ArticleRevista da Associacao Medica Brasileira (1992)2024
Influencing factors of intrapartum fever after epidural labor analgesia.
Article in Revista da Associacao Medica Brasileira (1992), 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.
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Who cites it
2 citing papers in PubMed.
- Machine Learning-Driven Intrapartum Fever Prediction: A Comprehensive Large Retrospective Cohort Study Integrating Inflammatory and Obstetric Markers.International journal of general medicine · 2025Article
- Development of a Machine Learning Model to Predict Epidural-Related Maternal Fever During Labor Analgesia: A Multi-Algorithm Comparative Study with Prospective Implementation Framework.International journal of women's health · 2025Article
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7 authors.
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Abstract
objectiveThe objective of this study was to investigate factors influencing intrapartum fever in parturients receiving epidural labor analgesia.
methodsThis 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.
resultsIntrapartum 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.
conclusionTiming of analgesia and amniotic fluid contamination are significant factors influencing intrapartum fever in parturients receiving epidural labor analgesia.
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