“…Clinical diagnosis is based on presence of unexplained maternal fever, rapid fetal heartbeat, tender uterus, and/or foulsmelling amniotic fluid. Although prevalence data are poor, both subclinical and symptomatic intra-amniotic infections have been associated with preterm prelabor rupture of membranes (pPROM) and preterm labor [119,120], as well as labor abnormalities, increased need for oxytocin, and increased risk of cesarean delivery. In addition, maternal fever alone has been shown to be an independent risk factor for intrapartum-related mortality and neonatal encephalopathy, with an adjusted OR of approximately 10-fold [15,121].…”