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Low Apgar Score, Neonatal Encephalopathy, and Epidural Analgesia During Labor: A Swedish Registry-based Study

Törnell, S.; Ekéus, C.; Hultin, M.; Håkansson, S.; Thunberg, J.; Högberg, U.

doi: 10.1097/01.aoa.0000479494.36258.d1
Epidemiologic Reports, Surveys
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Commentary

(Acta Anaesthesiol Scand. 2015; 59;486–495)

Maternal fever (MF) during labor is associated with adverse neonatal morbidity and mortality and other poor outcomes, including encephalopathy. Epidural analgesia (EA) has been associated with a rise in maternal temperature during labor, although the observations linking EA to MF may be related to or confounded by a number of other factors. This retrospective population-based register study examined whether parturients receiving EA had an increased risk of giving birth to children with neonatal encephalopathy, and whether there is an association between MF and neonatal encephalopathy.

Department of Surgical and Perioperative Sciences, Anaesthesiology and Intensive Care, Umeå University, Umeå, Sweden

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