Effect of combination of medical therapy on paracetamol and intervention of warm water compress on maternal body temperature and abnormal repair of FHR in pregnant women with infection fever
Journal Title: International Journal of Allied Medical Sciences and Clinical Research - Year 2019, Vol 7, Issue 2
Abstract
Background Pregnant fever has an impact on fetal well-being, causing abnormal fetal heart rate (FHR). Effects of fever on the fetus in the uterus, depending on the high degree of maternal body temperature and the duration of fever. It has become a clinical procedure to reduce maternal temperature by administering medical paracetamol therapy. To increase the speed and amount of decrease in maternal body temperature by giving a combination of paracetamol and warm water compress (WWC). Paracetamol lowers core temperature. WWC on the peruut wall can reduce surface body temperature and can create a lower fetal ambient temperature, thereby facilitating the transfer of fetal body heat to the environment where the fetus lives. Objective To see the effect of giving a combination of paracetamol medical therapy and warm water compresses 34-37°C to decrease body temperature and improve the frequency of fetal heart rate. Research methods This research is a True Experimental type of research, with a Randomized Control Trial design with pre-post test control group design. Sampling techniques use probability sampling. A sample of 26 people in the population of pregnant women aged 22 weeks to 40 weeks who had a fever with abnormal FHR frequency. WWC are performed on the abdominal wall and lower back for 60 minutes with 6 measurements. The control group was only given paracetamol medical therapy and confounding variables (administration of intravenous intravenous fluids, maternal oxygenation, and maternal lying position left) were controlled. Statistical tests using repeat meassured ANOVA tests. Research result Analysis results, a combination of medical therapy for paracetamol 500 mg/oral and WWC 34-37 °C on the abdominal wall and lower back can reduce the degree of body temperature fever by 1.3 °C can accelerate the decrease in body temperature 10 minutes faster than the control group that only decreased 0.9 °C. The decrease in maternal body temperature in the intervention group, affects the improvement in the frequency of FHR on average 16x /minute reaching normal within 20 minutes earlier. The decrease in temperature and frequency of FHR occurred in both groups and the results of the test did not differ significantly between groups, decreasing temperature p = 0.210 and improving the frequency of FHR p = 0.688. Conclusion The combination of paracetamol and WWC medical therapy, clinically reduced the degree of body temperature by a difference of 10 minutes better and returned the normal FHR value 20 minutes earlier than the control group.
Authors and Affiliations
Nitasari Nitasari
Keywords
Related Articles
- EP ID EP648721
- DOI -
- Views 55
- Downloads 0
Novel treatments for asthma: Corticosteroids and other anti-inflammatory agents.
Asthma management is a challenge due to the prevalence of disease in the world. Based on the immunological and inflammatory mechanisms of asthma, corticosteroids and anti-inflammatory participate greatly in the treatme...
A study of maternal and fetal outcome in postdated pregnancy
Objective To assess the whether the elective induction of labor at 41 weeks is associated with lower caesarean section rates as compared to elective induction of labor at 40 weeks in a postdated pregnancy. Perinatal morb...
Phytochemical and pharmacological evaluation of fruits of Elaeocarpus serratus for antiurolithiatic activity: An In vitro study
Background Medicinal plants are highly esteemed all over the world as a rich source of therapeutic agents for the prevention and treatment of various diseases. Since ages, herbs are being used for treating different ailm...
Management of Rheumatoid arthritis
Rheumatoid arthritis (RA) can be defined as an autoimmune inflammatory disease which is represented in about1% of the world population and occurs in the middle age with increasing frequency in older population. RA has...
Verrucous carcinoma – a case report
Verrucous carcinoma is a rare warty variant of squamous cell carcinoma characterised by a predominantly exophytic growth.It commonly affect oral cavity with buccal mucosa being the commonest site affected .This form of c...