About My Health Careers Internship MedBlogs Contact us
Medindia LOGIN REGISTER
Advertisement

Fever During Labor Increases Risk of Maternal Complications

by Hannah Joy on September 30, 2017 at 4:06 PM
Font : A-A+

Fever During Labor Increases Risk of Maternal Complications

Fever during labor that is triggered by bacterial infection can cause maternal and neonatal complications, especially to the mother. The duration of fever was linked to maternal complications and increases the incidence of cesarean sections, reveals a new study.

Intrapartum fever is a fever that which starts at the period from the onset of labor to the end of the third stage of labor. It occurs during labor in approximately one to two percent of deliveries and is often associated with maternal and neonatal complications. But the precise reasons for the fever and its different outcomes are unclear.

Advertisement


A new Tel Aviv University study finds a link between the duration of intrapartum fever and maternal complications; and, when intrauterine infection is a trigger for the fever, a link between the fever and subsequent neonatal complications.

The study was led by Dr. Liran Hiersch, of TAU's Sackler School of Medicine and Tel Aviv Medical Center, together with Dr. Eran Ashwal, also of Sackler and Tel Aviv Medical Center. It was published recently in the Journal of Maternal-Fetal and Neonatal Medicine.
Advertisement

A new link between fever and infection

"We set out to explore which specific maternal and neonatal complications are associated with intrapartum fever. More specifically, we were interested to learn if the presence of abnormal bacterial cultures affected the duration of the fever. This would indicate that the fever is probably due to intrauterine infection, affecting the risk of complications in the mother," Dr. Hiersch says.

The research is a retrospective study of 309 women admitted for vaginal delivery at full term to Rabin Medical Center in Israel. The perinatal outcomes of the deliveries complicated by intrapartum fever (body temperature equal to or greater than 100.4°F/38.0°C) were compared to those of 618 women who delivered without intrapartum fever.

The researchers assessed maternal complications according to the incidence of cesarean sections (CS), operative vaginal deliveries (OVD), retained placentas or post-partum hemorrhages. "We found that women with intrapartum fever had higher rates of operative vaginal deliveries (34.3% versus 19.6%) and cesarean sections (20.7% versus 8.7%)," Dr. Hiersch says.

"The fever duration was related to maternal complications, specifically to a higher incidence of cesarean sections. And when we looked for the existence of maternal bacteremia in the same women, positive placental cultures were found to be risk factors for neonatal complications compared to those with negative cultures (23.3 % versus 9.8%).

"The duration of fever during labor adversely affected the risk for complications. This hadn't been reported previously," Dr. Hiersch continues.

"But it's important to note that the duration of fever did not affect the risk of complications to the newborn, but only to the mother leading to a caesarean delivery or vacuum extraction, for example.

"Professionals can reassure expectant mothers that although a high fever detected during labor is a risk factor for complications, we don't have to rush for an immediate caesarean section. Even if labor time is being prolonged, this extra 'labor time' does not adversely affect the fetus."

Since cases of positive bacterial cultures were at even increased risk for neonatal complications, it would be very important to obtain blood and placental cultures and inform the neonatologists regarding the results of the cultures in order to optimize neonatal care, says Dr. Hiersch.

"Even so, most infants were free of complications even in cases of intrapartum fever. With proper monitoring after birth, most adverse outcomes can be overcome."



Source: Eurekalert
Advertisement

Advertisement
News A-Z
A B C D E F G H I J K L M N O P Q R S T U V W X Y Z
Advertisement
News Category
What's New on Medindia
International Day of Persons with Disabilities 2021 - Fighting for Rights in the Post-COVID Era
Effect of Blood Group Type on COVID-19 Risk and Severity
Woman with Rare Spinal Cord Defect from Birth Sues Doctor
View all

Medindia Newsletters Subscribe to our Free Newsletters!
Terms & Conditions and Privacy Policy.

More News on:
Labor and Delivery / Pregnancy Labor Febrile Fits / Febrile Convulsions Pregnancy Exercises and Massages Q Fever Fever Remedies to Treat Diabetes Naturally Braxton Hicks Contractions Sick Building Syndrome 

Recommended Reading
Increased Risk of Autism or Developmental Delay If Stricken With Fever During Pregnancy
Mothers afflicted with fevers during their pregnancies run more than twice the chance of having a .....
Severe Maternal Complications Less Common During Home Births: Researchers
Overall risk of severe problems is small and the results are significant only for women who have ......
Higher Risk of Maternal Complications for Women Undergoing Multiple Caesareans
For women undergoing their fifth or more caesarean section are at an increased risk of maternal ......
Braxton Hicks Contractions
Braxton Hicks contractions, also called as prodromal labor or false labor pains are sporadic, unpred...
Febrile Fits / Febrile Convulsions
High fever in kids can cause convulsions and are called febrile fits that do not include the seizure...
Fever
Fever or Pyrexia is an elevation in normal body temperature. Causes of fever include infections, inj...
Labor and Delivery / Pregnancy Labor
Childbirth is one of the most marvelous and memorable segment in a woman's life that calls for celeb...
Pregnancy Exercises and Massages
Nutritious food, rest, exercise and massage are vital for expectant women....
Q Fever
Q Fever takes its origin from word “query” and is caused by bacteria Coxiella burnetii that infects ...
Remedies to Treat Diabetes Naturally
An article about the natural remedies available at home to treat diabetes effectively and ......
Sick Building Syndrome
Sick Building Syndrome is a condition that presents with a set of symptoms (like fatigue, nausea, he...

Disclaimer - All information and content on this site are for information and educational purposes only. The information should not be used for either diagnosis or treatment or both for any health related problem or disease. Always seek the advice of a qualified physician for medical diagnosis and treatment. Full Disclaimer

© All Rights Reserved 1997 - 2021

This site uses cookies to deliver our services. By using our site, you acknowledge that you have read and understand our Cookie Policy, Privacy Policy, and our Terms of Use