Risk factors for fever in labor
(1995) In Obstetrics and Gynecology 86(5). p.790-794- Abstract
- OBJECTIVE: To identify risk factors for fever in labor. METHODS: A retrospective case-control study was conducted. Maternal sublingual temperature was measured every 2-4 hours during labor in 3109 of 3860 consecutive term parturients presenting from September 1992 through December 1993. Women who had fever (at least one recorded temperature of 38C or more, n = 72) during labor were compared with those who remained afebrile (n = 3037). Furthermore, a matched-pair case-control study was conducted, involving 250 women at term who developed fever in labor and 250 controls matched for parity and duration of labor; all delivered between January 1989 and December 1993. A conditional multiple logistic regression analysis was used to identify... (More)
- OBJECTIVE: To identify risk factors for fever in labor. METHODS: A retrospective case-control study was conducted. Maternal sublingual temperature was measured every 2-4 hours during labor in 3109 of 3860 consecutive term parturients presenting from September 1992 through December 1993. Women who had fever (at least one recorded temperature of 38C or more, n = 72) during labor were compared with those who remained afebrile (n = 3037). Furthermore, a matched-pair case-control study was conducted, involving 250 women at term who developed fever in labor and 250 controls matched for parity and duration of labor; all delivered between January 1989 and December 1993. A conditional multiple logistic regression analysis was used to identify independent risk factors for fever during labor. RESULTS: In the case-control study, fever was associated with epidural analgesia, nulliparity, and a long duration of labor. These three variables were also related among themselves. However, multiple regression analysis showed that all three variables were independently associated with maternal temperature. In the matched-pair study, epidural analgesia, rupture of membranes longer than 24 hours, latency phase exceeding 8 hours, and a temperature in the upper normal range (37.5-37.9C) at admission were independent risk factors for developing fever in labor. CONCLUSION: Epidural analgesia, duration of labor, and a long interval from rupture of membranes to delivery were independent risk factors for maternal fever in labor. (Less)
Please use this url to cite or link to this publication:
https://lup.lub.lu.se/record/1108955
- author
- Herbst, Andreas LU ; Wölner-Hanssen, Pål LU and Ingemarsson, Ingemar LU
- organization
- publishing date
- 1995
- type
- Contribution to journal
- publication status
- published
- subject
- in
- Obstetrics and Gynecology
- volume
- 86
- issue
- 5
- pages
- 790 - 794
- publisher
- Lippincott Williams & Wilkins
- external identifiers
-
- pmid:7566850
- scopus:0028828370
- ISSN
- 1873-233X
- DOI
- 10.1016/0029-7844(95)00254-O
- language
- English
- LU publication?
- yes
- id
- 198ceaed-42ef-47b3-bcb6-cede74e2d9ca (old id 1108955)
- date added to LUP
- 2016-04-01 16:26:41
- date last changed
- 2021-09-19 05:39:54
@article{198ceaed-42ef-47b3-bcb6-cede74e2d9ca, abstract = {{OBJECTIVE: To identify risk factors for fever in labor. METHODS: A retrospective case-control study was conducted. Maternal sublingual temperature was measured every 2-4 hours during labor in 3109 of 3860 consecutive term parturients presenting from September 1992 through December 1993. Women who had fever (at least one recorded temperature of 38C or more, n = 72) during labor were compared with those who remained afebrile (n = 3037). Furthermore, a matched-pair case-control study was conducted, involving 250 women at term who developed fever in labor and 250 controls matched for parity and duration of labor; all delivered between January 1989 and December 1993. A conditional multiple logistic regression analysis was used to identify independent risk factors for fever during labor. RESULTS: In the case-control study, fever was associated with epidural analgesia, nulliparity, and a long duration of labor. These three variables were also related among themselves. However, multiple regression analysis showed that all three variables were independently associated with maternal temperature. In the matched-pair study, epidural analgesia, rupture of membranes longer than 24 hours, latency phase exceeding 8 hours, and a temperature in the upper normal range (37.5-37.9C) at admission were independent risk factors for developing fever in labor. CONCLUSION: Epidural analgesia, duration of labor, and a long interval from rupture of membranes to delivery were independent risk factors for maternal fever in labor.}}, author = {{Herbst, Andreas and Wölner-Hanssen, Pål and Ingemarsson, Ingemar}}, issn = {{1873-233X}}, language = {{eng}}, number = {{5}}, pages = {{790--794}}, publisher = {{Lippincott Williams & Wilkins}}, series = {{Obstetrics and Gynecology}}, title = {{Risk factors for fever in labor}}, url = {{http://dx.doi.org/10.1016/0029-7844(95)00254-O}}, doi = {{10.1016/0029-7844(95)00254-O}}, volume = {{86}}, year = {{1995}}, }