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The Prevalence Of Malaria Among Pregnant Women On Admission In Imo State Specialist Hospital Owerri
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TREATMENT /MANAGEMENT OF MALARIA IN PREGNANCY
Treatment
of malaria in pregnancy differs from the treatment of same woman
outside pregnancy in several respects. Frequency and severity of
infections are more in pregnancy particularly among primigravidae
(Mutabingwa, 2004). Pregnant women with malaria infection must be
treated both medically and obstetrically, taking care of both maternal
and fetal interests. It is reasonable to expect confirmation of malaria
infection in pregnancy. The choice of a suitable drug is predicated upon
many factors including gestational age of fetus severity of the
disease, the resistance of the infecting malaria parasites to the anti
malaria drugs and safety profile of the drug in both mother and fetus.
Ideally, effective care should clear both peripheral and placental
parasites (Lars Hived, 1998).
OBSTETRIC MANAGEMENT OF PREGNANT WOMEN WITH MALARIA INFECTION
Obstetric
management is an integral part of the complete management of the
malarious pregnant women. It consists of antepartum, intrapartum and
post partum care.
ANTEPARTUM CARE OF PREGNANT WOMEN WITH MALARIA
Essentially,
during the antepartum or prenatal period, the antenatal clinic forms
the template upon which the institutional treatment is based. As part of
the routine ante natal care, history of malaria is obtained, blood
tests including full blood count and malaria parasites are routinely
requested for. Regular antenatal is of great importance as a single
missed monthly clinic visit can result in a two fold increase malaria
incidence. (Garnier, 1994) .
INTRA PARTUM MANAGEMENT OF MALARIA IN PREGNANCY
Intra
partum management of parturient malarious women should include
treatment of acute malaria with suitable agent. Routine intrapartum
haemoglobin check is mandatory as ongoing hemolytic or pre-existing
maternal anemia can substantially affect maternal and fetal outcome
(Shulman et al, 1999).
POSTPARTUM MANAGEMENT OF MALARIA IN PREGNANCY
Following
delivery, the mother should complete her antimalarials and supportive
treatment. The foetus should be properly examined and congenital malaria
excluded. The foetus should be properly examined and congenital malaria
excluded. The newborn’s peripheral venous blood should be done to check
for malaria parasites. Experiences by many authors have shown that
heavy maternal parasitaemia significantly increases placental
parasitization and fetal parasitaemia with consequent fetal anemia and
possible fetal demise (Parise etal, 1998). The use of malaria vaccine in
both the mother and the fetus postpartum is still inconclusive and
controversial and many trials are underway to ascertain their safety
profile and effectiveness.
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ABSRACT - [ Total Page(s): 1 ]A study was made to determine the prevalence of malaria infection among pregnant women on admission in Imo State specialist Hospital Owerri between July to August 2012. Blood samples were collected from the patients and a thick blood film made. The films were stained using parasitological standard procedures. Twenty-five (25) pregnant women in their 1st trimesters had the highest severe parasitaemia with 54.5%. And also primigravidae were also observed to have the highest infection rate with 87. ... Continue reading---
