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Comparative Studies | Obstetrics and Gynecology | India | Volume 14 Issue 2, February 2025 | Popularity: 6.2 / 10
Fever in Pregnancy: A Clinical Study at a Tertiary Care Hospital
Dr. Shruthi B. Ranjanagi, Dr. Tushar T. Palve, Dr. Samta Dongre, Dr. Rajashree Thatikonda
Abstract: Background: Fever in Obstetrics is a leading cause of maternal morbidity and mortality worldwide. Fever is a common complication during pregnancy. The decreased immune function in pregnancy makes women more susceptible to infections. Complications of fever in pregnancy affecting both the mother and the fetus. Fever has an effect on both maternal and fetal outcomes. Early diagnosis and active management will reduce the devastating outcomes of both fetus and mother. Aims and objectives: To determine etiology of fever in pregnancy in a tertiary care hospital and complications of fever in pregnancy to the mother and fetus. Purpose of study: This study aims to investigate the causes, and clinical outcomes of fever in pregnant women at a tertiary care hospital, highlighting its impact on maternal and fetal health. Method: A cross-sectional study was conducted at Cama Albless Hospital, including all patients with fever from April 2024 to August 2024. Results: This study evaluated 50 patients with fever during pregnancy and willing to participate in the study. The various demographic characteristics, details of pregnancy and materno-fetal outcome were evaluated. In this study, multigravidas (54%) were more prone to fever than primigravidas (46%). The incidence of fever was high in second trimester in 44% as compared to 3rd and 2nd trimester. Majority of the patients had fever of 3-4 days in 50% followed by 1-2 days in 40% cases, while 10% had fever more than 4 days. Miscarriage was observed in 6 % cases (3/50). Normal vaginal delivery in 14% cases out of 50 cases (7/50). LSCS in 12% cases out of 50 cases (6/50). 2/7 FTNDs had meconium-stained liquor, no NICU admissions. 2/6 emergency LSCS had meconium-stained liquor, 1 baby NICU admission. There were no fetal and maternal deaths. Among all the cases 24% had acute febrile illness, 22% had URTI, 16% had enteric fever, 16% had acute gastroenteritis, 14% had UTI, 6% had dengue, 2% had malaria, 2 % had TORCH group of infections, 4% had multiple coexisting infections. Fever makes pregnancy a high risk condition and increases the risk of miscarriage, need for emergency LSCS, meconium stained liquor, NICU admission for the baby. Fever during pregnancy is a significant cause of maternal morbidity and fetal complications. This study examines the etiology, duration, and outcomes of fever in pregnant women at a tertiary care hospital. A cross-sectional analysis was conducted from April 2024 to August 2024, evaluating 50 patients. The findings indicate that fever was more common in multigravidas (54%) and most prevalent during the second trimester (44%). The primary causes included acute febrile illness (24%), upper respiratory tract infections (22%), and urinary tract infections (14%). Adverse outcomes included miscarriage (6%) and increased emergency cesarean section rates (12%). This study underscores the need for early diagnosis and infection control measures to improve maternal and fetal health outcomes. Conclusion: In this study, it's seen many maternal and fetal complications occur due to fever in pregnancy from various etiologies. Early diagnosis and active management will reduce the devastating outcomes of both fetus and mother. Effective infection control measures should be emphasized at home, in the community, and in hospitals.
Keywords: Fever in pregnancy, maternal infections, pregnancy complications, fever and fetomaternal outcomes
Edition: Volume 14 Issue 2, February 2025
Pages: 1789 - 1791
DOI: https://www.doi.org/10.21275/MR25301144225
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