NYMC Faculty Publications
Risk Factors for Intrapartum Fever in Term Gestations and Associated Maternal and Neonatal Sequelae
Journal Title
Gynecologic and Obstetric Investigation
First Page
508
Last Page
516
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.
Recommended Citation
Burgess, A., Katz, J., Moretti, M., & Lakhi, N. (2017). Risk Factors for Intrapartum Fever in Term Gestations and Associated Maternal and Neonatal Sequelae. Gynecologic and Obstetric Investigation, 82 (5), 508-516. https://doi.org/10.1159/000453611