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Dr. Chapa’s OBGYN Clinical Pearls

Epidural Related Maternal Fever (ERMF)

03 May 2023

Description

Epidural anesthesia remains the gold standard for relieving labor pain. Currently, there are 3 techniques for providing epidural related analgesia (traditional epidural, combined spinal- epidural, and dural scrape/puncture epidural). A controversial subject dating back to the 1990s, epidural related maternal fever (ERMF) has been extensively studied. In this episode, we will summarize two recent publications on the subject from the AJOG and review historical data. What is the pathophysiology of ERMF? Are antibiotics still indicated in these patients? Listen in and find out.

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