|
|
|
| Analysis of risk factors of cesarean section caused by intrapartum fever of full-term primipara with singleton |
| Beijing Obstetrics and Gynecology Hospital，Capital Medical University, Beijing, 100026 |
|
|
|
|
Abstract To investigate the risk factors of cesarean section caused by intrapartum fever of full-term primipara with singleton. Methods: A retrospective case-control study was used to collect the clinical data of 1073 full-term primipara with singleton and cephalic fetus who had accepted cesarean section from January 1, 2019 to December 31, 2019. 172 primipara with intrapartum fever or suspected intrauterine infection as the main indications of cesarean section were selected in observation group, and 901 cases with other indications of cesarean section were selected in control group. The clinical data of the primipara were compared between the two groups. The data were analyzed by univariate analysis and binary logistic regression. Results: The utilization rate of labor analgesia of the primipara in the observation group was 91.9% (158/172), which was significantly higher than that (81.8%, 737/901) of the primipara in the control group, and the modified OR was 2.410 (95%CI 1.339-4.337). The median value (25%,75%) of the neonatal weight in the observation group was ［3647.0 (3343.8-3850.0) g］, which was significantly higher than that ［3495.0 (3250.0-3782.0) g］ of the neonatal weight in the control group, and the modified OR was 1.001 (95%CI 1.000-1.001). The rate of gestational hypertension of the primipara in the observation group was 4.7%, which was significantly lower than that (10.0%) of the primipara in the control group, and the modified OR was 0.451 (95%CI 0.212-0.959). Conclusion: The risk of the cesarean section because of intrapartum fever of the primipara during labor analgesia is 2.4 times higher than that of the primipara without labor analgesia. The risk of the cesarean section because of intrapartum fever of the primipara with big fetus is higher. The gestational hypertension of the primipara is a protective factor of their cesarean section because of intrapartum fever.
|
|
|
|
|
|
|
|
|
