Table 4.
Comparison of maternal clinical and lab findings, Antipyretic use, mode of delivery, and prevalence of confirmed chorioamnionitis
| Comparison -Group (1) Vs. Group (2) | |||||
|---|---|---|---|---|---|
|
Total patients N=415 |
Group (1) PIT 37.6 to 37.90C N= 203 |
Group (2) PIT 380C or more N=212 |
Odds ratio (95% CI) |
P value | |
| Maternal tachycardia | 251 (60.5%) | 110(54.2%) | 141 (66.5%) |
0.59 (0.40 to 0.89) |
0.010 |
| Fetal tachycardia |
198 (47.7%) |
85(41.9%) | 113(53.3%) |
0.63 (0.43 to 0.93) |
0.020 |
| WBC >15 N (%) | 188 (45.3%) | 90(44.3%) | 98(46.2%) |
0.93 (6.23 -1.36) |
0.699 |
| CRP>20 N (%) | 213/329 (64.7%) | 97/152 (63.8%) | 116/177 (65.5%) |
0.93 (0.59 to 1.46) |
0.745 |
| Positive blood culture(mother)N (%) |
25/208 (12%) |
6/68 (8.8%) | 19/140 (13.6%) |
0.62 (0.23 to 1.62) |
0.323 |
| Intrapartum antibiotics at least 2 or more hours before delivery | 233 (56.1%) | 119 (58.6%) | 114 (53.8%) |
1.22 (0.83 to 1.79) |
0.320 |
| Received paracetamol for temperature below 380C N (%) | 215/297 (72.4%) | 179/203(88.2 %) | 37/95 (38.9%) |
11.69 (6.46 to 21.15) |
<0.001 |
| LSCS | 190 (45.8%) | 91 (44.8%) | 99(46.7%) |
0.93 (0.64 to 1.37) |
0.706 |
| Instrumental vaginal delivery N (%) | 97 (23.4%) | 49(24.1%) | 48(22.6%) |
1.09 (0.69 to 1.71) |
0.719 |
|
Positive Placenta culture N (%) |
62/275 (22.5%) | 25/134(18.7%) | 37/141(26.2%) |
0.65 (0.36 to 1.15) |
0.132 |
| Positive placental pathology N (%) |
29/45 (64.4%) |
12/20 (60%) | 17/25 (68%) |
0.71 (0.21 to 2.41) |
0.577 |
| Confirmed chorioamnionitis (based on placental culture or histopathology) N (%) | 82/288 (28.5%) | 35/138 (25.4%) | 47/140 (31.3%) |
0.75 (0.46 to 1.25) |
0.262 |
| Confirmed chorioamnionitis (based on the placental culture of LSCS cases or by histopathology) N (%) | 53/177 (29.9%) | 19/87 (21.8%) | 34/90 (37.8 %) |
0.46 (0.24 to 0.89) |
0.021 |
PIT Peak intrapartum temperature, N Number, CI Confidence interval, WBC White blood cells, CRP C-reactive protein, LSCS Lower segment caesarian section