TITLE:
Association between Placental Malaria and Severe Pre-Eclampsia in Two University Hospitals of Yaounde City
AUTHORS:
Ayissi Gregory, Astrid Ruth Ndolo Kondo, Ndoumba Afouba Alice, Noa Ndoua Claude Cyrille, Essiben Félix, Meka Esther, Belinga Etienne, Metogo Junie, Engo Engo Samuel Désiré, Bodo Edmond Lemaire, Tchente Nguefack Charlotte, Foumane Pascal, Mboudou Emile Télésphore
KEYWORDS:
Mild Pre-Eclampsia, Severe Pre-Eclampsia, Malaria, Placental Lesions, Association
JOURNAL NAME:
Open Journal of Obstetrics and Gynecology,
Vol.14 No.9,
September
20,
2024
ABSTRACT: Context: Pre-eclampsia and placental malaria, are two diseases that share pathophysiological similarities, such as placental ischemia, endothelial dysfunction and production of pro-inflammatory cytokines. Objective: The objective of our study was to investigate the association between placental malaria lesions and severe pre-eclampsia. Methodology: We conducted a prospective analytical cross-sectional study in two University Hospitals in the city of Yaounde (Yaounde Central Hospital and the Gynaecological Obstetrics and Paediatrics Hospital), and in the laboratory of the Centre Pasteur in Yaounde over an eight-month period (1st January 2021 – 1st September 2021). All patients with pre-eclampsia diagnosed according to the criteria of the International Society for the Study of Hypertension (ISSHP) and free of chronic metabolic or infectious pathology were included in this study. The patients were divided into two groups: group 1 (mild pre-eclampsia) and group 2: severe pre-eclampsia. Socio-demographic, clinical and histopathological characteristics specific to pre-eclampsia and placental malaria were investigated. Statistical analysis was performed with SPSS 23.0 software, Chi 2 was used to compare categorical variables, Student t-test was used to compare means, and logistic regression was used to assess the association between placental malaria lesions and PES. Results: The mean age of our study population was 29.93 ± 7.36 years versus 28.28 ± 7.18 years in patients with mild and severe pre-eclampsia respectively. Pre-eclampsia placental lesions (accelerated villous maturation, infarction) were significantly greater in patients with severe pre-eclampsia (p Conclusion: Placental malaria lesions were significantly associated with severe pre-eclampsia and increased the risk of developing severe pre-eclampsia placental lesions by a factor of 10.