Intrapartum Maternal Fever and Long-Term Infectious Morbidity of the Offspring
Maternal intrapartum fever can lead to various maternal and neonatal complications and is attributed to various etiologies including infectious and non-infectious processes. In this study, we evaluated whether intrapartum fever affects the offspring’s tendency to long-term infectious morbidity. A po...
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| Format: | Article |
| Language: | English |
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MDPI AG
2023-05-01
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| Series: | Journal of Clinical Medicine |
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| Online Access: | https://www.mdpi.com/2077-0383/12/9/3329 |
| _version_ | 1797602313150398464 |
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| author | Omri Zamstein Tamar Wainstock Eyal Sheiner |
| author_facet | Omri Zamstein Tamar Wainstock Eyal Sheiner |
| author_sort | Omri Zamstein |
| collection | DOAJ |
| description | Maternal intrapartum fever can lead to various maternal and neonatal complications and is attributed to various etiologies including infectious and non-infectious processes. In this study, we evaluated whether intrapartum fever affects the offspring’s tendency to long-term infectious morbidity. A population-based cohort analysis including deliveries between 1991 and 2021 was conducted. The incidence of hospitalizations of the offspring up to the age of 18 years, due to various infectious conditions, was compared between pregnancies complicated by intrapartum fever and those that were not. A Kaplan–Meier survival curve was used to assess cumulative hospitalization incidence. A Cox proportional hazards model was used to control for confounders. Overall, 538 of the 356,356 included pregnancies were complicated with fever. A higher rate of pediatric hospitalizations due to various infectious conditions was found among the exposed group, which was significant for viral, fungal and ENT infections (<i>p</i> < 0.05 for all). The total number of infectious-related hospitalizations was significantly higher (30.1% vs. 24.1%; OR = 1.36; <i>p</i> = 0.001), as was the cumulative incidence of hospitalizations. This association remained significant after controlling for confounders using a Cox proportional hazards model (adjusted HR = 1.21; 95% CI 1.04–1.41, <i>p</i> = 0.016). To conclude, fever diagnosed close to delivery may influence offspring susceptibility to pediatric infections. |
| first_indexed | 2024-03-11T04:14:17Z |
| format | Article |
| id | doaj.art-8728b339af44475bbc3deb145e692941 |
| institution | Directory Open Access Journal |
| issn | 2077-0383 |
| language | English |
| last_indexed | 2024-03-11T04:14:17Z |
| publishDate | 2023-05-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Journal of Clinical Medicine |
| spelling | doaj.art-8728b339af44475bbc3deb145e6929412023-11-17T23:13:46ZengMDPI AGJournal of Clinical Medicine2077-03832023-05-01129332910.3390/jcm12093329Intrapartum Maternal Fever and Long-Term Infectious Morbidity of the OffspringOmri Zamstein0Tamar Wainstock1Eyal Sheiner2The Obstetrics and Gynecology Division, Soroka University Medical Center, Ben-Gurion University of the Negev, Beer-Sheva POB 151, IsraelThe Department of Public Health, Faculty of Health Sciences, Ben-Gurion University of the Negev, Beer-Sheva POB 653, IsraelThe Obstetrics and Gynecology Division, Soroka University Medical Center, Ben-Gurion University of the Negev, Beer-Sheva POB 151, IsraelMaternal intrapartum fever can lead to various maternal and neonatal complications and is attributed to various etiologies including infectious and non-infectious processes. In this study, we evaluated whether intrapartum fever affects the offspring’s tendency to long-term infectious morbidity. A population-based cohort analysis including deliveries between 1991 and 2021 was conducted. The incidence of hospitalizations of the offspring up to the age of 18 years, due to various infectious conditions, was compared between pregnancies complicated by intrapartum fever and those that were not. A Kaplan–Meier survival curve was used to assess cumulative hospitalization incidence. A Cox proportional hazards model was used to control for confounders. Overall, 538 of the 356,356 included pregnancies were complicated with fever. A higher rate of pediatric hospitalizations due to various infectious conditions was found among the exposed group, which was significant for viral, fungal and ENT infections (<i>p</i> < 0.05 for all). The total number of infectious-related hospitalizations was significantly higher (30.1% vs. 24.1%; OR = 1.36; <i>p</i> = 0.001), as was the cumulative incidence of hospitalizations. This association remained significant after controlling for confounders using a Cox proportional hazards model (adjusted HR = 1.21; 95% CI 1.04–1.41, <i>p</i> = 0.016). To conclude, fever diagnosed close to delivery may influence offspring susceptibility to pediatric infections.https://www.mdpi.com/2077-0383/12/9/3329intrapartum feverlaborchildhood infections |
| spellingShingle | Omri Zamstein Tamar Wainstock Eyal Sheiner Intrapartum Maternal Fever and Long-Term Infectious Morbidity of the Offspring Journal of Clinical Medicine intrapartum fever labor childhood infections |
| title | Intrapartum Maternal Fever and Long-Term Infectious Morbidity of the Offspring |
| title_full | Intrapartum Maternal Fever and Long-Term Infectious Morbidity of the Offspring |
| title_fullStr | Intrapartum Maternal Fever and Long-Term Infectious Morbidity of the Offspring |
| title_full_unstemmed | Intrapartum Maternal Fever and Long-Term Infectious Morbidity of the Offspring |
| title_short | Intrapartum Maternal Fever and Long-Term Infectious Morbidity of the Offspring |
| title_sort | intrapartum maternal fever and long term infectious morbidity of the offspring |
| topic | intrapartum fever labor childhood infections |
| url | https://www.mdpi.com/2077-0383/12/9/3329 |
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