Analysis of Risk Factors and Clinical Management Strategies for Postpartum Fever
Objective:To analyze the risk factors of postpartum fever and explore specific clinical management strategies.Methods:Retrospective study was conducted on 95 expectant mothers included from August 2020 to March 2023.Based on postpartum recovery,40 postpartum fever patients were included in the case group and 55 normal postpartum women were included in the control group.General and clinical data were collected and compared between the two groups.Statistical univariate analysis and logistic regression analysis were used to identify the risk factors for postpartum fever,and propose targeted clinical management strategies based on the analysis results.Results:Results of statistical univariate analysis showed that there were certain differences in general data,such as BMI,parity,pregnancy complications,delivery method,as well as clinical data,such as body nutritional indicators,blood indicators,delivery status,and fetal milk feeding between the two groups of patients(x2=16.408,12.349,38.051,6.970,7.141,6.612,33.025,26.329,24.179,29.216,28.747,36.358,29.677,28.948,17.252;P＜0.05).Logistc multivariate regression analysis showed that BMI≥ 28 kg/m2,multipara,pregnancy complications,caesarean section,Hb＜100 g/L,ALB＜35 g/L,WBC≥ 15×109/L,NE≥ 70％,LMY≥40％,premature rupture of membranes,placenta residue,postpartum bleeding,amniotic fluid pollution were the risk factors of postpartum fever,and postpartum pure breast feeding was the protective factor(OR=5.325,5.244,5.229,6.325,5.314,5.336,5.281,5.339,5.772,6.033,6.255,6.274,5.258,6.125).Conclusion:Postpartum fever is closely related to multiple factors,such as maternal obesity,multiple deliveries,complications during pregnancy,caesarean section delivery,malnutrition,infection symptoms,adverse delivery outcomes and non breast feeding.Strengthening perinatal management of pregnant women,optimizing the delivery environment,and improving the clinical treatment and nursing level of medical staff are important measures to reduce the risk of postpartum fever.
万方数据
维普
