Fetal and neonatal hyperthermia

This article explores the concerns related to adverse neurological outcomes associated with fetal and neonatal hyperthermia. Maternal temperature is the most important determinant of fetal temperature; here we draw attention to the changing epidemiology of intrapartum maternal pyrexia and consequent fetal hyperthermia, particularly its association with labour epidural analgesia. The implications of potential adverse neonatal outcomes demand a greater understanding of the pathophysiology of intrapartum maternal fever and exploration of monitoring, preventative and therapeutic options encompassing the modern obstetric, anaesthetic and neonatal practice.