Degree of intrapartum fever and associated factors: Three group analysis of no fever, borderline and overt fever
Aim Previous studies analyzing intrapartum fever by dichotomization of fever just above 38.0°C or not may lead to overlook clinical significance of borderline fever. We aimed to investigate the maternal baseline and intrapartum characteristics, neonatal outcomes, and inflammatory placental pathology...
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| Veröffentlicht in: | The journal of obstetrics and gynaecology research 2021-03, Vol.47 (3), p.1153-1163 |
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| container_title | The journal of obstetrics and gynaecology research |
| container_volume | 47 |
| creator | Kim, Seo‐Yeon Hong, Sir‐Yeon Kwon, Do Youn Park, Hyea Choi, Suk‐Joo Oh, Soo‐Young Kim, Jung‐Sun Choi, Duck Hwan Roh, Cheong‐Rae |
| description | Aim
Previous studies analyzing intrapartum fever by dichotomization of fever just above 38.0°C or not may lead to overlook clinical significance of borderline fever. We aimed to investigate the maternal baseline and intrapartum characteristics, neonatal outcomes, and inflammatory placental pathology in relation to the degree of intrapartum fever by three group analysis.
Methods
We performed a retrospective analysis of consecutive singleton deliveries between 370/7 to 410/7 weeks divided into three groups based on the peak body temperature during labor: No fever ( |
| doi_str_mv | 10.1111/jog.14651 |
| format | Article |
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Previous studies analyzing intrapartum fever by dichotomization of fever just above 38.0°C or not may lead to overlook clinical significance of borderline fever. We aimed to investigate the maternal baseline and intrapartum characteristics, neonatal outcomes, and inflammatory placental pathology in relation to the degree of intrapartum fever by three group analysis.
Methods
We performed a retrospective analysis of consecutive singleton deliveries between 370/7 to 410/7 weeks divided into three groups based on the peak body temperature during labor: No fever (< 37.5°C), borderline fever (≥ 37.5°C and < 38.0°C), and overt fever (≥ 38.0°C). Maternal and intrapartum characteristics, neonatal outcomes, and inflammatory placental pathology were compared by trend analysis, intergroup difference analysis, and multivariable analysis.
Results
The degree of intrapartum fever was significantly associated with younger maternal age, nulliparity, longer duration of rupture of membrane, and epidural analgesia (p < 0.001). And the incidence of neonatal proven sepsis and mortality were not significantly different among the groups. The degree of intrapartum fever was associated with the stage of acute chorioamnionitis and funisitis (p < 0.001). Multivariate analysis revealed that the association with epidural analgesia was stronger in borderline fever than overt fever (adjusted odds ratio [95% confidence interval], borderline fever = 18.487 [11.447–29.857]; overt fever = 11.068 [4.874–25.133]) after controlling for maternal age, parity, induction or augmentation, duration of ROM, birth weight, and meconium staining.
Conclusion
Our data support that both epidural analgesia and inflammation of the placenta may contribute to the development of intrapartum fever at term.</description><identifier>ISSN: 1341-8076</identifier><identifier>EISSN: 1447-0756</identifier><identifier>DOI: 10.1111/jog.14651</identifier><identifier>PMID: 33438353</identifier><language>eng</language><publisher>Kyoto, Japan: John Wiley & Sons Australia, Ltd</publisher><subject>acute chorioamnionitis ; acute funisitis ; Analgesia ; Birth weight ; Body temperature ; borderline fever ; Childbirth & labor ; Chorioamnionitis ; combined spinal‐epidural analgesia ; Epidural ; epidural analgesia ; Fever ; Inflammation ; intrapartum fever ; Meconium ; Multivariate analysis ; Neonates ; Pain perception ; Placenta ; Sepsis</subject><ispartof>The journal of obstetrics and gynaecology research, 2021-03, Vol.47 (3), p.1153-1163</ispartof><rights>2021 Japan Society of Obstetrics and Gynecology</rights><rights>2021 Japan Society of Obstetrics and Gynecology.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c3771-2fe69857ca65e608fabf92e2ddd88c0e254e364e5b65a15943b0ecf9ca8831e03</citedby><cites>FETCH-LOGICAL-c3771-2fe69857ca65e608fabf92e2ddd88c0e254e364e5b65a15943b0ecf9ca8831e03</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1111%2Fjog.14651$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1111%2Fjog.14651$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,776,780,1411,27901,27902,45550,45551</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/33438353$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Kim, Seo‐Yeon</creatorcontrib><creatorcontrib>Hong, Sir‐Yeon</creatorcontrib><creatorcontrib>Kwon, Do Youn</creatorcontrib><creatorcontrib>Park, Hyea</creatorcontrib><creatorcontrib>Choi, Suk‐Joo</creatorcontrib><creatorcontrib>Oh, Soo‐Young</creatorcontrib><creatorcontrib>Kim, Jung‐Sun</creatorcontrib><creatorcontrib>Choi, Duck Hwan</creatorcontrib><creatorcontrib>Roh, Cheong‐Rae</creatorcontrib><title>Degree of intrapartum fever and associated factors: Three group analysis of no fever, borderline and overt fever</title><title>The journal of obstetrics and gynaecology research</title><addtitle>J Obstet Gynaecol Res</addtitle><description>Aim
Previous studies analyzing intrapartum fever by dichotomization of fever just above 38.0°C or not may lead to overlook clinical significance of borderline fever. We aimed to investigate the maternal baseline and intrapartum characteristics, neonatal outcomes, and inflammatory placental pathology in relation to the degree of intrapartum fever by three group analysis.
Methods
We performed a retrospective analysis of consecutive singleton deliveries between 370/7 to 410/7 weeks divided into three groups based on the peak body temperature during labor: No fever (< 37.5°C), borderline fever (≥ 37.5°C and < 38.0°C), and overt fever (≥ 38.0°C). Maternal and intrapartum characteristics, neonatal outcomes, and inflammatory placental pathology were compared by trend analysis, intergroup difference analysis, and multivariable analysis.
Results
The degree of intrapartum fever was significantly associated with younger maternal age, nulliparity, longer duration of rupture of membrane, and epidural analgesia (p < 0.001). And the incidence of neonatal proven sepsis and mortality were not significantly different among the groups. The degree of intrapartum fever was associated with the stage of acute chorioamnionitis and funisitis (p < 0.001). Multivariate analysis revealed that the association with epidural analgesia was stronger in borderline fever than overt fever (adjusted odds ratio [95% confidence interval], borderline fever = 18.487 [11.447–29.857]; overt fever = 11.068 [4.874–25.133]) after controlling for maternal age, parity, induction or augmentation, duration of ROM, birth weight, and meconium staining.
Conclusion
Our data support that both epidural analgesia and inflammation of the placenta may contribute to the development of intrapartum fever at term.</description><subject>acute chorioamnionitis</subject><subject>acute funisitis</subject><subject>Analgesia</subject><subject>Birth weight</subject><subject>Body temperature</subject><subject>borderline fever</subject><subject>Childbirth & labor</subject><subject>Chorioamnionitis</subject><subject>combined spinal‐epidural analgesia</subject><subject>Epidural</subject><subject>epidural analgesia</subject><subject>Fever</subject><subject>Inflammation</subject><subject>intrapartum fever</subject><subject>Meconium</subject><subject>Multivariate analysis</subject><subject>Neonates</subject><subject>Pain perception</subject><subject>Placenta</subject><subject>Sepsis</subject><issn>1341-8076</issn><issn>1447-0756</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2021</creationdate><recordtype>article</recordtype><recordid>eNp1kU1LxDAQhoMofh_8A1LwomDdpEma1Jus3wh70XNJ08napdvUpFX235tuVw-CuUzIPO8Dk0HohOArEs5kYedXhKWcbKF9wpiIseDpdrhTRmKJRbqHDrxfYExERuQu2qOUUUk53UftLcwdQGRNVDWdU61yXb-MDHyCi1RTRsp7qyvVQRkZpTvr_HX0-j5E5s72bWBUvfKVHwyNHYOXUWFdCa6uGlhLbHjsxt4R2jGq9nC8qYfo7f7udfoYv8wenqY3L7GmQpA4MZBmkgutUg4plkYVJksgKctSSo0h4QxoyoAXKVeEZ4wWGLTJtJKSEsD0EJ2P3tbZjx58ly8rr6GuVQO293nChOA443JAz_6gC9u7MNdAZZxQiRMSqIuR0s5678DkrauWyq1ygvNhDSE1z9drCOzpxtgXSyh_yZ9_D8BkBL6qGlb_m_Ln2cOo_AZNa5G3</recordid><startdate>202103</startdate><enddate>202103</enddate><creator>Kim, Seo‐Yeon</creator><creator>Hong, Sir‐Yeon</creator><creator>Kwon, Do Youn</creator><creator>Park, Hyea</creator><creator>Choi, Suk‐Joo</creator><creator>Oh, Soo‐Young</creator><creator>Kim, Jung‐Sun</creator><creator>Choi, Duck Hwan</creator><creator>Roh, Cheong‐Rae</creator><general>John Wiley & Sons Australia, Ltd</general><general>Wiley Subscription Services, Inc</general><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7T5</scope><scope>7TO</scope><scope>H94</scope><scope>K9.</scope><scope>7X8</scope></search><sort><creationdate>202103</creationdate><title>Degree of intrapartum fever and associated factors: Three group analysis of no fever, borderline and overt fever</title><author>Kim, Seo‐Yeon ; Hong, Sir‐Yeon ; Kwon, Do Youn ; Park, Hyea ; Choi, Suk‐Joo ; Oh, Soo‐Young ; Kim, Jung‐Sun ; Choi, Duck Hwan ; Roh, Cheong‐Rae</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c3771-2fe69857ca65e608fabf92e2ddd88c0e254e364e5b65a15943b0ecf9ca8831e03</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2021</creationdate><topic>acute chorioamnionitis</topic><topic>acute funisitis</topic><topic>Analgesia</topic><topic>Birth weight</topic><topic>Body temperature</topic><topic>borderline fever</topic><topic>Childbirth & labor</topic><topic>Chorioamnionitis</topic><topic>combined spinal‐epidural analgesia</topic><topic>Epidural</topic><topic>epidural analgesia</topic><topic>Fever</topic><topic>Inflammation</topic><topic>intrapartum fever</topic><topic>Meconium</topic><topic>Multivariate analysis</topic><topic>Neonates</topic><topic>Pain perception</topic><topic>Placenta</topic><topic>Sepsis</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Kim, Seo‐Yeon</creatorcontrib><creatorcontrib>Hong, Sir‐Yeon</creatorcontrib><creatorcontrib>Kwon, Do Youn</creatorcontrib><creatorcontrib>Park, Hyea</creatorcontrib><creatorcontrib>Choi, Suk‐Joo</creatorcontrib><creatorcontrib>Oh, Soo‐Young</creatorcontrib><creatorcontrib>Kim, Jung‐Sun</creatorcontrib><creatorcontrib>Choi, Duck Hwan</creatorcontrib><creatorcontrib>Roh, Cheong‐Rae</creatorcontrib><collection>PubMed</collection><collection>CrossRef</collection><collection>Immunology Abstracts</collection><collection>Oncogenes and Growth Factors Abstracts</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>MEDLINE - Academic</collection><jtitle>The journal of obstetrics and gynaecology research</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Kim, Seo‐Yeon</au><au>Hong, Sir‐Yeon</au><au>Kwon, Do Youn</au><au>Park, Hyea</au><au>Choi, Suk‐Joo</au><au>Oh, Soo‐Young</au><au>Kim, Jung‐Sun</au><au>Choi, Duck Hwan</au><au>Roh, Cheong‐Rae</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Degree of intrapartum fever and associated factors: Three group analysis of no fever, borderline and overt fever</atitle><jtitle>The journal of obstetrics and gynaecology research</jtitle><addtitle>J Obstet Gynaecol Res</addtitle><date>2021-03</date><risdate>2021</risdate><volume>47</volume><issue>3</issue><spage>1153</spage><epage>1163</epage><pages>1153-1163</pages><issn>1341-8076</issn><eissn>1447-0756</eissn><abstract>Aim
Previous studies analyzing intrapartum fever by dichotomization of fever just above 38.0°C or not may lead to overlook clinical significance of borderline fever. We aimed to investigate the maternal baseline and intrapartum characteristics, neonatal outcomes, and inflammatory placental pathology in relation to the degree of intrapartum fever by three group analysis.
Methods
We performed a retrospective analysis of consecutive singleton deliveries between 370/7 to 410/7 weeks divided into three groups based on the peak body temperature during labor: No fever (< 37.5°C), borderline fever (≥ 37.5°C and < 38.0°C), and overt fever (≥ 38.0°C). Maternal and intrapartum characteristics, neonatal outcomes, and inflammatory placental pathology were compared by trend analysis, intergroup difference analysis, and multivariable analysis.
Results
The degree of intrapartum fever was significantly associated with younger maternal age, nulliparity, longer duration of rupture of membrane, and epidural analgesia (p < 0.001). And the incidence of neonatal proven sepsis and mortality were not significantly different among the groups. The degree of intrapartum fever was associated with the stage of acute chorioamnionitis and funisitis (p < 0.001). Multivariate analysis revealed that the association with epidural analgesia was stronger in borderline fever than overt fever (adjusted odds ratio [95% confidence interval], borderline fever = 18.487 [11.447–29.857]; overt fever = 11.068 [4.874–25.133]) after controlling for maternal age, parity, induction or augmentation, duration of ROM, birth weight, and meconium staining.
Conclusion
Our data support that both epidural analgesia and inflammation of the placenta may contribute to the development of intrapartum fever at term.</abstract><cop>Kyoto, Japan</cop><pub>John Wiley & Sons Australia, Ltd</pub><pmid>33438353</pmid><doi>10.1111/jog.14651</doi><tpages>11</tpages></addata></record> |
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| ispartof | The journal of obstetrics and gynaecology research, 2021-03, Vol.47 (3), p.1153-1163 |
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| source | Wiley Online Library Journals Frontfile Complete |
| subjects | acute chorioamnionitis acute funisitis Analgesia Birth weight Body temperature borderline fever Childbirth & labor Chorioamnionitis combined spinal‐epidural analgesia Epidural epidural analgesia Fever Inflammation intrapartum fever Meconium Multivariate analysis Neonates Pain perception Placenta Sepsis |
| title | Degree of intrapartum fever and associated factors: Three group analysis of no fever, borderline and overt fever |
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