NYMC Faculty Publications

Title

Risk Factors for Intrapartum Fever in Term Gestations and Associated Maternal and Neonatal Sequelae

Document Type

Article

Publication Date

January 2017

Department

Obstetrics and Gynecology

Abstract

AIM: To determine factors associated with intrapartum fever and to examine associated maternal and neonatal outcomes. METHODS: Retrospective study of patients between 360/7 and 420/7 gestational weeks who entered spontaneous or induced active labor and developed temperature >/=38 degrees C; a similar group that did not develop fever were controls. Univariate and multivariate analyses were performed with p /=720 min (OR 3.59, 95% CI 1.97-6.55, p /=120 min (OR 4.76, 95% CI 2.29-9.89, p /=240 min (46.4 vs. 79.6%, p < 0.001), increasing number of vaginal exams (4 vs. 6, p < 0.001), oxytocin (44.8 vs. 63.0%, p = 0.014), and meperidine (14.7 vs. 35.2%, p < 0.001) were all associated with intrapartum fever. Associated morbidity included cesarean delivery (22.5 vs. 44.4%, p = 0.001), Apgar score <7 at 5 min (0.7 vs. 5.6%, p = 0.011), and neonatal intensive care unit admission (9.5 vs. 51.9%, p < 0.001). CONCLUSION: We have identified several noninfectious factors that are associated with intrapartum fever. Modification of risk factors may improve both maternal and neonatal outcomes.

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