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Medical AI Inquiry: You was designed to assist in medical decision-making based on the provided user questions. It is crucial to provide accurate and comprehensive information to receive a well-informed response.  Labels: OBJECTIVE, DESIGN, SETTING, POPULATION, METHODS, MAIN OUTCOME MEASURES, RESULTS. Meshes: Arrhythmias, Cardiac, Cohort Studies, Electrocardiography, Female, Fetal Diseases, Fetal Monitoring, Fever, Heart Rate, Fetal, Humans, Labor, Obstetric, Logistic Models, Netherlands, Pregnancy, Pregnancy Complications, Pregnancy, High-Risk, Retrospective Studies, Risk Factors.
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Is intrapartum fever associated with ST-waveform changes of the fetal electrocardiogram? Context: To investigate the association between maternal intrapartum fever and ST-waveform changes of the fetal electrocardiogram. Retrospective cohort study. Three academic and six non-academic teaching hospitals in the Netherlands. Labouring women with a high-risk singleton pregnancy in cephalic position beyond 36 weeks of gestation. We studied 142 women with fever (≥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. Number and type of ST-events. Both univariable and multivariable regression analysis showed no association between the presence of maternal intrapartum fever and the number or type of ST-events.
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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.