[Fever during labor. Evaluation of the risk of maternal-fetal infection and reflections concerning prophylactic measures based on a prospective study of 6,305 deliveries]

J Gynecol Obstet Biol Reprod (Paris). 1993;22(2):191-6.
[Article in French]

Abstract

The authors have evaluated the risk of neonatal infection (NNI) by materno-fetal contamination when a rise in temperature occurs in labour and they have worked out the prophylactic measures that should be taken. This has been the results of a prospective study carried out on 6305 deliveries. Any significant conditions associated with NNI are stained liquor and a low Apgar score at birth. When high temperature develops in labour it is important to deliver the infant as quickly as possible particularly if the labour is a premature one. Prevention carried out by very early diagnosis of amniotic fluid infection in pregnancy and by careful attention to the high risk conditions of: early rupture of the membranes, a high level of vaginal infection particularly with Beta streptococci.

MeSH terms

  • Anti-Bacterial Agents / administration & dosage
  • Anti-Bacterial Agents / therapeutic use
  • Apgar Score
  • Female
  • Fetal Diseases / diagnosis
  • Fetal Diseases / epidemiology*
  • Fetal Diseases / microbiology
  • Fever / diagnosis
  • Fever / epidemiology*
  • Fever / prevention & control
  • Humans
  • Incidence
  • Infant, Newborn
  • Infection Control / methods
  • Infections / diagnosis
  • Infections / epidemiology*
  • Infections / microbiology
  • Obstetric Labor Complications / diagnosis
  • Obstetric Labor Complications / epidemiology*
  • Obstetric Labor Complications / prevention & control
  • Predictive Value of Tests
  • Pregnancy
  • Prospective Studies
  • Risk Factors

Substances

  • Anti-Bacterial Agents