| ABSTRACT Objective: To explore the influencing factors and preventive measures of fever during painless delivery. Methods: 60 cases of parturients with fever during painless childbirth in our hospital from January 2020 to December 2020 were selected as the research objects, and they were divided into the observation group, and another 60 cases of parturients without fever during painless childbirth in the same period were selected as the control group. Clinical data analysis was carried out for all the puerpera. The demographic characteristics, basic diseases of pregnancy and different conditions during labor of the two groups were compared, and all the related factors were analyzed by multivariate logistic regression. Finally, summarize and analyze, and put forward the prevention measures of painless childbirth maternal fever during production. Results: There was no significant difference in age, gestational weeks, times of pregnancy and stillbirth history between the two groups (P>0.05). The number of cases with history of fetal protection in the observation group was significantly higher than that in the control group, and the times of labor in the observation group was significantly lower than that in the control group (P<0.05). There was no significant difference in anemia, thyroid gland dysfunction, hypertension, diabetes mellitus and premature delivery between the two groups (P>0.05), the number of pregnant women with premature rupture of membranes in the observation group was significantly higher than that in the control group (P<0.05); the time of the first stage of labor, the second stage of labor and the delivery time of premature rupture of membranes in the observation group were significantly higher than those in the control group (P<0.05); the number of pregnant women in the observation group with routine dose of ropivacaine anesthesia, artificial rupture of membranes, use of oxytocin and amniotic fluid pollution were significantly higher than those in the control group All factors were assigned values, in which "yes" was 1, and "no" was 0. Logistic regression analysis showed that only the history of fetal protection, times of labor, time of the first stage of labor, time of the second stage of labor, delivery time of premature rupture of membranes, epidural anesthetics, use of oxytocin and amniotic fluid pollution were the independent risk factors of maternal fever during painless delivery (P<0.05). Conclusion: The situation of premature rupture of membranes and the way of rupture of membranes may be related to the occurrence of fever, but only the history of fetal protection, the number of labor, the time of the first stage of labor, the time of the second stage of labor, the delivery time of premature rupture of membranes, epidural anesthetics, the use of oxytocin and amniotic fluid pollution are the independent risk factors of fever on the primipara, have a history of fetal protection, long duration of labor, premature rupture of membranes, long delivery time, amniotic fluid pollution and other painless childbirth maternal give certain preventive measures, and adjust the use of epidural anesthesia, reduce the use of oxytocin, to avoid painless childbirth maternal fever during production. |
