Regional Anesthesia and Acute Pain ManagementRegional Anesthesia and Acute Pain Management1993-65082687-1394Eco-Vector3611510.17816/RA36115Research ArticleThe effect on maternal temperature of delaying initiation on the epidural component of combined spinal-epidural analgesia for labor: a pilot studyWangL. Z-ChangX. Y.-HuX. X.-TangB. L.-XiaF.-Jiaxing Maternity and Child Health Care Hospital, Jiaxing Zhejiang Province, China1512201154131921072020Copyright © 2011, Eco-Vector2011[Fusi L., Steer P J., Maiesh M. J., Beard R. W. Maternal pyrexia associated with the use of epidural analgesia in labour // Cancel. 1989; 1: 1250-1252.][Camann W. R., Hortvet L. A., Hughes N. et al. Maternal temperature regulation during extradural analgesia for labour // Br. J. Anaesth. 1991; 67: 565-568.][Goetzl L., Rivers J., Zighelboim I. et al. Intrapartum epidural analgesia and maternal temperature regulation // Obstet. Gynecol. 2007; 109: 687-690.][Sharma S. K., Alexander J. M., Messick G. et al. Cesarean delivery: a randomized trial of epidural analgesia versus intravenous meperidine analgesia during labor in nulliparous women // Anesthesiology. 2002; 96: 546-551.][Dashe J. S., Rogers B. B., Mclntire D. D., Leveno K. J. Epidural analgesia and intrapartum fever: placental findings // Obstet Gynecol. 1999; 93: 341.][Smulian J. C., Bhandari V., Vintzileos A. M. et al. Intrapartum fever at term: serum and histologic markers of inflammation // Am. J. Obstet. Gynecol. 2003; 188: 269-274.][Goetzl L., Evans T., Rivers J. et al. Elevated maternal and fetal serum interleukin-6 levels are associated with epidural fever // Am. J. Obstet. Gynecol. 2002; 187: 834-838.][Mantha V. R., Vallejo M. C., Ramesh V et al. The incidence of maternal fever during labor is less with intermittent than with continuous epidural analgesia: a randomized controlled trial // Int. J. Obstet. Anesth. 2008; 17: 123-129.][Miro M., Guasch E., Gilsanz F. Comparison of epidural analgesia with combined spinal-cpidural analgesia for labor: a retrospective study of 6497 cases // Int. J. Obstet. Anesth. 2008; 17: 15-19.][Goodman S. R., Smiley R. M., Negron M. A. et al. A randomized trial of breakthrough pain during combined spinal-epidural versus epidural labor analgesia in parous women // Anesth. Analg. 2009; 108: 246-251.][Vallejo M. C., Kaul B., Adler L. J. et al. Chorioamnionitis. not epidural analgesia, is associated with maternal fever during labour // Can. J. Anaesth. 2001: 48: 1122-1126.][Segal S. Labor epidural analgesia and maternal fever // Anesth. Analg. 2010; 111: 1467-1475.]