THE CLINICAL CORRELATES AND FETOMATERNAL OUTCOME OF PYREXIA IN LABOUR IN A TERTIARY HOSPITAL SETTING
Background: Fever in labour is a rise in the maternal body temperature above the usual range of normal during labour. Many have opined that fever is a normal feature associated with labour, thereby attracting less attention; but it is laden with significant fetal, neonatal and maternal morbidity which it heralds. This is critically important in the low-resource setting like ours bedevilled with poor socio-economic demographics and poor obstetric practices, thereby making this study compelling.
Objective: To determine the prevalence, clinical correlates and maternal and neonatal outcome associated with fever in labour in the University of Benin Teaching Hospital.
Study Design: A case-control study.
Methods: Temperature readings will be obtained hourly from parturients until delivery during the period of this study. Forty-seven parturients with significant pyrexia of 38C obtained once or ≥37.5oC on two occasions 2 hours apart, will form the cases. The control group in 1:1 ratio, will be the next age-matched parturient whose temperature remain <37.5oC throughout the course of labour. The association between the socio-demographic and obstetric variables and the maternal pyrexia in labour will be determined. The association between pyrexia in labour and maternal and neonatal outcome would also be determined. Multiple logistic regression analysis would be performed to determine the predictors of maternal pyrexia in labour and the predictors of maternal and neonatal outcome. All data will be entered into a proforma and analysis will be done using the Statistical Package for the Social Sciences (SPSS) version 21.0.