AI Article Synopsis
- The study aimed to explore the factors that contribute to intrapartum fever among women receiving epidural labor analgesia, analyzing 410 parturients over a two-year period.
- It found that 22% of participants experienced intrapartum fever, with maternal age, parity, oxytocin use, and timing of analgesia linked to higher risks; notably, the timing of analgesia and levels of amniotic fluid contamination were identified as independent risk factors.
- Additionally, while intrapartum fever increased the likelihood of neonatal fever shortly after birth, it did not significantly impact other neonatal health outcomes.
Article Abstract
Objective: The objective of this study was to investigate factors influencing intrapartum fever in parturients receiving epidural labor analgesia.
Methods: This study included 410 parturients who received epidural labor analgesia at the authors' hospital between February 2022 and February 2024. Participants were divided into a fever group (>37.5℃) and a control group (<37.5℃) based on their body temperature post-analgesia. General data, gestational comorbidities, and intrapartum-related conditions were compared. Influencing factors were analyzed using the chi-squared test and logistic regression.
Results: Intrapartum fever occurred in 90 parturients (22.0%). Univariate analysis indicated that maternal age (p=0.046), parity (p=0.042), oxytocin use (p=0.041), and timing of analgesia (p<0.001) were associated with intrapartum fever. Multivariate analysis revealed that the timing of analgesia (OR 3.612, 95%CI 1.533-8.510) and amniotic fluid contamination degrees I (OR 1.072, 95%CI 1.012-3.082) and II (OR 2.874, 95%CI 1.901-9.092) were independent risk factors. No significant differences were found between the fever and control groups in body mass index, gestational age, gestational comorbidities, and artificial membrane rupture (p>0.05). Intrapartum fever increased the rate of neonatal fever within 2 h after birth (41.7 vs 18.6%, p<0.05) but did not significantly affect other neonatal health indicators.
Conclusion: Timing of analgesia and amniotic fluid contamination are significant factors influencing intrapartum fever in parturients receiving epidural labor analgesia.
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| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC11509172 | PMC |
| http://dx.doi.org/10.1590/1806-9282.20240565 | DOI Listing |
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