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

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.