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- W2047467844 abstract "Intrapartum fever can be due to an infectious or non-infectious aetiology and can lead to a variety of maternal and neonatal sequelae. Sepsis contributes significantly to maternal morbidity and mortality. Pyrexia may be the only symptom in early sepsis.<sup>1</sup> <h3>Aim</h3> To evaluate the incidence, management and outcome of intra-partum pyrexia in the Rotunda hospital, and to evaluate adherence to new hospital guidelines regarding septic screen and antibiotic therapy in intra-partum pyrexia. <h3>Method</h3> Rretrospective audit of practise between 1 August and 30 September 2012. The presence or absence of maternal risk factors were reviewed and included: antenatal Group B Streptococcus (GBS), antenatal infections, preterm prelabour rupture of membranes (PPROM), prolonged rupture of membranes (ROM) and epidural analgesia. Intra-partum course parameters: management of pyrexia including resource to septic screen and intravenous antibiotics were evaluated. <h3>Results</h3> 41 cases were selected and reviewed. The incidence of pyrexia in labour was 2.7% over the study period. The median maternal age was 29. The median gestational age at delivery was 40. 80.5% were nulliparous. 5% had PPROM. 24% had prolonged spontaneous ROM (more than 18 hr). Only one woman was positive for GBS antenatally. 5 cases had GBS on HVS detected on septic screen and 1 case had GBS on placental swab. Labour was induced in 43.9%. 27% delivered by emergency LSCS and 39% by instrumental delivery. <h3>Conclusion</h3> 88% of pyrexial women had a septic screen as per protocol. There was a poor culture lead from MSU with the highest yield from placental histology. Pyrexia in labour was associated with: Nulliparity, Induced labour, Prolonged ROM, Epidural analgesia and Operative delivery <h3>Reference</h3> Maayan-Metzger A, Mazkereth R, Shani A, <i>et al</i>. Risk factors for maternal intrapartum fever and short-term neonatal outcome. <i>Fetal Pediatr Pathol</i> 2006;25:169." @default.
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- W2047467844 date "2013-04-01" @default.
- W2047467844 modified "2023-09-26" @default.
- W2047467844 title "PL.64 Pyrexia in Labour: Outcome and Management" @default.
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- W2047467844 doi "https://doi.org/10.1136/archdischild-2013-303966.246" @default.
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