Abstract
Objective To investigate the association between maternal intrapartum fever and ST-waveform changes of the fetal electrocardiogram. Design Retrospective cohort study. Setting Three academic and six non-academic teaching hospitals in the Netherlands. Population Labouring women with a high-risk singleton pregnancy in cephalic position beyond 36 weeks of gestation. Methods We studied 142 women with fever (≥yen;38.0°C) during labour and 141 women with normal temperature who had been included in two previous studies. In both groups, we counted the number and type of ST-events and classified them as significant (intervention needed) or not significant, based on STAN® clinical guidelines. Main outcome measures Number and type of ST-events. Results Both univariable and multivariable regression analysis showed no association between the presence of maternal intrapartum fever and the number or type of ST-events. Conclusions Maternal intrapartum fever is not associated with ST-segment changes of the fetal electrocardiogram. Interpretation of ST-changes in labouring women with fever should therefore not differ from other situations.
Original language | English |
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Pages (from-to) | 1410-1416 |
Number of pages | 7 |
Journal | BJOG: An International Journal of Obstetrics and Gynaecology |
Volume | 119 |
Issue number | 11 |
DOIs | |
Publication status | Published - 1 Oct 2012 |
Externally published | Yes |
Keywords
- Fetal electrocardiogram
- intrapartum fever
- ST-analysis
- STAN