Progress in epidural labor analgesia-related intrapartum fever

Q4 Medicine

中华围产医学杂志 Pub Date : 2019-11-16 DOI:10.3760/CMA.J.ISSN.1007-9408.2019.11.013

Jing Xu

引用次数: 0

Abstract

Gravidas receiving epidural labor analgesia are at an increased risk for intrapartum fever due to unknown mechanism, which may be related to thermoregulation, non-infectious inflammatory, continued use of local anesthetic agents and trauma from epidural catheter insertion. Epidural labor analgesia-related intrapartum fever is associated with excessive obstetric interventions, higher rates of cesarean and assisted vaginal deliveries, unnecessary maternal and neonatal exposure to antibiotics, and adverse neonatal outcomes. Hence it is imperative to explore its etiology and shorten the labor with a safe and effective measure to reduce the occurrence of intrapartum fever. Key words: Analgesia, epidural; Analgesia, obstetrical; Fever

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硬膜外分娩镇痛相关产时发热的研究进展

由于未知的机制，接受硬膜外分娩镇痛的孕妇产时发热的风险增加，这可能与体温调节、非感染性炎症、持续使用局部麻醉剂以及硬膜外导管插入造成的创伤有关。硬膜外分娩镇痛相关的产时发热与过度的产科干预、较高的剖宫产和辅助阴道分娩率、不必要的孕产妇和新生儿接触抗生素以及不良的新生儿结局有关。因此，有必要探讨其病因，采取安全有效的措施缩短产程，以减少产时发热的发生。关键词：镇痛、硬膜外；镇痛，产科；发烧

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

中华围产医学杂志 Medicine-Obstetrics and Gynecology

CiteScore

0.70

自引率

0.00%

发文量

4446

期刊介绍： Chinese Journal of Perinatal Medicine was founded in May 1998. It is one of the journals of the Chinese Medical Association, which is supervised by the China Association for Science and Technology, sponsored by the Chinese Medical Association, and hosted by Peking University First Hospital. Perinatal medicine is a new discipline jointly studied by obstetrics and neonatology. The purpose of this journal is to "prenatal and postnatal care, improve the quality of the newborn population, and ensure the safety and health of mothers and infants". It reflects the new theories, new technologies, and new progress in perinatal medicine in related disciplines such as basic, clinical and preventive medicine, genetics, and sociology. It aims to provide a window and platform for academic exchanges, information transmission, and understanding of the development trends of domestic and foreign perinatal medicine for the majority of perinatal medicine workers in my country.