Guidelines
Fever in Labour: Initial Management Algorithm

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

Suspect if maternal fever present and ≥1 of:

  • Maternal HR >100 bpm
  • Fetal HR >160 bpm
  • Uterine tenderness
  • Foul odour of the amniotic fluid
  • Maternal WBC >15,000 cells/mm3

Note

Reassess for sepsis every hour

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