Reproductive History and Intrapartum Fever
作者:
Dieter Stürchler,
François Menegoz,
Janet Daling,
期刊:
Gynecologic and Obstetric Investigation
(Karger Available online 1986)
卷期:
Volume 21,
issue 4
页码: 182-186
ISSN:0378-7346
年代: 1986
DOI:10.1159/000298951
出版商: S. Karger AG
关键词: Intrapartum fever;Amnionitis;Fetal death;Spontaneous abortion
数据来源: Karger
摘要:
Washington State Birth Registry data of the years 1980–1982 of 803 women with intrapartum fever, who gave birth to a singleton, and of 1,714 control women without such diagnosis selected at random from the child-bearing population were studied for risk factors and maternal and neonatal outcome variables. Cases were significantly more often < 21 years old, nonwhite, unmarried, nulligravid, and nulliparous than controls, and had significantly shorter gestational ages and longer birth intervals. The risk of intrapartum fever was higher in nulliparous than in nulligravid women [adjusted odds ratio (OR) 4.0 and 2.3, respectively]. This risk difference led to the discovery of increased fetal and perinatal losses prior to the pregnancy under study: cases lost 160 of 390 (41 %) previous pregnancies while controls lost 142 of 1,180 (12%; OR = 5.1; p < 0.001). In a matched analysis, spontaneous abortions ( < 20 weeks gestation) immediately preceding the pregnancy under study were found to increase the risk of intrapartum fever by 2.7 times.
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