Managing Labor Pain and Fever at 40 Weeks Pregnant: What to Do?

In the 40th week of pregnancy, experiencing contractions along with a fever?

My wife is currently 40 weeks pregnant.
During a check-up on January 13, the doctor indicated that there were no signs of labor, and uterine contraction tests were normal.
The doctor suggested eating pineapple, nipple stimulation, and exercising to promote labor.
However, that evening, she began experiencing mild cramping in her lower abdomen and discomfort in her lower back.
On the morning of the 14th, she woke up with a fever and went to the hospital for a routine check-up.
An ultrasound showed normal results (the baby's heartbeat was normal), but during the contraction monitoring, the baby's heart rate increased to around 180 bpm while my wife was experiencing discomfort in her back and abdomen.
After blood tests were conducted, it was found that her white blood cell count was elevated, indicating a possible infection, though the source of the infection was unknown.
After taking an antipyretic pain reliever, her temperature decreased, and the doctor discussed the option of inducing labor.
We decided to wait and observe, but after returning home, her temperature began to rise again, reaching 38 degrees Celsius, and she continues to experience back discomfort.

What should we do now, or what symptoms should we monitor to determine if a cesarean section is necessary?

Bo Ka Xian Sheng, 30~39 year old female. Ask Date: 2022/01/14

Dr. Zhang Kunmin reply Obstetrics and Gynecology

Hello, based on your description, it is recommended to consult with your obstetrician for evaluation.
If you have any questions, you can discuss them with your doctor.
The obstetrician is most familiar with the condition of the pregnant woman and the examination results, and will take appropriate action according to medical guidelines.
Thank you! Wishing you safety and health.
Dr.
Chang.

Reply Date: 2022/01/14

More Info

At 40 weeks pregnant, experiencing labor pains and fever can be concerning, and it's essential to approach this situation with caution and proper medical guidance. Based on your description, your wife is showing signs of discomfort, including abdominal pain and fever, which could indicate an underlying issue that needs to be addressed.

Firstly, it's important to understand that labor can sometimes begin with mild contractions, which may not necessarily indicate that delivery is imminent. However, the presence of fever, especially if it persists, raises concerns about potential infections, which can affect both the mother and the baby. The elevated heart rate of the baby (180 bpm) during contractions is also a point of concern, as it may indicate fetal distress, especially if accompanied by maternal discomfort.

Given that the doctor has already noted elevated white blood cell counts, this suggests that there is some form of infection present. Infections during pregnancy can lead to complications, including preterm labor, and can affect the health of the fetus. Therefore, it is crucial to monitor the situation closely. If the fever continues to rise or if your wife experiences increased pain, it would be advisable to return to the hospital for further evaluation.

Regarding the decision to induce labor or consider a cesarean section, this should be made in consultation with the healthcare provider. Induction may be recommended if the risks of continuing the pregnancy outweigh the benefits, especially in the presence of infection. On the other hand, if the baby shows signs of distress or if the mother's condition worsens, a cesarean delivery may be necessary to ensure the safety of both mother and child.

Here are some key points to consider while managing this situation:
1. Monitor Symptoms: Keep a close eye on your wife's symptoms, including fever, abdominal pain, and any changes in fetal movement. If the fever exceeds 100.4°F (38°C) or if there are significant changes in her condition, seek medical attention immediately.

2. Hydration and Rest: Ensure that your wife stays hydrated and gets plenty of rest. Fever can lead to dehydration, which can complicate labor and delivery.

3. Follow Medical Advice: Adhere to the recommendations of the healthcare providers. If they suggest induction or further testing, it is crucial to follow through with those recommendations.

4. Consider Hospitalization: If the fever persists or if there are any signs of complications, hospitalization may be necessary for closer monitoring and treatment.

5. Discuss Delivery Options: Engage in a thorough discussion with the healthcare team about the safest delivery method considering the current circumstances. They will assess the risks and benefits of both induction and cesarean delivery based on your wife's health and the baby's condition.

In conclusion, while it is natural to feel anxious during this time, maintaining open communication with healthcare providers and closely monitoring your wife's symptoms will be key in managing this situation effectively. The health and safety of both mother and baby are the top priorities, and timely medical intervention can make a significant difference.

Similar Q&A

Essential Pregnancy Concerns: Tips for Relief and Recovery

Hello Doctor: 1. I occasionally experience a burning sensation in my throat. How can I improve this? 2. My right middle finger is not functioning properly; it feels stuck and painful when I move the joint, and it even bends in a way that I can't straighten it without manu...

Dr. Zhang Kunmin reply Obstetrics and Gynecology
Hello, here are the responses to your questions: 1. Generally caused by a cold, it is recommended to rest and stay hydrated. If symptoms persist, it is advisable to consult an otolaryngologist for examination to check for any related conditions and treatment. 2. Often caused by ...

Managing Body Aches During Early Pregnancy: Tips and Advice

Hello Dr. Lu: I would like to ask about experiencing generalized body aches (bone pain) during early pregnancy. How can this condition be alleviated? THANKS!

Dr. Lü Lizheng reply Obstetrics and Gynecology
Hello: To relax the muscles and nerves, you can take more walks, do some stretching exercises, get massages, and take a hot bath. Sincerely, Dr. Lu Li-Cheng, Taoyuan Hospital, Ministry of Health and Welfare.

Managing Wrist Pain During Pregnancy: Tips for Expecting Mothers

Hello, doctor. I am currently 27 weeks pregnant with twins. Since week 20, I have been experiencing numbness in my hands while sleeping. One night at week 23, I woke up with significant pain in my right wrist, and shortly after, my left wrist started to hurt as well. I initially ...

Dr. Shen Boquan reply Orthopedics
Hello, during pregnancy, some individuals may experience poor circulation leading to edema. If nerves are compressed, it can result in numbness, while tendon compression may cause pain. You should consult a physician to rule out any other underlying causes. Rehabilitation or appr...

How to Naturally Induce Labor: Tips for Expecting Mothers

Hello, Doctor. I am a 28-year-old woman currently pregnant with my first child. I am now at 38 weeks gestation. Recently, I have been experiencing significant discomfort, such as frequent urination, almost sleepless nights, heaviness while walking, and lower back pain, among othe...

Dr. Shi Chengyang reply Obstetrics and Gynecology
Please visit our hospital for an evaluation.