Intrapartum fever - Definition & Explanation for Mothers

Table of Contents

Definition

Intrapartum fever refers to a maternal body temperature elevation of above 100.4 degrees Fahrenheit during labor or childbirth. It is typically associated with prolonged labor or a maternal or fetal infection. However, it can also occur due to non-infectious causes such as epidural use or dehydration.

Key Takeaways

Intrapartum fever refers to a condition where a mother experiences a high body temperature of 100.4 ℉ (or 38 ℃) or higher during labor or delivery.
This condition can potentially cause complications for both the mother and the baby. There might be an increased risk of maternal and neonatal infections, increased use of antibiotics, longer hospital stays, and in some cases, it may lead to birth complications like neonatal encephalopathy.
The cause of intrapartum fever is often related to an intrauterine infection. However, it can also be induced by non-infectious causes such as the prolonged use of epidural analgesia during labor.

Importance

Intrapartum fever is a crucial term in motherhood as it refers to a condition where the mother experiences a significant rise in body temperature during labor, typically above 100.4 degrees Fahrenheit.

It’s important due to its potential implications for both the mother and the baby.

In the mother, it can be indicative of an infection, particularly chorioamnionitis, which could progress to severe complications if not promptly addressed.

For the baby, exposure to intrapartum fever could lead to neonatal issues such as neonatal sepsis, pneumonia, and potential future neurological complications including cerebral palsy.

Hence, recognizing and addressing intrapartum fever is vital for the proper management and care of both the mother and the baby during childbirth.

Explanation

Intrapartum fever, occasionally referred to as maternal fever, refers to an elevated body temperature occurring during childbirth, specifically in the period extending from the onset of labor to the delivery of the placenta. It is a significant health consideration in obstetrics, serving as an indicator of potential complications for both the mother and the child that require immediate medical attention.

An intrapartum fever often triggers the initiation of specific medical interventions and protocols to prevent possible adverse outcomes associated with it. The primary importance of identifying and monitoring intrapartum fever lies in its role as a marker for possible intrauterine infection, known as chorioamnionitis.

This type of infection can adversely affect the health of both the mother and the baby, possibly leading to severe outcomes such as neonatal sepsis or neonatal intensive care unit admission. A diagnosis of intrapartum fever also often precedes the administration of antibiotics, aimed at combating potential bacterial infection.

Therefore, the term intrapartum fever is used clinically to guide immediate responses for optimal maternal and neonatal health outcomes.

Examples of Intrapartum fever

Example 1: Maria, an expectant mother, arrived at the hospital in labor. She had a normal pregnancy thus far. Suddenly, her temperature begins to rise steadily, indicating an intrapartum fever. The doctors suspected infection and immediately started an antibiotic treatment to prevent any possible risk to the baby.

Example 2: Sarah, a second-time mother, was in labor. She started exhibiting symptoms such as chills, sweating and high temperature, indicating an intrapartum fever. This happened due to rupture of membranes for more than 24 hours, causing a bacterial infection. As a consequence, she was carefully monitored, treated promptly to keep the situation under control and ensure the health of the baby.

Example 3: Jane, a soon-to-be mother was experiencing prolonged labor. During her 18th hour of labor, she developed an intrapartum fever. The healthcare professionals immediately established this as a potential sign of chorioamnionitis, an infection of the amniotic fluid. They fast-tracked the labor with the help of medication and quickly administered antibiotics to Jane to protect the baby.

FAQs on Intrapartum Fever

What is Intrapartum Fever?

Intrapartum fever is a condition where the pregnant woman experiences a fever during labor or delivery, usually with an oral temperature of 38.0°C or higher.

What causes Intrapartum Fever?

Several factors can contribute to intrapartum fever. It can be because of an infection, prolonged labor, or the use of epidural for pain relief during labor.

How does Intrapartum Fever affect the mother and the baby?

Intrapartum fever might increase the risk for medical interventions like cesarean delivery and could potentially be harmful to both the mother and the baby. It can lead to neonatal sepsis, pneumonia, and neurologic complications in the baby.

How is Intrapartum Fever diagnosed?

Intrapartum fever is diagnosed by taking the mother’s temperature regularly during labor, especially when symptoms like hot flushes or shivering are present.

What is the treatment for Intrapartum Fever?

Treatment for intrapartum fever may include administration of antipyretics, antibiotics, and other supportive measures. The treatment will depend on the underlying cause of the fever.