Related Experiment Videos
Risk factors for fever in labor
A Herbst1, P Wølner-Hanssen, I Ingemarsson
1Department of Obstetrics and Gynecology, University Hospital, University of Lund, Sweden.
Obstetrics and Gynecology
|November 1, 1995
Summary
Maternal fever during labor is linked to epidural analgesia, nulliparity, and prolonged labor. Longer intervals from membrane rupture to delivery also increase fever risk in laboring women.
Area of Science:
- Obstetrics and Gynecology
- Maternal Health
- Infectious Disease Epidemiology
Background:
- Maternal fever during labor is a concern with potential adverse outcomes.
- Identifying risk factors is crucial for prevention and management strategies.
Purpose of the Study:
- To identify independent risk factors associated with the development of fever in laboring women.
Main Methods:
- A retrospective case-control study involving 3109 term parturients.
- A matched-pair case-control study of 500 women (250 cases, 250 controls).
- Conditional multiple logistic regression analysis was employed.
Main Results:
- Epidural analgesia, nulliparity, and long labor duration were independently associated with fever.
- Extended rupture of membranes (>24 hours) and admission temperature (37.5-37.9°C) were also identified risk factors.
Conclusions:
- Epidural analgesia, prolonged labor duration, and extended membrane rupture to delivery intervals are significant independent risk factors for maternal fever during labor.