Fever in Labour: Initial Management Algorithm

Definition

Woman has temperature ≥38.0ºC

Treatment

For all women, initiate:

  • Continuous EFM

  • One IV line

  • Give 500mL NS bolus

  • Assessment by primary care provider

  • Give Acetaminophen

  • Urinary dipstick, CBCD Creatinine

Note

Reassess for sepsis every hour

Changes in respiratory rate and mental status may be very early indicators of emerging sepsis

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