maternal fever

Question 1

CTG of maternal fever
Clinical Picture
mother febrile with pyelonephritis

Answer 1

The baseline fetal heart rate is 200-205
baseline variability is absent
no acceleration
no deceleration despite uterine activity

Question 2

Interpretation

Answer 2

increase o2 requirements from the maternal temperature
= significant increase in sympathetic stimulation in the foetus to maintain the 02 delivery required to meet the metabolic needs

Although there are no decelerations at this time
the fetus is at extreme risk of compromise unless 02 requirements can be quickly reduced

Question 3

Management

Answer 3

• maternal hydration
• IV antibolics
• PR paracetamol