Fever in pregnancy

Differential Diagnosis

• Any non-pregnancy cause of fever
• Viral
  • Non-specific viral infections including viral gastroenteritis
  • Influenza
  • Rubella
• Bacterial
  • Chorioamnionitis
  • Listeria

Investigations

• The usual infection investigations: CBC, electrolytes, creatinine, blood +/- urine cultures, NP swab if the right season, other investigations depending on clinical context
• Make sure to get liver enzymes and urinalysis for non-infectious pregnancy complications
• Consider CXR if there are respiratory symptoms
• Fetal non-stress test

Management

• Supportive care
• Treat underlying cause