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• W2000455436 abstract "ObjectiveTo investigate whether patients undergoing vaginal delivery, that developed peripartum fever, had increased rates of gestational complicationsStudy designA retrospective study to compare pregnancy complications of patients undergoing vaginal delivery who developed peripartum fever with those who did not. A multivariable logistic regression model, including the year of birth, was constructed to control for confounders and to avoid ascertainment bias.ResultsDuring the study period, 169,738 singleton vaginal deliveries occurred (0.4% suffered from peripartum fever). Independent risk factors associated with peripartum fever (results from a multivariable analysis) are presented in the table. Apgar scores lower than 7, at 1 but not 5 minutes were significantly higher in the peripartum fever group (OR 2.88; 95% CI 2.0-4.0; p<0.001 and OR 1.83; 95%CI 0.68-4.91; p=0.18, respectively). Perinatal mortality rates were significantly higher among women with peripartum fever (67/1000 vs. 13/1000, OR 5.4; 95% CI 3.9-7.3; p<0.001). Using a new multivariable analysis, with perinatal mortality as the outcome variable, peripartum fever was found as an independent risk factor for perinatal mortality (OR 2.9; 95% C.I 1.9-4.6; P< 0.001).Tabled 1Risk factors associated with peripartum fever: Results from a multiple logistic regression model with backward eliminationCharacteristicOR95% CIPHypertensive disorder1.51.2–2.00.004Induction of labor1.21.0–1.40.035Malpresentation1.71.2–2.50.010Labor dystocia, 2nd stage2.31.5–3.50.001Meconium stained amniotic fluid1.31.1–1.60.008Retained placenta3.02.0–4.5<0.001Revision of the uterine cavity and cervix1.61.2–2.10.004Post partum hemorrhage3.72.3–6.0<0.001Year of birth1.021.003–1.350.017 Open table in a new tab ConclusionPeripartum fever in women undergoing vaginal deliveries is associated with adverse perinatal outcome. ObjectiveTo investigate whether patients undergoing vaginal delivery, that developed peripartum fever, had increased rates of gestational complications To investigate whether patients undergoing vaginal delivery, that developed peripartum fever, had increased rates of gestational complications Study designA retrospective study to compare pregnancy complications of patients undergoing vaginal delivery who developed peripartum fever with those who did not. A multivariable logistic regression model, including the year of birth, was constructed to control for confounders and to avoid ascertainment bias. A retrospective study to compare pregnancy complications of patients undergoing vaginal delivery who developed peripartum fever with those who did not. A multivariable logistic regression model, including the year of birth, was constructed to control for confounders and to avoid ascertainment bias. ResultsDuring the study period, 169,738 singleton vaginal deliveries occurred (0.4% suffered from peripartum fever). Independent risk factors associated with peripartum fever (results from a multivariable analysis) are presented in the table. Apgar scores lower than 7, at 1 but not 5 minutes were significantly higher in the peripartum fever group (OR 2.88; 95% CI 2.0-4.0; p<0.001 and OR 1.83; 95%CI 0.68-4.91; p=0.18, respectively). Perinatal mortality rates were significantly higher among women with peripartum fever (67/1000 vs. 13/1000, OR 5.4; 95% CI 3.9-7.3; p<0.001). Using a new multivariable analysis, with perinatal mortality as the outcome variable, peripartum fever was found as an independent risk factor for perinatal mortality (OR 2.9; 95% C.I 1.9-4.6; P< 0.001).Tabled 1Risk factors associated with peripartum fever: Results from a multiple logistic regression model with backward eliminationCharacteristicOR95% CIPHypertensive disorder1.51.2–2.00.004Induction of labor1.21.0–1.40.035Malpresentation1.71.2–2.50.010Labor dystocia, 2nd stage2.31.5–3.50.001Meconium stained amniotic fluid1.31.1–1.60.008Retained placenta3.02.0–4.5<0.001Revision of the uterine cavity and cervix1.61.2–2.10.004Post partum hemorrhage3.72.3–6.0<0.001Year of birth1.021.003–1.350.017 Open table in a new tab During the study period, 169,738 singleton vaginal deliveries occurred (0.4% suffered from peripartum fever). Independent risk factors associated with peripartum fever (results from a multivariable analysis) are presented in the table. Apgar scores lower than 7, at 1 but not 5 minutes were significantly higher in the peripartum fever group (OR 2.88; 95% CI 2.0-4.0; p<0.001 and OR 1.83; 95%CI 0.68-4.91; p=0.18, respectively). Perinatal mortality rates were significantly higher among women with peripartum fever (67/1000 vs. 13/1000, OR 5.4; 95% CI 3.9-7.3; p<0.001). Using a new multivariable analysis, with perinatal mortality as the outcome variable, peripartum fever was found as an independent risk factor for perinatal mortality (OR 2.9; 95% C.I 1.9-4.6; P< 0.001). ConclusionPeripartum fever in women undergoing vaginal deliveries is associated with adverse perinatal outcome. Peripartum fever in women undergoing vaginal deliveries is associated with adverse perinatal outcome." @default.
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• W2000455436 date "2007-12-01" @default.
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• W2000455436 title "326: Peripartum fever in women undergoing vaginal deliveries: A critical analysis of risk factors and outcome over time" @default.
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