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[Fever during labor].

M Berland, P Mallecourt, J Bourgeois

    Journal De Gynecologie, Obstetrique Et Biologie De La Reproduction
    |January 1, 1984
    PubMed
    Summary
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    Women with a high temperature during labor face increased risks of labor dystocia and fetal distress. Prompt management, including cultures and antibiotics, can reduce maternal and neonatal complications.

    Area of Science:

    • Obstetrics and Gynecology
    • Maternal-Fetal Medicine
    • Infectious Disease in Pregnancy

    Context:

    • Laboring patients with elevated body temperature present unique clinical challenges.
    • Pyrexia during labor is often associated with premature rupture of membranes.
    • Understanding the impact of maternal fever on labor progress and neonatal outcomes is crucial.

    Purpose:

    • To investigate the association between maternal pyrexia during labor and adverse labor progress and neonatal outcomes.
    • To identify the etiological factors contributing to fever during labor.
    • To propose evidence-based management strategies to mitigate risks.

    Summary:

    • A study compared 100 febrile laboring patients with 100 afebrile controls.
    • Febrile patients exhibited a higher incidence of dystocia and fetal distress.

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  • Common etiology was premature rupture of membranes; recommended management includes microbial culturing and broad-spectrum antibiotics (penicillin, gentamycin, metronidazole).

    • Impact:

    • Highlights the increased risks associated with maternal fever during labor.
    • Provides a clear management protocol to reduce maternal and neonatal morbidity.
    • Informs clinical practice for improved patient safety in obstetric care.