Sharpe Emily E, Arendt Katherine W
Department of Anesthesiology and Perioperative Medicine Mayo Clinic, Rochester, Minnesota.
Clin Obstet Gynecol. 2017 Jun;60(2):365-374. doi: 10.1097/GRF.0000000000000270.
Women receiving an epidural for labor analgesia are at increased risk for intrapartum fever. This relationship has been supported by observational, before and after, and randomized controlled trials. The etiology is not well understood but is likely a result of noninfectious inflammation as studies have found women with fever have higher levels of inflammatory markers. Maternal pyrexia may change obstetric management and women are more likely to receive antibiotics or undergo cesarean delivery. Maternal pyrexia is associated with adverse neonatal outcomes. With these consequences, understanding and preventing maternal fever is imperative.
接受硬膜外分娩镇痛的女性在产时发热的风险增加。这种关系已得到观察性研究、前后对照研究以及随机对照试验的支持。其病因尚不完全清楚，但可能是非感染性炎症的结果，因为研究发现发热的女性炎症标志物水平更高。产妇发热可能会改变产科处理方式，女性更有可能接受抗生素治疗或进行剖宫产。产妇发热与不良新生儿结局相关。鉴于这些后果，了解并预防产妇发热势在必行。
