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Prevalence of placenta Plasmodium parasitemia and pregnancy outcome in asymptomatic patients at delivery in a university teaching hospital in Nigeria
- Source :
- Nigerian journal of clinical practice. 18(1)
- Publication Year :
- 2014
-
Abstract
- Malaria is an important public health issue in pregnancy association with poor fetal and maternal outcome, especially in malaria endemic area like Nigeria.The objective was to determine the prevalence of placental malaria in asymptomatic women in labor and to compare the fetal and maternal outcome between affected and unaffected women.A prospective cross-sectional study of 210 women who delivered at a tertiary health facility in Nigeria. Participants' peripheral venous blood, cord blood, and placental blood samples were examined microscopically for the presence of malaria parasite. Data collected were analyzed using SPSS version 16.Prevalence of placental malaria was 65.2%. Nulliparity was significantly associated with placental malaria (χ² = 21.32, P = 0.0000039, odds ratio [OR] =5.6). Poor compliance to intermittent preventive therapy was significantly associated with placental malaria (χ² = 16.67, P = 0.00004). The mean gestational age at delivery was 38.57 ± 1.7 weeks and 12.85% of women had preterm delivery. Sixty-seven (31.9%) women had anemia and malaria parasitemia was significantly associated with anemia (χ² = 8.34, P = 0.0039, OR = 2.6). Fourteen (6.67%) babies had low birth weight, but placental malaria was not significantly associated with low birth weight (χ² = 0.03, P = 0.87).There is a high prevalence of placental malaria in the study population. Nulliparity, poor drug compliance, and maternal anemia were associated with placental malaria.
- Subjects :
- Adult
Placenta
Plasmodium falciparum
Nigeria
Gestational Age
Parasitemia
Chemoprevention
Medication Adherence
Hospitals, University
Antimalarials
Young Adult
Pregnancy
Risk Factors
Prevalence
Humans
Prospective Studies
Malaria, Falciparum
Hospitals, Teaching
Infant, Newborn
Pregnancy Outcome
Anemia
Infant, Low Birth Weight
Delivery, Obstetric
Fetal Blood
Malaria
Parity
Cross-Sectional Studies
Case-Control Studies
Pregnancy Complications, Parasitic
Asymptomatic Diseases
Premature Birth
Female
Subjects
Details
- ISSN :
- 11193077
- Volume :
- 18
- Issue :
- 1
- Database :
- OpenAIRE
- Journal :
- Nigerian journal of clinical practice
- Accession number :
- edsair.pmid..........5e91eab48519e64c496bfb24dde42fb1