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경막외 마취가 산모발열과 신생아 상태에 미치는 영향
The effects of epidural analgesia on maternal fever and neonatal outcomes

Anesthesia and Pain Medicine 2014년 9권 1호 p.61 ~ p.64

전주연(Jeon Joo-Yeon) - 관동대학교 제일병원 마취통증의학과
윤희조(Yoon Hea-Jo) - 관동대학교 제일병원 마취통증의학과
이인호(Lee In-Ho) - 관동대학교 제일병원 마취통증의학과
지영석(Jee Young-Seok) - 관동대학교 제일병원 마취통증의학과
이필무(Lee Pil-Moo) - 관동대학교 제일병원 마취통증의학과

Abstract

Background: In low-risk women at term, epidemiologic studies have shown that fever in nulliparous parturients during labor is related to epidural use. Moreover, effects of fever associated with epidural analgesia on adverse neonatal outcomes have been debated. The purpose of this study is to evaluate the influence of epidural analgesia on intrapartum fever, neonatal outcomes in deliveries including nulliparity and multiparity.

Methods:We retrospectively investigated normal full-term sponta-neous deliveries during 2012. Of 3,858 mother-infant pairs, 3,179 (82%) parturients received and 679 (18%) parturients did not receive epidural analgesia during labor. We regarded intrapartum fever greater than 37.5oC, and the parturients with fever were treated with intravenous propacetamol. We divided the study population accor-ding to labor epidural analgesia use and, fever and compared the incidence of fever and neonatal outcomes.

Results: Incidence of fever was higher in the epidural group compared with the no epidural group (21 vs. 5%). The number of babies with a 1 min Apgar ＜ 7 was lower in the no epidural with no fever group, and neonatal seizure was more frequent in the epidural with fever group compared with the no epidural without fever group, no epidural with fever group, and the epidural without fever group.

Conclusions: Incidence of fever was increased in the epidural analgesia group. Adverse neonatal outcomes were more frequent in the epidural with fever group. No conclusion whether the epidural analgesia cause neonatal adverse outcomes can be drawn due to confounding factors

키워드

Apgar score, Epidural analgesia, Intrapartum fever, Neonatal seizure

KMID : 1155520140090010061

원문 및 링크아웃 정보

등재저널 정보

주제코드

주제명(Target field)

연구대상(Population)

연구참여(Sample size)

대상성별(Gender)

질병특성(Condition Category)

연구환경(Setting)

연구설계(Study Design)

연구기간(Period)

중재방법(Intervention Type)

중재명칭(Intervention Name)

키워드(Keyword)

유효성결과(Recomendation)

연구비지원(Fund Source)

근거수준평가(Evidence Hierarchy)

출판년도(Year)

참여저자수(Authors)

대표저자

DOI

KCD코드

ICD 03

건강보험코드

경막외 마취가 산모발열과 신생아 상태에 미치는 영향 The effects of epidural analgesia on maternal fever and neonatal outcomes

Abstract

키워드

경막외 마취가 산모발열과 신생아 상태에 미치는 영향
The effects of epidural analgesia on maternal fever and neonatal outcomes