Is intrapartum fever associated with ST-waveform changes of the fetal electrocardiogram? A retrospective cohort study

J. H. Becker, J. Van Rijswijk, B. Versteijnen, A. C C Evers, E. S A Van Den Akker, E. Van Beek, A. C. Bolte, R. J P Rijnders, B. W J Mol, K. G M Moons, M. M. Porath, A. P. Drogtrop, N. W E Schuitemaker, C. Willekes, M. E M H Westerhuis, G. H A Visser, A. Kwee

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2 Citations (Scopus)


Objective To investigate the association between maternal intrapartum fever and ST-waveform changes of the fetal electrocardiogram. Design Retrospective cohort study. Setting Three academic and six non-academic teaching hospitals in the Netherlands. Population Labouring women with a high-risk singleton pregnancy in cephalic position beyond 36 weeks of gestation. Methods We studied 142 women with fever (≥yen;38.0°C) during labour and 141 women with normal temperature who had been included in two previous studies. In both groups, we counted the number and type of ST-events and classified them as significant (intervention needed) or not significant, based on STAN® clinical guidelines. Main outcome measures Number and type of ST-events. Results Both univariable and multivariable regression analysis showed no association between the presence of maternal intrapartum fever and the number or type of ST-events. Conclusions Maternal intrapartum fever is not associated with ST-segment changes of the fetal electrocardiogram. Interpretation of ST-changes in labouring women with fever should therefore not differ from other situations.

Original languageEnglish
Pages (from-to)1410-1416
Number of pages7
JournalBJOG: An International Journal of Obstetrics and Gynaecology
Issue number11
Publication statusPublished or Issued - Oct 2012


  • Fetal electrocardiogram
  • ST-analysis
  • STAN
  • intrapartum fever

ASJC Scopus subject areas

  • Obstetrics and Gynaecology

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