{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,9]],"date-time":"2026-09-09T06:45:32Z","timestamp":1788936332067,"version":"build-2803163510"},"reference-count":34,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2013,10,10]],"date-time":"2013-10-10T00:00:00Z","timestamp":1381363200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Paediatric Perinatal Epid"],"published-print":{"date-parts":[[2014,1]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Subfebrile intrapartum maternal temperature is very common, yet there is sparse evidence regarding its causes or its effects on perinatal outcomes. We examined whether mild temperature elevation during labour is a risk marker for adverse obstetric and neonatal outcomes.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>A retrospective cohort analysis including 42\u2009601 term, singleton live\u2010births in two medical centres between 2003 and 2010 was performed. This study compared women who experienced a maximal intrapartum temperature of \u226437\u00b0C with women who experienced subfebrile intrapartum temperature (37.1\u201337.9\u00b0C). Adjusted risks for adverse obstetric and neonatal outcomes were calculated by using multivariable logistic regression models.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Compared with maternal temperature\u2009\u2264\u200937\u00b0C, subfebrile temperature was associated with higher rates of primary caesarean deliveries {adjusted odds ratios [a<jats:styled-content style=\"fixed-case\">OR<\/jats:styled-content>]\u2009=\u20091.36 [95% confidence interval (<jats:styled-content style=\"fixed-case\">CI<\/jats:styled-content>) 1.25, 1.49])} and assisted vaginal deliveries (a<jats:styled-content style=\"fixed-case\">OR<\/jats:styled-content>\u2009=\u20091.20 [95% <jats:styled-content style=\"fixed-case\">CI<\/jats:styled-content> 1.11, 1.30]), as well as with greater risks of early neonatal sepsis (a<jats:styled-content style=\"fixed-case\">OR<\/jats:styled-content>\u2009=\u20092.66 [95% <jats:styled-content style=\"fixed-case\">CI<\/jats:styled-content> 1.88, 3.77]), neonatal intensive care unit admissions (a<jats:styled-content style=\"fixed-case\">OR<\/jats:styled-content>\u2009=\u20091.40 [95% <jats:styled-content style=\"fixed-case\">CI<\/jats:styled-content> 1.08, 1.83]), and neonatal asphyxia or seizures (a<jats:styled-content style=\"fixed-case\">OR<\/jats:styled-content>\u2009=\u20093.18 [95% <jats:styled-content style=\"fixed-case\">CI<\/jats:styled-content> 1.51, 6.70]). Mildly elevated maternal intrapartum temperature (37.1\u201337.5\u00b0C) was also associated with adverse outcomes.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Maternal intrapartum subfebrile temperature may be an indicator of operative delivery and neonatal morbidity. Further research is needed to confirm these findings and to reveal underlying mechanisms.<\/jats:p><\/jats:sec>","DOI":"10.1111\/ppe.12090","type":"journal-article","created":{"date-parts":[[2013,10,12]],"date-time":"2013-10-12T02:20:38Z","timestamp":1381544438000},"page":"39-47","source":"Crossref","is-referenced-by-count":20,"title":["The Association of Maternal Intrapartum Subfebrile Temperature and Adverse Obstetric and Neonatal Outcomes"],"prefix":"10.1111","volume":"28","author":[{"given":"Uri P.","family":"Dior","sequence":"first","affiliation":[{"name":"Department of Obstetrics and Gynecology Hadassah Medical Center and Hebrew University\u2010Hadassah Medical School  Jerusalem Israel"},{"name":"Braun School of Public Health Hebrew University\u2010Hadassah Medical Center  Jerusalem Israel"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Liron","family":"Kogan","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology Hadassah Medical 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