{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,5]],"date-time":"2026-05-05T00:09:40Z","timestamp":1777939780347,"version":"3.51.4"},"reference-count":19,"publisher":"SAGE Publications","issue":"4","license":[{"start":{"date-parts":[[2025,12,1]],"date-time":"2025-12-01T00:00:00Z","timestamp":1764547200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Therapeutic Hypothermia and Temperature Management"],"published-print":{"date-parts":[[2025,12]]},"abstract":"<jats:p>\n                    This study aims to equip clinicians with the necessary insights for identifying and managing pregnant women experiencing elevated maternal pyrexia during labor. It examines maternal and neonatal outcomes along with the factors associated with varying peak temperatures. A retrospective analysis was conducted on 319 pregnant women presenting with maternal pyrexia during labor. Participants were categorized into two groups based on peak temperature: Group A (\n                    <jats:italic toggle=\"yes\">n<\/jats:italic>\n                    = 180, temperature &lt;38\u00b0C) and Group B (\n                    <jats:italic toggle=\"yes\">n<\/jats:italic>\n                    = 139, temperature \u226538\u00b0C). Basic characteristics, blood markers, and maternal and neonatal outcomes were compared between the two groups. (1) Group B exhibited a higher percentage of neutrophilic granulocytes (NE%) and C-reactive protein to lymphocyte ratio (CLR) compared with Group A (\n                    <jats:italic toggle=\"yes\">p<\/jats:italic>\n                    &lt; 0.05). (2) The rates of meconium-stained amniotic fluid, histological chorioamnionitis, hospitalization of neonates, and infections in neonates were greater in Group B than in Group A (\n                    <jats:italic toggle=\"yes\">p<\/jats:italic>\n                    &lt; 0.05). (3) Logistic regression analysis identified elevated CLR levels as a risk factor for peak temperatures exceeding 38\u00b0C, indicating that CLR could serve as a reliable predictor of maternal pyrexia above 38\u00b0C during labor. Higher maternal pyrexia peaks may exacerbate adverse maternal and neonatal outcomes, emphasizing the importance of timely clinical intervention. NE% and CLR could serve as valuable indicators for identifying underlying causes and predicting peak maternal pyrexia during labor.\n                  <\/jats:p>","DOI":"10.1089\/ther.2024.0054","type":"journal-article","created":{"date-parts":[[2025,1,20]],"date-time":"2025-01-20T10:01:27Z","timestamp":1737367287000},"page":"207-212","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Impact and Contributing Factors of Maternal Pyrexia Peaks During Labor on Maternal and Neonatal Outcomes"],"prefix":"10.1177","volume":"15","author":[{"given":"Xiu-Fang","family":"Shao","sequence":"first","affiliation":[{"name":"Department of Gynecology and Obstetrics, Fujian Maternal and Child Health Hospital, Fuzhou, China."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ping","family":"Lin","sequence":"additional","affiliation":[{"name":"Department of Gynecology and Obstetrics, Fujian Maternal and Child Health Hospital, Fuzhou, China."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ying-Ling","family":"Xiu","sequence":"additional","affiliation":[{"name":"Department of Gynecology and Obstetrics, Fujian Maternal and Child Health Hospital, Fuzhou, China."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kun-Hai","family":"Ren","sequence":"additional","affiliation":[{"name":"Department of Gynecology and Obstetrics, Fujian Maternal and Child Health Hospital, Fuzhou, China."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0001-9437-8113","authenticated-orcid":false,"given":"Bing-Qing","family":"Lv","sequence":"additional","affiliation":[{"name":"Department of Gynecology and Obstetrics, Fujian Maternal and Child Health Hospital, Fuzhou, China."}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2026,1,22]]},"reference":[{"key":"e_1_3_5_2_1","doi-asserted-by":"publisher","DOI":"10.7717\/peerj.14242"},{"key":"e_1_3_5_3_1","doi-asserted-by":"publisher","DOI":"10.1097\/AOG.0000000000003335"},{"key":"e_1_3_5_4_1","first-page":"1086","volume-title":"Diagnostic Gynecologic and Obstetric Pathology [M]","author":"Crum CP","year":"2007","unstructured":"Crum CP, , Lee KR. Diagnostic Gynecologic and Obstetric Pathology [M]. Peking University Medical Press: Hui Yunzhong, Trans. 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[Clinical value analysis of PCT, CRP, WBC and NEU in the diagnosis of subclinical chorioamniotic preterm rupture of fetal membrane]. Zhong Guo Xian Dai Yi Sheng, 2020; 58(27):10\u201313\u2009+\u2009193. https:\/\/kns.cnki.net\/kcms2\/article\/abstract?v=Mw9fkKjKljppHVrQOgF8xY0LJ1YV1LwX-KO650IUUwnL-GFllxMAlGIp3nDzcuHJzudb5lFQsIQdc09IWOxsqFxo6H1DjvItUnI0-zbBnI69yERjWkYITsXA3q51xPsrJm4mKRVxmGswYz1RZFa8kIn6gjE8AmIAwXaPyGF7zf9-9Fn-lCcdkVkodzClp2tj&uniplatform=NZKPT&language=CHS","journal-title":"Zhong Guo Xian Dai Yi Sheng"},{"key":"e_1_3_5_18_1","doi-asserted-by":"publisher","DOI":"10.1097\/GRF.0000000000000270"},{"key":"e_1_3_5_19_1","doi-asserted-by":"publisher","DOI":"10.3390\/jpm11121274"},{"key":"e_1_3_5_20_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajog.2017.02.022"}],"container-title":["Therapeutic Hypothermia and Temperature Management"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1089\/ther.2024.0054","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1089\/ther.2024.0054","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1089\/ther.2024.0054","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,5,2]],"date-time":"2026-05-02T05:28:21Z","timestamp":1777699701000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/full\/10.1089\/ther.2024.0054"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,12]]},"references-count":19,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2025,12]]}},"alternative-id":["10.1089\/ther.2024.0054"],"URL":"https:\/\/doi.org\/10.1089\/ther.2024.0054","relation":{},"ISSN":["2153-7658","2153-7933"],"issn-type":[{"value":"2153-7658","type":"print"},{"value":"2153-7933","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,12]]}}}