{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,14]],"date-time":"2026-08-14T06:28:36Z","timestamp":1786688916761,"version":"build-2736575974"},"reference-count":18,"publisher":"Wiley","license":[{"start":{"date-parts":[[2026,8,13]],"date-time":"2026-08-13T00:00:00Z","timestamp":1786579200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,8,13]],"date-time":"2026-08-13T00:00:00Z","timestamp":1786579200000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["obgyn.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Intl J Gynecology &amp;amp; Obste"],"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>To evaluate whether vacuum\u2010assisted birth (VAB) independently increases the risk of postpartum febrile morbidity, identifying a potentially modifiable contributor to maternal infectious morbidity.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>This retrospective cohort study was conducted at a university\u2010affiliated tertiary maternity center between 2011 and 2023. We included women with singleton pregnancies \u226537\u2009weeks of gestation who underwent vaginal birth. Women who underwent VAB formed the study group, while those experiencing spontaneous vaginal birth (SVB) served as the comparison group. To focus on new\u2010onset postpartum febrile morbidity, we excluded women with major intrapartum infectious risk factors, including intrapartum fever, prolonged rupture of membranes (\u226524\u2009h), Group B Streptococcus colonization, antibiotic administration during labor, manual removal of the placenta, and third\u2010 or fourth\u2010degree perineal tears. Postpartum febrile morbidity was defined as maternal fever (\u226538.0\u00b0C) occurring between 2 and 48\u2009h after birth, requiring treatment with broad\u2010spectrum antibiotics during hospitalization.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Among 76\u2009958 eligible births, 6137 (7.8%) were VAB and 70\u2009821 (92.2%) were SVB. The VAB group demonstrated a significantly higher rate of postpartum febrile morbidity compared with the SVB group (0.7% vs. 0.2%,\n                      <jats:italic>P<\/jats:italic>\n                      \u2009&lt;\u20090.001). Women undergoing VAB more commonly had nulliparity, epidural anesthesia, longer duration of membrane rupture, prolonged second stage of labor, meconium\u2010stained amniotic fluid, and episiotomy (all\n                      <jats:italic>P<\/jats:italic>\n                      \u2009&lt;\u20090.001). Multivariable analysis confirmed VAB as an independent risk factor for postpartum febrile morbidity (adjusted odds ratio [aOR] 3.01, 95% confidence interval [CI]:1.62\u20135.61).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>VAB is associated with increased risk of postpartum febrile morbidity. These findings support heightened postpartum surveillance and evaluation of preventive strategies following VAB.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/ijgo.71309","type":"journal-article","created":{"date-parts":[[2026,8,14]],"date-time":"2026-08-14T05:45:06Z","timestamp":1786686306000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Postpartum febrile morbidity following vacuum\u2010assisted birth: A retrospective cohort study"],"prefix":"10.1002","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-0941-2074","authenticated-orcid":false,"given":"Itamar","family":"Gilboa","sequence":"first","affiliation":[{"name":"Department of Obstetrics and Gynecology, Lis Hospital for Women's Health Tel Aviv Sourasky Medical Center  Tel Aviv Israel"},{"name":"Gray Faculty of Medicine Tel Aviv University  Tel Aviv Israel"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Daniel","family":"Gabbai","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology, Lis Hospital for Women's Health Tel Aviv Sourasky Medical Center  Tel Aviv Israel"},{"name":"Gray Faculty of Medicine Tel Aviv University  Tel Aviv Israel"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lee","family":"Reicher","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology, Lis Hospital for Women's Health Tel Aviv Sourasky Medical Center  Tel Aviv Israel"},{"name":"Gray Faculty of Medicine Tel Aviv University  Tel Aviv Israel"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Emmanuel","family":"Attali","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology, Lis Hospital for Women's Health Tel Aviv Sourasky Medical Center  Tel Aviv Israel"},{"name":"Gray Faculty of Medicine Tel Aviv University  Tel Aviv Israel"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yariv","family":"Yogev","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology, Lis Hospital for Women's Health Tel Aviv Sourasky Medical Center  Tel Aviv Israel"},{"name":"Gray Faculty of Medicine Tel Aviv University  Tel Aviv Israel"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anat","family":"Lavie","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology, Lis Hospital for Women's Health Tel Aviv Sourasky Medical Center  Tel Aviv Israel"},{"name":"Gray Faculty of Medicine Tel Aviv University  Tel Aviv Israel"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,8,13]]},"reference":[{"key":"e_1_2_10_2_1","doi-asserted-by":"publisher","DOI":"10.1097\/01.AOG.0000124568.71597.ce"},{"key":"e_1_2_10_3_1","doi-asserted-by":"publisher","DOI":"10.1097\/AOG.0000000000003764"},{"key":"e_1_2_10_4_1","doi-asserted-by":"publisher","DOI":"10.1155\/S1064744900000053"},{"key":"e_1_2_10_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.bpobgyn.2018.09.005"},{"key":"e_1_2_10_6_1","doi-asserted-by":"publisher","DOI":"10.1515\/jpm-2016-0389"},{"key":"e_1_2_10_7_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1471-0528.2011.03239.x"},{"key":"e_1_2_10_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajogmf.2022.100705"},{"key":"e_1_2_10_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(19)30773-1"},{"key":"e_1_2_10_10_1","doi-asserted-by":"publisher","DOI":"10.1111\/1471-0528.16092"},{"key":"e_1_2_10_11_1","volume-title":"WHO Recommendation on Routine Antibiotic Prophylaxis for Women Undergoing Operative Vaginal Birth","year":"2021"},{"key":"e_1_2_10_12_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajog.2019.01.216"},{"key":"e_1_2_10_13_1","doi-asserted-by":"publisher","DOI":"10.1097\/AOG.0000000000001246"},{"key":"e_1_2_10_14_1","doi-asserted-by":"publisher","DOI":"10.1177\/09680519040100040301"},{"key":"e_1_2_10_15_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ogrm.2018.04.001"},{"key":"e_1_2_10_16_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajog.2015.11.007"},{"key":"e_1_2_10_17_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajog.2022.08.037"},{"key":"e_1_2_10_18_1","doi-asserted-by":"publisher","DOI":"10.1002\/14651858.CD004455.pub5"},{"key":"e_1_2_10_19_1","doi-asserted-by":"publisher","DOI":"10.3201\/eid1408.071059"}],"container-title":["International Journal of Gynecology &amp; 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