Evaluation of Fever Occurring in Labor in Patients Receiving Epidural Anesthesia
NCT00326521 · Status: UNKNOWN · Type: OBSERVATIONAL · Enrollment: 50
Last updated 2008-06-06
Summary
Briefly, the investigators propose to evaluate nulliparous (first time mothers) patients beyond 36 0/7 weeks' gestation in active labor who already have received epidural anesthesia and have an intrauterine pressure catheter (IUPC) in place. Any patient who then develops a single temperature elevation of \> 38 degrees will be eligible for inclusion and consented for the study. Maternal blood will be drawn immediately, one hour later and at delivery. Amniotic fluid will be aspirated from the pressure catheter; the first 1-2 cc will be discarded and the remainder will be evaluated for gram stain, culture, glucose level, interleukin-6 (IL-6), and proteomics. All placentas will be sent for routine pathologic examination. Cord blood will be obtained at birth for routine studies. Both maternal and cord blood will be sent for proteomic evaluation (defined). The patients with amniotic fluid that has a positive gram stain and culture will be defined as the infected group, and the patients with amniotic fluid that has a negative gram stain and culture will be defined as the uninfected group. Differences in clinical presentation and laboratory assessments, including proteomics, will be compared between the two groups to determine if there are any markers that might prove to be useful in distinguishing between these two entities (epidural fever with and without actual infection).
Conditions
Sponsors & Collaborators
-
MemorialCare
lead OTHER
Principal Investigators
-
Michael P Nageotte, MD · Memorial Care
Eligibility
- Min Age
- 18 Years
- Sex
- FEMALE
- Healthy Volunteers
- Yes
Timeline & Regulatory
- Start
- 2006-10-31
- Completion
- 2009-05-31
Countries
- United States
Study Locations
More Related Trials
-
Reliability of Ultrasound Assisted Epidural Analgesia in Obese and Normal Weight Parturients
NCT01438099 ·Status: COMPLETED
-
Prevention of Maternal Hypothermia After Scheduled Caesarean Section Using Active Intravenous Warming
NCT03581721 ·Status: COMPLETED ·Phase: NA
-
Central Arterial Pressure Changes With Use of Regional Anesthesia in Obstetric Patients
NCT02933541 ·Status: COMPLETED
-
Norepinephrine to Prevent Hypotension in Ceasrean Delivery
NCT05248932 ·Status: COMPLETED ·Phase: PHASE4
-
Combined Anesthesia for Labor and Maternal Temperature
NCT01078519 ·Status: COMPLETED ·Phase: PHASE3
-
Ambulation With Labor Epidural in Obese Women
NCT04504682 ·Status: TERMINATED ·Phase: NA
-
Combined Colloids And Crystalloids Versus Crystalloids in Women With Preeclampsia Undergoing Cesarean Delivery
NCT03252496 ·Status: COMPLETED ·Phase: NA
-
The Effect of Warmed Parenteral Fluids During Delivery
NCT03178461 ·Status: UNKNOWN ·Phase: NA
-
Changes in Velocimetric Indices of Uterine and Umbilical Arteries Before and After Combined Spinal-epidural Analgesia in Laboring Women
NCT05512065 ·Status: COMPLETED ·Phase: NA
-
Effect of Intravenous Vitamin C on Intrapartum Maternal Fever After Epidural Labor Analgesia
NCT06354582 ·Status: RECRUITING ·Phase: PHASE4
-
Neutrophil to Lymphocyte Ratio and Postdural Headache
NCT07075874 ·Status: RECRUITING
-
Effect of Preoperative Oral Energy Drinks Compared to Warming Matress on Body Temperature During Combined Spinal-epidural Anesthesia for Elective Cesarean Delivery.
NCT06017076 ·Status: COMPLETED ·Phase: NA
-
Evaluation of the Impact of an Outpatient Obstetric Epidurals During Labor
NCT02507739 ·Status: COMPLETED ·Phase: NA
-
Maternal Postop Temperature After Cesarean Delivery
NCT05661136 ·Status: COMPLETED ·Phase: NA
-
Peripheral Skin Temperature Changes Following Spinal Anaesthesia for Category 4 LSCS
NCT05726760 ·Status: UNKNOWN
-
Sleep Efficiency and Quantification After Labor Epidural Analgesia
NCT02862951 ·Status: UNKNOWN
-
Mitochondrial DNA Triggering Epidural Related Maternal Fever
NCT04045223 ·Status: COMPLETED
-
Coagulation Profile Surrounding Normal Cesarean Delivery
NCT02482246 ·Status: COMPLETED
-
Fractionated Vs Single Dose Injection for Spinal C-Section in Patients With Pregnancy-Induced Hypertension
NCT03693638 ·Status: COMPLETED ·Phase: NA
-
Phenylephrine vs. Norepinephrine Infusion After Spinal Anesthesia for Cesarean Delivery
NCT02354833 ·Status: COMPLETED ·Phase: PHASE4
-
Primary Immunodeficiencies and Obstetrical Neuraxial Anaesthesia
NCT06449066 ·Status: COMPLETED
-
Epidural Tap in Labor Analgesia FOR LABOR ANALGESIA
NCT05499234 ·Status: COMPLETED ·Phase: NA
-
Effects of an Educational Tool on Knowledge and Risk Retention About Epidural Analgesia in Parturients.
NCT05355103 ·Status: UNKNOWN ·Phase: NA
-
Evaluation of Compensatory Reserve in Obstetrical Patients
NCT02408588 ·Status: UNKNOWN
-
Effect of Subarachnoid Hyperbaric Bupivacaine in Obese Pregnant Patients Undergoing Cesarean Section
NCT06060015 ·Status: UNKNOWN ·Phase: PHASE4