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Is intrapartum fever associated with ST-waveform changes of the fetal electrocardiogram? A retrospective cohort study.

Is intrapartum fever associated with ST-waveform changes of the fetal electrocardiogram? A retrospective cohort study.

Authors :
Becker JH
van Rijswijk J
Versteijnen B
Evers AC
van den Akker ES
van Beek E
Bolte AC
Rijnders RJ
Mol BW
Moons Kg
Porath MM
Drogtrop AP
Schuitemaker NW
Willekes C
Westerhuis ME
Visser GH
Kwee A
Source :
BJOG : an international journal of obstetrics and gynaecology [BJOG] 2012 Oct; Vol. 119 (11), pp. 1410-6. Date of Electronic Publication: 2012 Jul 25.
Publication Year :
2012

Abstract

Objective: To investigate the association between maternal intrapartum fever and ST-waveform changes of the fetal electrocardiogram.<br />Design: Retrospective cohort study.<br />Setting: Three academic and six non-academic teaching hospitals in the Netherlands.<br />Population: Labouring women with a high-risk singleton pregnancy in cephalic position beyond 36 weeks of gestation.<br />Methods: We studied 142 women with fever (≥38.0°C) during labour and 141 women with normal temperature who had been included in two previous studies. In both groups, we counted the number and type of ST-events and classified them as significant (intervention needed) or not significant, based on STAN(®) clinical guidelines.<br />Main Outcome Measures: Number and type of ST-events.<br />Results: Both univariable and multivariable regression analysis showed no association between the presence of maternal intrapartum fever and the number or type of ST-events.<br />Conclusions: Maternal intrapartum fever is not associated with ST-segment changes of the fetal electrocardiogram. Interpretation of ST-changes in labouring women with fever should therefore not differ from other situations.<br /> (© 2012 The Authors BJOG An International Journal of Obstetrics and Gynaecology © 2012 RCOG.)

Details

Language :
English
ISSN :
1471-0528
Volume :
119
Issue :
11
Database :
MEDLINE
Journal :
BJOG : an international journal of obstetrics and gynaecology
Publication Type :
Academic Journal
Accession number :
22827811
Full Text :
https://doi.org/10.1111/j.1471-0528.2012.03442.x