Evidence map›Paper›PMID 40537200›Full record

ArticleBritish journal of anaesthesia2025

Maternal fever, epidural analgesia, and genetics: implications for the neonate.

Rachel J Kearns, Scott M Nelson, Dominique Nuala Lucas

Abstract readEditorial
In one paragraph

Article in British journal of anaesthesia, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

3 authors.

Rachel J KearnsDepartment of Anaesthesia, Glasgow Royal Infirmary, Glasgow, UK. Electronic address: rachel.kearns@glasgow.ac.uk.
Scott M NelsonSchool of Medicine, University of Glasgow, Glasgow, UK. Electronic address: https://twitter.com/@profscottnelson.
Dominique Nuala LucasDepartment of Anaesthesia, London NorthWest University Healthcare NHS Trust, London, UK. Electronic address: https://twitter.com/@noolslucas.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Epidural-related maternal fever affects 15-25% of labouring women, but its mechanisms remain uncertain. In a prospective observational study, the EPIFEVER-2 investigators found no firm link between interleukin-1Ra concentrations and epidural-related maternal fever, suggesting other aetiological factors. Clinically, the main challenge lies in distinguishing epidural-related maternal fever from infectious fever to avoid unnecessary antibiotic use and neonatal interventions. Despite the increased risk of fever in women receiving epidural analgesia, there is no strong evidence of harm to the newborn, and women should be supported in making informed decisions about pain relief without undue concern over potential neonatal complications.

Indexed as

Analgesia, EpiduralAnalgesia, ObstetricalFeverFemaleHumansInfant, NewbornPregnancychildhood outcomesepidural analgesiamaternal feverneonatal outcomesobstetric anaesthesia

Identifiers

PMID40537200
PMCPMC12597422

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.