TITLE:
Congenital Malaria and Pregnancy Monitoring Parameters in Health Facilities in Guinea
AUTHORS:
E. M. Bah, I. S. Baldé, I. S. Diallo, B. Adiallo, T. S. Diallo, A. F. M. Soumah, M. K. Camara, T. Sy
KEYWORDS:
Congenital Malaria, Pregnancy Follow-Up, Guinea
JOURNAL NAME:
Open Journal of Obstetrics and Gynecology,
Vol.9 No.1,
January
15,
2019
ABSTRACT: Malaria is much more common in pregnant women, especially during the
third trimester of pregnancy, causing congenital infestation. Acute and severe
complications are noted, including malignant malaria access and maternal and
fetal mortality. Method: This was a three-month descriptive and analytical
multicenter study, running from 1st January
to 31st March 2015, conducted in 16 maternity hospitals at different levels of
the health system pyramid. Results: Out of a total of 1772 mothers recruited for this study, 276
cases were tested positive (umbilical cordon and newborn’s heel). Among them,
we reported 130 cases tested positive at newborn’s heel with congenital infestation
confirmed by sampling on day 0, with a frequency of 7.3%. The average age of
the mothers was 26 ± 14 years. With a predominance in the 20 - 35 age
group (4.7%). Among mothers who were not exposed to preventive intermittent
sulfadoxine pyrimethamine (IPT/SP) in malaria prevention, 6.1% of newborns
tested positive. Of these, mothers who had less than 4 prenatal visits during
pregnancy had a congenital malaria rate of 7.3%. Conclusion: Congenital malaria
infestation exists in newborns despite adequate measures used in pregnant women
(SP, antimalarial drugs). In Guinea, It is often found in newborns of mothers
who suffer from malaria during pregnancy and whose prenatal cares are not
regular.