Maternal epidural use and neonatal sepsis evaluation in afebrile mothers.
Maternal epidural use and neonatal sepsis evaluation in afebrile mothers.
复制标题
DOI：
10.1542/peds.108.5.1099
复制
发表时间：
2001-11
期刊：
影响因子：
8
通讯作者：
L. Goetzl;A. Cohen;F. Frigoletto;S. Ringer;J. Lang;E. Lieberman
中科院分区：
文献类型：
--
作者：
L. Goetzl;A. Cohen;F. Frigoletto;S. Ringer;J. Lang;E. Lieberman
OBJECTIVE Epidural use has been associated with a higher rate of neonatal sepsis evaluation. Epidural-related fever explains some of the increase but not the excess of neonatal sepsis evaluations in afebrile women METHODS We studied 1109 women who had singleton term pregnancies and who presented in spontaneous labor and were afebrile during labor (24 hours or sustained fetal heart rate of >160 beats per minute. Minor criteria included a maternal temperature of 99.6 degrees F to 100.4 degrees F, rupture of membranes for 12 to 24 hours, maternal admission white blood cell count of >15 000 cells/mL(3), or an Apgar score of 24 hours (6.2% vs 3.4%), low-grade fever of 99.6 degrees F to 100.4 degrees F (24.3% vs 5.2%), and rupture of membranes for 12 to 24 hours (21.4% vs 5.2%) than women without epidural. CONCLUSIONS Epidural analgesia is associated with increased rates of major and minor criteria for neonatal sepsis evaluations in afebrile women.
