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Re: fever after epidural From: Griffiths Malcolm (Malcolm.Griffiths@ldh-tr.anglox.nhs.uk) Wed Jan 10 03:12:38 2001 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: Griffiths Malcolm: "Re: flying" Previous message: Griffiths Malcolm: "Re: fed up with windows" Next in thread: art fougner, md: "Re: fever after epidural" Reply: art fougner, md: "Re: fever after epidural" This was reported also in the Lancet I think late 1980's authors were Luca Fusi and Prof Phil Steer, then at West London Hospital. -----Original Message----- From: Braun, R. Daniel [mailto:rbraun@iupui.edu] Sent: 10 January 2001 02:43 To: Multiple recipients of list OB-GYN-L Subject: Re: fever after epidural There is some evidence that epidural by itself induces a fever in a significant number of patients. I don't remember whereit was published, but it was written by Watson Bowes. Dan -----Original Message----- From: Ricardo SavarisTo: Multiple recipients of list OB-GYN-L Sent: 1/9/01 7:37 PM Subject: Re: fever after epidural Maggie My personal idea is to avoid antibiotic before urine sample and hemograme. I have seen a case of fluid contamination (i.e. 5DW), but I don't believe that your country would have this kind of problem. I agree with you that it is too early for chorio I would wait a little bit long, check CBC and Urine and follow the evolution of the case. Ricardo Savaris, MD Brazil >----- Original Message ----- From: maggie cnm <maggiela@rochester.rr.com> To: Multiple recipients of list OB-GYN-L <ob-gyn-l@forum.obgyn.net> Sent: Saturday, December 30, 2000 4:20 PM Subject: fever after epidural > Opinions, please. > G3P2 in for AROM and pit augmentation at term. (Too many details as to > why, etc and not really important to question.) AROM clear fluid at 3 > cms. Labs normal, WBC 18.2.(We use 20 as significant) Labor progressed > well with minimal pitocin. Pt requested and received an epidural at 4 > cms (around 5pm). VS all normal,temp 37.4,pulse~100 (had been that way > at admission). At 6pm, pt's temp was 38.6. Started her on Clinda (PCN > allergy) with plans to add Gent but she delivered as the first Clinda > ran in. Temp at delivery 39. Plan was to continue the atbx for > overnight and see if she became afebrile. Baby was fine...off to > special care because of maternal temp. Nothing suspicious about the > placenta or amniotic fluid, etc. > Is it possible that this was some type of response to the bupivicaine or > fentanyl in the epidural? Anesthesia said that it was not, but since she > was fine prior to the epidural, I wonder. Certainly this could have > been chorio but she was AROMed only 2 hours prior to giving birth. > I have read a few studies that show a correlation between maternal temps > and epidural use but it seems that the temp elevates only after a few > hours with the epidural in place. > Thanks for your opinions.... > > -- > Maggie, CNM > ********************************************************************** This email and any files transmitted with it are confidential and intended solely for the use of the individual or entity to whom they -- are addressed. If you have received this email in error please notify the system manager. This footnote also confirms that this email message has been swept by MIMEsweeper for the presence of computer viruses. ********************************************************************** Next message: Griffiths Malcolm: "Re: flying" Previous message: Griffiths Malcolm: "Re: fed up with windows" Next in thread: art fougner, md: "Re: fever after epidural" Reply: art fougner, md: "Re: fever after epidural"

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