Information de reference pour ce titreAccession Number: | 00000469-199904000-00010.
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Author: | Lieberman, Ellice MD, DrPH; Cohen, Amy BA; Lang, Janet PhD, ScD; Frigoletto, Fredric MD; Goetzl, Laura MD
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Institution: | Ellice Lieberman, Amy Cohen, and Laura Goetzl are with the Department of Obstetrics and Gynecology, Brigham and Women's Hospital, Harvard Medical School, Boston, Mass. Janet Lang is with the Department of Epidemiology and Biostatistics, Boston University School of Public Health. Fredric Frigoletto is with the Department of Obstetrics and Gynecology, Massachusetts General Hospital, Harvard Medical School. Requests for reprints should be sent to Ellice Lieberman, MD, DrPH, Department of Obstetrics and Gynecology, Brigham and Women's Hospital, Boston, MA 02115 (e-mail: [email protected]). This paper was accepted November 2, 1998.
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Title: | Maternal Intrapartum Temperature Elevation as a Risk Factor for Cesarean Delivery and Assisted Vaginal Delivery.[Article]
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Source: | American Journal of Public Health. 89(4):506-510, April 1999.
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Abstract: | Objectives: This study investigated the association of intrapartum temperature elevation with cesarean delivery and assisted vaginal delivery.
Methods: Participants were 1233 nulliparous women with singleton, term pregnancies in vertex presentations who had spontaneous labors and were afebrile (temperature: 99.5[degree sign]F [37.5[degree sign]C]) at admission for delivery. Rates of cesarean and assisted vaginal deliveries according to highest intrapartum temperature were examined by epidural status.
Results: Women with maximum intrapartum temperatures higher than 99.5[degree sign]F were 3 times as likely to experience cesarean (25.2% vs 7.2%) or assisted vaginal delivery (25.2% vs 8.5%). The association was present in epidural users and nonusers and persisted after birthweight, epidural use, and labor length had been controlled. In adjusted analyses, temperature elevation was associated with a doubling in the risk of cesarean delivery (odds ratio [OR] = 2.3, 95% confidence interval [CI] = 1.5, 3.4) and assisted vaginal delivery (OR = 2.1, 95% CI = 1.4, 3.1).
Conclusions: Modest temperature elevation developing during labor was associated with higher rates of cesarean and assisted vaginal deliveries. More frequent temperature elevation among women with epidural analgesia may explain in part the higher rates of cesarean and assisted vaginal deliveries observed with epidural use. (Am J Public Health. 1999;89:506-510)
Copyright (C) 1999 by the American Public Health Association, Inc.
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Language: | English.
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Document Type: | Articles: Maternal And Infant Health.
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Journal Subset: | Behavioral & Social Sciences.
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ISSN: | 0090-0036
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NLM Journal Code: | 1254074, 3xw
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