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[Pyrexia during delivery (author's transl)].

W Schmidt, H J Hendrik, L Wille

    Geburtshilfe Und Frauenheilkunde
    |November 1, 1981
    PubMed
    Summary
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    Pyrexia during labor and delivery, often caused by intra-uterine infections, poses severe risks to mothers and newborns. Prompt delivery and antibiotic treatment are crucial for preventing serious complications and reducing perinatal mortality.

    Area of Science:

    • Obstetrics and Gynecology
    • Perinatology
    • Infectious Diseases

    Context:

    • Amnionitis, characterized by fever during labor and delivery, presents significant perinatal complications.
    • The study observed a 0.54% incidence of pyrexia during delivery in the series.
    • Intra-uterine infections were identified as the cause in 84% of pyrexia cases, while 16% were attributed to extra-genital infections.

    Purpose:

    • To describe amnionitis with pyrexia during labor and delivery and its associated perinatal complications.
    • To analyze the causes and outcomes of pyrexia during labor and delivery in a clinical series.
    • To provide recommendations for obstetric management of pyrexia during labor and delivery.

    Summary:

    • Intra-uterine infections causing pyrexia during labor and delivery are a grave danger, leading to a 9% newborn mortality rate in the studied cases.

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  • The study highlights the severe risks associated with intra-uterine infections during childbirth.
  • Effective management strategies include rapid delivery and timely, high-dose antibiotic administration.

    • Impact:

    • Timely intervention with rapid delivery and appropriate antibiotic therapy can prevent severe infections and reduce perinatal mortality.
    • The findings underscore the importance of prompt diagnosis and management of intra-uterine infections during labor.
    • Recommendations are provided to guide obstetricians in managing pyrexia during labor and delivery to improve maternal and neonatal outcomes.