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[Fever during labor. Study of 89 cases]
P Poulain1, J C Palaric, J R Giraud
1Service de Gyncologie-Obstérique, Hôtel-Dieu, Rennes.
In this retrospective study, 91 neonates were born from 89 patients with high temperature (T. greater than 37.9 degrees C) during labor. This group is distinguished by the high frequency of premature rupture of membranes (44%), low gestational age (25%), and instrumental extractions (30%) or cesarean section (30%). 53 newborns were transferred to pediatric hospitals (58%) for investigations: bacterial infections of neonates were noted in 30 of them (32%). The responsible germ was noted in 21 observations: 7 group B Streptococci (23%), other cocci (3), E. coli (4), other gram negative germ (7). One premature 1420 g. neonate died; four neonates presented a septicemia (group B streptococcus: 3; Staphylococcus aureus: 1). Five neonates had neurological abnormalities. We tried to detect some predictive signs of neonatal infections in labour and delivery. Three factors seemed significant: temperature greater than 38.4 degrees C, fetus cardiac frequency greater than 160, and Apgar score at 1 minute lower.
In this retrospective study, 91 neonates were born from 89 patients with high temperature (T. greater than 37.9 degrees C) during labor. This group is distinguished by the high frequency of premature rupture of membranes (44%), low gestational age (25%), and instrumental extractions (30%) or cesarean section (30%). 53 newborns were transferred to pediatric hospitals (58%) for investigations: bacterial infections of neonates were noted in 30 of them (32%). The responsible germ was noted in 21 observations: 7 group B Streptococci (23%), other cocci (3), E. coli (4), other gram negative germ (7). One premature 1420 g. neonate died; four neonates presented a septicemia (group B streptococcus: 3; Staphylococcus aureus: 1). Five neonates had neurological abnormalities. We tried to detect some predictive signs of neonatal infections in labour and delivery. Three factors seemed significant: temperature greater than 38.4 degrees C, fetus cardiac frequency greater than 160, and Apgar score at 1 minute lower.