Malaria In Pregnancy Wad Medani Teaching Hospital Obs & Gyn
Abstract
This is a prospective hospital – base study carried out in Wed Medani Teaching Hospital for Obs and Gyn (WMTHOG),during the period from 5th October 2003 to 30 December 2003. All pregnant women with malaria admitted to the hospital during that period were included in the study. Malaria was diagnosed by thick and thin blood film, Gemsa's stain. Sever falciparum malaria was diagnosed according to WHO criteria. The national protocol for treatment of malaria with pregnancy was adopted in the management of all women. The results were analysed using SPSS. The total number of pregnant women included in this study were 210. The main results of the study were: (I) severe falciparum malaria 73.4%, (II) anaemia 98.6% of whom 11% was very severe, 20% was severe, (III) hyperparasitaemia 46.7%, (IV) dehydration 33.3% and (V) jaundice 20.5%. Complications on the fetus were: (I) preterm labour 44.1%, (II) low Apgar's score < 7 55.9%, (III) low weight < 2.5 44.1% and (IV) perinatal death 5.5%. Quinine was the main drugs used. Conclusion: pregnant women admitted to the hospital need intensive care. Although there was no mortality but morbidity was high. The current protocol is adequate in reducing mortality
References
2. WHO. Disease information, WHO/TDR 2004.( www.WHO.int).
3. Garnham, P.C.C. ( 1988). Malaria parasite of man : life cycles and morphology. In : Malaria principles & practice of Malariology, Vol 1, Wernsdorfer, W.H.& Mc Cregor, I., PP 61- 96. London: Churchil Livingstone.
4. WHO: Roll Back Malaria. Malaria in Africa. 20 Avanue Appia, CH-1211 Geneva 27, Switzerland.
5. Malaria National Health Program. Malaria during pregnancy Resource package – JHPIEGO Corporation 2002- 2004. ( www.jhpiego.org/whatsnew/an112103.htm )
6. WHO. Lives at risk: Malaria in pregnancy. Geneva 2003. ( www.WHO.int/features /2003/o46/enl.)
7. WHO. Management of severe Malaria , a practical handbook, 2nd edition. Geneva 2000.
8. Steketee RW, Nahlen BL, Parise ME, Menendez C. The burden of Malaria in pregnancy in Malaria – endemic areas. Am J Trop Med Hyg . 2001 Jan – Feb; Feb 64 ( 1-2 suppl): 28 – 35.
9. WHO: Roll Back Malaria. Africa Malaria report 2003.
10. Shulman CE, Marshall T, Dorman EK, Bulmer JN, Cutts F, Pershu N, Marsh k. Malaria in pregnancy adverse effects on haemoglobin levels and birthweight in primigravidae and multigravidae. Trop Med Int Health. 2001 Oct; 6(10): 770 – 8.
11. Abdella Ali, Salah I., Mahgoub H. Enour. Maternal deaths at Kassala New Hospital ( Eastern Sudan). J of the Arab Board of Medical Specialization . Vol 4 , No.2, 2002.
12. Omer Ahmed Mirgani, Imad Eldin Elgack, Ahmed A/Alla Mohammadani. Malaria Proghylaxis During Pregnancy in Primigravadae using Sulphadoxine / primethamine in Wad Madani – Sudan. Gezira Jounal of Health Science 2003, Vol 1-1.
13. Seleiman Seid A.S. Gezira Scheme a life legend. Gezira scheme. Sudan press Co. Khartoum 2002.
14. Sudan Population Census 1994.
15. Annual health report 2000. Medani Obs & Gyn Hosp. Ministry of Health . Gezira State.
16. Mohammed A.A El sheikh, Abd Elsalam M. A. Gerais. Management Protocol for Obstetrical & Gynaecological Emergencies. Sudan Federvl Ministry of Health, Quality Directorate. Jan 2004.
17. Monica Cheesbrough. District laboratory Practice in Tropical Countries, Part 1 . Cambrige University Press, 1999, Page 242 – 249.
18. Nosten,F., TER kUIa, f., Maelankirri, L., Decludt, B. & White, N.J. ( 1991). Malaria during pregnancy in an area of unstable endemicity. Transactions of the Royal society of Trop Med Hyg, 85, 424- 429.
19. Luxemburger, C., Ricci, F., Nosten ...etc . The epidemiology of severe falciparum malaria in an area of low transmission in Thailand. Transaction of the Royal Society of Trop Med & Hyg., 91 , 256 – 262. ( 1997).
20. Ceoffreg chamberlain. Abnormal pregnancy, Malaria. Obs by Ten Teachers, 1999 Edward Arnold, Pag 130.
21. Compbell, C.H., Holiday, J., Biggs,J. C& Backhouse, T.C. ( 1973). Chloroquine resistance falciparum malaria aquired in Vietnam. Medical Journal of Australia, 2, 729 – 734.
22. N.V. Thanh, A.F. Cowman, D.Hipgrare, elc… Assessment of susceptibility of plasmodium falciparum to chloroquine, quinine, mefloquine, sulphadoxine – pyrimethamine and antemisinin in South Vietnam. Transaction of Royal society of Trop Med Hyg ( 2001) 95 , 513-517.
23. Taha ET-T, Gray RH, Abdel Wahab MM, AA. Distribution and determinants of LBW in central Sudan. Perinat Epidemol 1995 Apr ; 9 (2): 185 – 200.
24. WHO. Roll Back Malaria – amassive effort. Malaria & pregnancy. Geneva 2002.
25. Ceoffry Chamberlain. Anaemia and Pregnancy. Obs by Ten Teachers. Page 15. Published 1999 by Edward Arnold.
