Intrapartum fever
Conditions
Interventions
Auricular Therapy Group:Adhere Vaccaria seed auricular point patches to the corresponding acupoints on the right ear of the puerpera and perform pressing according to the protocol.
Control Group:Adhere sham auricular point patches (with the Vaccaria seeds removed) to the same acupoints and perform pressing in accordance with the protocol.
Sponsors
Women's Hospital of Nanjing Medical University,Nanjing Women and Children's Healthcare Hospital
Eligibility
Sex/Gender
Female
Age
18 Years to 40 Years
Inclusion criteria
Inclusion criteria: 1. ASA Physical Status Class I-II 2. Age 18-40 years 3. Body mass index (BMI) =37 weeks 5. Primiparous women with singleton cephalic presentation 6. Request for epidural analgesia at cervical dilation <=3 cm 7. Afebrile status (<=37.2°C) upon labor room admission and no febrile history within one week 8. Absence of contraindications to epidural anesthesia 9. Without hypertensive disorders of pregnancy 10. Normal fetal heart rate monitoring prior to analgesia (120-160 bpm)
Exclusion criteria
Exclusion criteria: 1. Cephalopelvic disproportion or pelvic deformities 2. Cervical dilation >3 cm at the time of labor analgesia request 3. Contraindications to neuraxial anesthesia (e.g. coagulopathy local infection at puncture site) 4. Opioid or other sedative/analgesic use within one week 5. Current magnesium sulfate administration 6. History of substance abuse 7. Severe cardiopulmonary/hepatic/renal dysfunction 8. Active infection within two weeks or recent antibiotic use
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Incidence of intrapartum fever; | — |
Secondary
| Measure | Time frame |
|---|---|
| Maternal temperature ;Pain NRS;analgesic consumption and PCEA attempts;duration and method of membrane rupture;number of vaginal examinations;Delivery usage rate;Duration of delivery;Incidence of abnormal fetal heart rate;Mode of delivery;Perineal laceration and episiotomy rate;Amount of bleeding;Neonatal Apgar score;Neonatal transfer rate to NICU;Maternal satisfaction;Others (frequency of sweating, urination, and vomiting) ;Concentrations of inflammatory factors (IL-6, IL-1ß, and TNF-a); | — |
Countries
China
Contacts
Public ContactXu Shiqin
Women's Hospital of Nanjing Medical University,Nanjing Women and Children's Healthcare Hospital
Outcome results
None listed