[Fever during labor. Evaluation of the risk of maternal-fetal infection and reflections concerning prophylactic measures based on a prospective study of 6,305 deliveries].
The authors have evaluated the risk of neonatal infection (NNI) by materno-fetal contamination when a rise in temperature occurs in labour and they have worked out the prophylactic measures that should be taken. This has been the results of a prospective study carried out on 6305 deliveries. Any significant conditions associated with NNI are stained liquor and a low Apgar score at birth. When high temperature develops in labour it is important to deliver the infant as quickly as possible particularly if the labour is a premature one. Prevention carried out by very early diagnosis of amniotic fluid infection in pregnancy and by careful attention to the high risk conditions of: early rupture of the membranes, a high level of vaginal infection particularly with Beta streptococci.
Service de Gynécologie-Obstétrique B, Hôpital Sud, Rennes.
J
J
Blanchot
P
P
Poulain
S
S
Odent
J C
JC
Palaric
J
J
Minet
J Y
JY
Grall
J R
JR
Giraud
D000900:Anti-Bacterial Agents / Q000008:administration & dosage / Q000627:therapeutic use; D001034:Apgar Score; D005260:Female; D005315:Fetal Diseases / Q000175:diagnosis / Q000453:epidemiology* / Q000382:microbiology; D005334:Fever / Q000175:diagnosis / Q000453:epidemiology* / Q000517:prevention & control; D006801:Humans; D015994:Incidence; D007231:Infant, Newborn; D017053:Infection Control / Q000379:methods; D007239:Infections / Q000175:diagnosis / Q000453:epidemiology* / Q000382:microbiology; D007744:Obstetric Labor Complications / Q000175:diagnosis / Q000453:epidemiology* / Q000517:prevention & control; D011237:Predictive Value of Tests; D011247:Pregnancy; D011446:Prospective Studies; D012307:Risk Factors
D000900:Anti-Bacterial Agents
Fièvre au cours du travail. Evaluation du risque d'infection materno-foetale et réflexions à propos de mesures prophylactiques à partir d'une étude prospective sur 6.305 accouchements.