FETOMATERNAL OUTCOME OF PATIENTS WITH FEVER DURING TERM PREGNANCY

Abstract

Introduction: Fever in pregnancy is a common clinical problem globally. The risk to the mother and fetus is signicantly increased in pregnancy complicated by infection and fever. Fever is one of the most frequent reasons for emergency consultation during pregnancy and may be associated with signicant adverse outcomes, these being maternal (sepsis, organ damages) obstetrical (miscarriage, preterm birth, chorioamnionitis) or fetal (malformations, fetal demise). However, only one study including mainly second and third trimester pregnant women, evaluated causes of acute undifferentiated fever and 25 % of women had no identied cause. A hospit Methodology: al based analytical cross sectional study was analysed the maternofetal outcome of 50 cases of fever during term pregnancy and the outcome of 50 cases without fever in term pregnancy and it was studied between 2020-2021 at Govt. Mohan Kumaramangalam medical college, Salem. During the study cases were selected with pregnant women at term gestation with or without fever admitted in Labour ward and Antenatal ward of Govt. Mohan Kumaramangalam medical college hospital. The patients recruited for the study underwent Clinical history, General examination, Obstretic examination, CTG and USG Obstretics, fever ivestigations. In the group 1, Patients of 37weeks completed mothers with fever for more than one day and in the group 2 healthy AN mothers of 37weeks completed gestation were included. Fetal outcome will be studied by t Results: aking variableslow birth weight, intrauterine growth retardation, preterm delivery, neonatal sepsis and perinatal death.Maternal complications –post operative wound infection, post-partum haemorrhage, pneumonia, septicemia, jaundice, hypoglycemia and other complications of specic fever will be studied. Most common cause of fever in pregnancy was respiratory tract infections. Urinary tract infection was the second common cause. Pregnant women with fever 24% had Hypotension and 56% had Tachycardia. Pregnant women with fever had almost half the delivery with meconium stained signicantly. Among 50 delivered fever mothers, 24% cases were Previous LSCS cases, 44% cases went into spontaneous labour, only 32% cases induced. Out of 32% cases induced, 50% cases were delivered vaginally and 50% Cases underwent caeserean sections. So, Fever did not signicantly affect labour onset and the mode of delivery. Signicantly NICU admission was required among the fever cohorts Fever during pregnancy is a common occurrence that can lead to a wide range of issues Conclusion: for both the mother and the foetus and newborn. Because the most prevalent causes of fever are preventable, there has to be a greater emphasis on the importance of being aware of how to avoid such illnesses in order to avoid life-threatening foetomaternal consequences.