Factors associated with postpartum shivering: a cross-sectional study
Doctor in the Complex Operative Unit of Obstetrics and Gynaecology at Alto Tevere Hospital of Città di Castello, Umbria
Midwife. Silvia collected the data at the San Pietro Fatebenefratelli Hospital Rome for this study
Romolo di Iorio
Obstetrics and Gynaecology Lecturer at Sapienza University Rome
Head of the Complex Operative Unit of Obstetrics and Gynaecology at the San Pietro Fatebenefratelli Hospital, Rome
Salvatore Renato Indraccolo
Obstetrics and Gynaecology Lecturer at Sapienza University Rome(November 2016)
The objective of this study was to investigate the postpartum shivering phenomenon. We carried out a cross-sectional study on a sample of 597 pregnant women. Logistic regression analyses were built. Independent variables were: parity, labour induction with prostaglandin agonist, oxytocin infusion during labour, amniotomy, epidural anaesthesia, premature rupture of membranes (PROM), postpartum fever, gestational age, mode of birth. Dependent variables were: mild shivering, severe shivering (severity of shivering) and duration of shivering: less than 30 minutes; between 30 minutes and one hour; more than one hour. We found that both severity and duration of postpartum shivering phenomenon were associated with rupture of membranes (spontaneous or artificial), fever, caesarean section and oxytocin infusion. The conclusion reached was that those associations could be logically explained by already-known causes of chills. Further studies should assess those causes after birth.
Women's experience of post-term pregnancy
Rikke Damkjær Maimburg
Director of Research Centre and Associated Professor of Midwifery at Aarhus University Hospital, Skejby, Denmark(June 2016)
In recent years, induction of labour has become increasingly common in many countries and has moved towards an earlier gestational age. The aim of this study was to describe how low-risk pregnant women experienced post-term pregnancy in a large university hospital in Denmark. Qualitative interviews were carried out with 31 low-risk pregnant women. Pregnant women passing their estimated time of birth date experienced their last days of pregnancy as a countdown to induction, not as their last days of pregnancy. Categorisation of the women's pregnancy based on medical statistics, and a focus on medical issues caused the women to feel less involved, and contributed to them being willing to negotiate an earlier induction of labour to avoid being stigmatised as pathological patients.