Feto maternal outcome in pregnancy with fever

Abstract

Background: Infection in pregnancy is a common clinical problem worldwide. The risk to the mother and the fetus is significantly increased in pregnancy complicated by fever. Effect of fever depends on the extent and duration of temperature elevation, socioeconomic status and nutritional status of mother, pre-existing co-morbidity, timing of exposure in pregnancy and several other factors. So, here we have carried out study on symptomatic antenatal patients to determine the fetomaternal outcome of various infections during pregnancy.

Methods: This prospective observational study is done to determine fetomaternal outcome of 80 antenatal patients admitted during antepartum period with fever with infectious etiology at the department of obstetrics and gynecology, At SMT. SCL hospital, between 1^st April 2023 to 30^th September 2023, who were either delivered or aborted.

Results: Out of 80 cases of fever in pregnancy, most common cause of fever was urinary tract infection (UTI) (31.3%) followed by upper respiratory infection (25%). fever was associated with antenatal complication such as abortion (13.8%), preterm delivery (23.7%), PROM, PPROM and etc. fetal outcome were preterm birth (23.7%), low birth weight (40%), neonatal mortality (2.5%).

Conclusions: Infection during pregnancy is a commonly encountered feature that results in an extensive array of both maternal and fetal complications. The most common cause of fever was UTI. So, all women coming for first antenatal check-up should be investigated for the presence of asymptomatic genitourinary infection. early diagnosis and treatment of them adequately with the antimicrobials decreasing the associated neonatal and maternal morbidities.