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The Association of Maternal Intrapartum Subfebrile Temperature and Adverse Obstetric and Neonatal Outcomes
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| Zeitschriftentitel: | Paediatric and Perinatal Epidemiology |
|---|---|
| Personen und Körperschaften: | , , , , , , , , |
| In: | Paediatric and Perinatal Epidemiology, 28, 2014, 1, S. 39-47 |
| Format: | E-Article |
| Sprache: | Englisch |
| veröffentlicht: |
Wiley
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| Schlagwörter: |
| author_facet |
Dior, Uri P. Kogan, Liron Calderon‐Margalit, Ronit Burger, Ayala Amsallem, Hagai Elchalal, Uriel Eventov‐Friedman, Smadar Ergaz, Zivanit Ezra, Yossef Dior, Uri P. Kogan, Liron Calderon‐Margalit, Ronit Burger, Ayala Amsallem, Hagai Elchalal, Uriel Eventov‐Friedman, Smadar Ergaz, Zivanit Ezra, Yossef |
|---|---|
| author |
Dior, Uri P. Kogan, Liron Calderon‐Margalit, Ronit Burger, Ayala Amsallem, Hagai Elchalal, Uriel Eventov‐Friedman, Smadar Ergaz, Zivanit Ezra, Yossef |
| spellingShingle |
Dior, Uri P. Kogan, Liron Calderon‐Margalit, Ronit Burger, Ayala Amsallem, Hagai Elchalal, Uriel Eventov‐Friedman, Smadar Ergaz, Zivanit Ezra, Yossef Paediatric and Perinatal Epidemiology The Association of Maternal Intrapartum Subfebrile Temperature and Adverse Obstetric and Neonatal Outcomes Pediatrics, Perinatology and Child Health Epidemiology |
| author_sort |
dior, uri p. |
| spelling |
Dior, Uri P. Kogan, Liron Calderon‐Margalit, Ronit Burger, Ayala Amsallem, Hagai Elchalal, Uriel Eventov‐Friedman, Smadar Ergaz, Zivanit Ezra, Yossef 0269-5022 1365-3016 Wiley Pediatrics, Perinatology and Child Health Epidemiology http://dx.doi.org/10.1111/ppe.12090 <jats:title>Abstract</jats:title><jats:sec><jats:title>Background</jats:title><jats:p>Subfebrile intrapartum maternal temperature is very common, yet there is sparse evidence regarding its causes or its effects on perinatal outcomes. We examined whether mild temperature elevation during labour is a risk marker for adverse obstetric and neonatal outcomes.</jats:p></jats:sec><jats:sec><jats:title>Methods</jats:title><jats:p>A retrospective cohort analysis including 42 601 term, singleton live‐births in two medical centres between 2003 and 2010 was performed. This study compared women who experienced a maximal intrapartum temperature of ≤37°C with women who experienced subfebrile intrapartum temperature (37.1–37.9°C). Adjusted risks for adverse obstetric and neonatal outcomes were calculated by using multivariable logistic regression models.</jats:p></jats:sec><jats:sec><jats:title>Results</jats:title><jats:p>Compared with maternal temperature ≤ 37°C, subfebrile temperature was associated with higher rates of primary caesarean deliveries {adjusted odds ratios [a<jats:styled-content style="fixed-case">OR</jats:styled-content>] = 1.36 [95% confidence interval (<jats:styled-content style="fixed-case">CI</jats:styled-content>) 1.25, 1.49])} and assisted vaginal deliveries (a<jats:styled-content style="fixed-case">OR</jats:styled-content> = 1.20 [95% <jats:styled-content style="fixed-case">CI</jats:styled-content> 1.11, 1.30]), as well as with greater risks of early neonatal sepsis (a<jats:styled-content style="fixed-case">OR</jats:styled-content> = 2.66 [95% <jats:styled-content style="fixed-case">CI</jats:styled-content> 1.88, 3.77]), neonatal intensive care unit admissions (a<jats:styled-content style="fixed-case">OR</jats:styled-content> = 1.40 [95% <jats:styled-content style="fixed-case">CI</jats:styled-content> 1.08, 1.83]), and neonatal asphyxia or seizures (a<jats:styled-content style="fixed-case">OR</jats:styled-content> = 3.18 [95% <jats:styled-content style="fixed-case">CI</jats:styled-content> 1.51, 6.70]). Mildly elevated maternal intrapartum temperature (37.1–37.5°C) was also associated with adverse outcomes.</jats:p></jats:sec><jats:sec><jats:title>Conclusions</jats:title><jats:p>Maternal intrapartum subfebrile temperature may be an indicator of operative delivery and neonatal morbidity. Further research is needed to confirm these findings and to reveal underlying mechanisms.</jats:p></jats:sec> The Association of Maternal Intrapartum Subfebrile Temperature and Adverse Obstetric and Neonatal Outcomes Paediatric and Perinatal Epidemiology |
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10.1111/ppe.12090 |
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Online |
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Wiley, 2014 |
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Wiley, 2014 |
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0269-5022 1365-3016 |
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Paediatric and Perinatal Epidemiology |
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| title |
The Association of Maternal Intrapartum Subfebrile Temperature and Adverse Obstetric and Neonatal Outcomes |
| title_unstemmed |
The Association of Maternal Intrapartum Subfebrile Temperature and Adverse Obstetric and Neonatal Outcomes |
| title_full |
The Association of Maternal Intrapartum Subfebrile Temperature and Adverse Obstetric and Neonatal Outcomes |
| title_fullStr |
The Association of Maternal Intrapartum Subfebrile Temperature and Adverse Obstetric and Neonatal Outcomes |
| title_full_unstemmed |
The Association of Maternal Intrapartum Subfebrile Temperature and Adverse Obstetric and Neonatal Outcomes |
| title_short |
The Association of Maternal Intrapartum Subfebrile Temperature and Adverse Obstetric and Neonatal Outcomes |
| title_sort |
the association of maternal intrapartum subfebrile temperature and adverse obstetric and neonatal outcomes |
| topic |
Pediatrics, Perinatology and Child Health Epidemiology |
| url |
http://dx.doi.org/10.1111/ppe.12090 |
| publishDate |
2014 |
| physical |
39-47 |
| description |
<jats:title>Abstract</jats:title><jats:sec><jats:title>Background</jats:title><jats:p>Subfebrile intrapartum maternal temperature is very common, yet there is sparse evidence regarding its causes or its effects on perinatal outcomes. We examined whether mild temperature elevation during labour is a risk marker for adverse obstetric and neonatal outcomes.</jats:p></jats:sec><jats:sec><jats:title>Methods</jats:title><jats:p>A retrospective cohort analysis including 42 601 term, singleton live‐births in two medical centres between 2003 and 2010 was performed. This study compared women who experienced a maximal intrapartum temperature of ≤37°C with women who experienced subfebrile intrapartum temperature (37.1–37.9°C). Adjusted risks for adverse obstetric and neonatal outcomes were calculated by using multivariable logistic regression models.</jats:p></jats:sec><jats:sec><jats:title>Results</jats:title><jats:p>Compared with maternal temperature ≤ 37°C, subfebrile temperature was associated with higher rates of primary caesarean deliveries {adjusted odds ratios [a<jats:styled-content style="fixed-case">OR</jats:styled-content>] = 1.36 [95% confidence interval (<jats:styled-content style="fixed-case">CI</jats:styled-content>) 1.25, 1.49])} and assisted vaginal deliveries (a<jats:styled-content style="fixed-case">OR</jats:styled-content> = 1.20 [95% <jats:styled-content style="fixed-case">CI</jats:styled-content> 1.11, 1.30]), as well as with greater risks of early neonatal sepsis (a<jats:styled-content style="fixed-case">OR</jats:styled-content> = 2.66 [95% <jats:styled-content style="fixed-case">CI</jats:styled-content> 1.88, 3.77]), neonatal intensive care unit admissions (a<jats:styled-content style="fixed-case">OR</jats:styled-content> = 1.40 [95% <jats:styled-content style="fixed-case">CI</jats:styled-content> 1.08, 1.83]), and neonatal asphyxia or seizures (a<jats:styled-content style="fixed-case">OR</jats:styled-content> = 3.18 [95% <jats:styled-content style="fixed-case">CI</jats:styled-content> 1.51, 6.70]). Mildly elevated maternal intrapartum temperature (37.1–37.5°C) was also associated with adverse outcomes.</jats:p></jats:sec><jats:sec><jats:title>Conclusions</jats:title><jats:p>Maternal intrapartum subfebrile temperature may be an indicator of operative delivery and neonatal morbidity. Further research is needed to confirm these findings and to reveal underlying mechanisms.</jats:p></jats:sec> |
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| author | Dior, Uri P., Kogan, Liron, Calderon‐Margalit, Ronit, Burger, Ayala, Amsallem, Hagai, Elchalal, Uriel, Eventov‐Friedman, Smadar, Ergaz, Zivanit, Ezra, Yossef |
| author_facet | Dior, Uri P., Kogan, Liron, Calderon‐Margalit, Ronit, Burger, Ayala, Amsallem, Hagai, Elchalal, Uriel, Eventov‐Friedman, Smadar, Ergaz, Zivanit, Ezra, Yossef, Dior, Uri P., Kogan, Liron, Calderon‐Margalit, Ronit, Burger, Ayala, Amsallem, Hagai, Elchalal, Uriel, Eventov‐Friedman, Smadar, Ergaz, Zivanit, Ezra, Yossef |
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| description | <jats:title>Abstract</jats:title><jats:sec><jats:title>Background</jats:title><jats:p>Subfebrile intrapartum maternal temperature is very common, yet there is sparse evidence regarding its causes or its effects on perinatal outcomes. We examined whether mild temperature elevation during labour is a risk marker for adverse obstetric and neonatal outcomes.</jats:p></jats:sec><jats:sec><jats:title>Methods</jats:title><jats:p>A retrospective cohort analysis including 42 601 term, singleton live‐births in two medical centres between 2003 and 2010 was performed. This study compared women who experienced a maximal intrapartum temperature of ≤37°C with women who experienced subfebrile intrapartum temperature (37.1–37.9°C). Adjusted risks for adverse obstetric and neonatal outcomes were calculated by using multivariable logistic regression models.</jats:p></jats:sec><jats:sec><jats:title>Results</jats:title><jats:p>Compared with maternal temperature ≤ 37°C, subfebrile temperature was associated with higher rates of primary caesarean deliveries {adjusted odds ratios [a<jats:styled-content style="fixed-case">OR</jats:styled-content>] = 1.36 [95% confidence interval (<jats:styled-content style="fixed-case">CI</jats:styled-content>) 1.25, 1.49])} and assisted vaginal deliveries (a<jats:styled-content style="fixed-case">OR</jats:styled-content> = 1.20 [95% <jats:styled-content style="fixed-case">CI</jats:styled-content> 1.11, 1.30]), as well as with greater risks of early neonatal sepsis (a<jats:styled-content style="fixed-case">OR</jats:styled-content> = 2.66 [95% <jats:styled-content style="fixed-case">CI</jats:styled-content> 1.88, 3.77]), neonatal intensive care unit admissions (a<jats:styled-content style="fixed-case">OR</jats:styled-content> = 1.40 [95% <jats:styled-content style="fixed-case">CI</jats:styled-content> 1.08, 1.83]), and neonatal asphyxia or seizures (a<jats:styled-content style="fixed-case">OR</jats:styled-content> = 3.18 [95% <jats:styled-content style="fixed-case">CI</jats:styled-content> 1.51, 6.70]). Mildly elevated maternal intrapartum temperature (37.1–37.5°C) was also associated with adverse outcomes.</jats:p></jats:sec><jats:sec><jats:title>Conclusions</jats:title><jats:p>Maternal intrapartum subfebrile temperature may be an indicator of operative delivery and neonatal morbidity. Further research is needed to confirm these findings and to reveal underlying mechanisms.</jats:p></jats:sec> |
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| spelling | Dior, Uri P. Kogan, Liron Calderon‐Margalit, Ronit Burger, Ayala Amsallem, Hagai Elchalal, Uriel Eventov‐Friedman, Smadar Ergaz, Zivanit Ezra, Yossef 0269-5022 1365-3016 Wiley Pediatrics, Perinatology and Child Health Epidemiology http://dx.doi.org/10.1111/ppe.12090 <jats:title>Abstract</jats:title><jats:sec><jats:title>Background</jats:title><jats:p>Subfebrile intrapartum maternal temperature is very common, yet there is sparse evidence regarding its causes or its effects on perinatal outcomes. We examined whether mild temperature elevation during labour is a risk marker for adverse obstetric and neonatal outcomes.</jats:p></jats:sec><jats:sec><jats:title>Methods</jats:title><jats:p>A retrospective cohort analysis including 42 601 term, singleton live‐births in two medical centres between 2003 and 2010 was performed. This study compared women who experienced a maximal intrapartum temperature of ≤37°C with women who experienced subfebrile intrapartum temperature (37.1–37.9°C). Adjusted risks for adverse obstetric and neonatal outcomes were calculated by using multivariable logistic regression models.</jats:p></jats:sec><jats:sec><jats:title>Results</jats:title><jats:p>Compared with maternal temperature ≤ 37°C, subfebrile temperature was associated with higher rates of primary caesarean deliveries {adjusted odds ratios [a<jats:styled-content style="fixed-case">OR</jats:styled-content>] = 1.36 [95% confidence interval (<jats:styled-content style="fixed-case">CI</jats:styled-content>) 1.25, 1.49])} and assisted vaginal deliveries (a<jats:styled-content style="fixed-case">OR</jats:styled-content> = 1.20 [95% <jats:styled-content style="fixed-case">CI</jats:styled-content> 1.11, 1.30]), as well as with greater risks of early neonatal sepsis (a<jats:styled-content style="fixed-case">OR</jats:styled-content> = 2.66 [95% <jats:styled-content style="fixed-case">CI</jats:styled-content> 1.88, 3.77]), neonatal intensive care unit admissions (a<jats:styled-content style="fixed-case">OR</jats:styled-content> = 1.40 [95% <jats:styled-content style="fixed-case">CI</jats:styled-content> 1.08, 1.83]), and neonatal asphyxia or seizures (a<jats:styled-content style="fixed-case">OR</jats:styled-content> = 3.18 [95% <jats:styled-content style="fixed-case">CI</jats:styled-content> 1.51, 6.70]). Mildly elevated maternal intrapartum temperature (37.1–37.5°C) was also associated with adverse outcomes.</jats:p></jats:sec><jats:sec><jats:title>Conclusions</jats:title><jats:p>Maternal intrapartum subfebrile temperature may be an indicator of operative delivery and neonatal morbidity. Further research is needed to confirm these findings and to reveal underlying mechanisms.</jats:p></jats:sec> The Association of Maternal Intrapartum Subfebrile Temperature and Adverse Obstetric and Neonatal Outcomes Paediatric and Perinatal Epidemiology |
| spellingShingle | Dior, Uri P., Kogan, Liron, Calderon‐Margalit, Ronit, Burger, Ayala, Amsallem, Hagai, Elchalal, Uriel, Eventov‐Friedman, Smadar, Ergaz, Zivanit, Ezra, Yossef, Paediatric and Perinatal Epidemiology, The Association of Maternal Intrapartum Subfebrile Temperature and Adverse Obstetric and Neonatal Outcomes, Pediatrics, Perinatology and Child Health, Epidemiology |
| title | The Association of Maternal Intrapartum Subfebrile Temperature and Adverse Obstetric and Neonatal Outcomes |
| title_full | The Association of Maternal Intrapartum Subfebrile Temperature and Adverse Obstetric and Neonatal Outcomes |
| title_fullStr | The Association of Maternal Intrapartum Subfebrile Temperature and Adverse Obstetric and Neonatal Outcomes |
| title_full_unstemmed | The Association of Maternal Intrapartum Subfebrile Temperature and Adverse Obstetric and Neonatal Outcomes |
| title_short | The Association of Maternal Intrapartum Subfebrile Temperature and Adverse Obstetric and Neonatal Outcomes |
| title_sort | the association of maternal intrapartum subfebrile temperature and adverse obstetric and neonatal outcomes |
| title_unstemmed | The Association of Maternal Intrapartum Subfebrile Temperature and Adverse Obstetric and Neonatal Outcomes |
| topic | Pediatrics, Perinatology and Child Health, Epidemiology |
| url | http://dx.doi.org/10.1111/ppe.12090 |