelihood of interventions for labor dystocia and nonreassuring EFM.
  • Infant NICU admission is significantly more common in cases of maternal labor fever.

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