Malaria among pregnant women in Abeokuta, Nigeria

Idowu, O. A.; Mafiana, C. F.; Dapo, S

doi:10.4314/thrb.v8i1.14267

Cited by 32 publications

(40 citation statements)

References 8 publications

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“…The generally low parasite densities found in this study may explain the minimal effect on birth weight, as observed by Opara [2] who recorded parasitized neonate twins with normal birth weights. Primigravidae are more susceptible to malaria infection than multigravidae in endemic areas [18]. The findings of this study supports this position, albeit, the difference in prevalence was not significant.…”

Section: Discussionsupporting

confidence: 72%

Prevalence of Congenital Malaria in Minna, North Central Nigeria

Omalu

Mgbemena

et al. 2012

Journal of Tropical Medicine

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The study was designed to determine the true prevalence of congenital, cord, and placental malaria in General Hospital Minna, North Central Nigeria. Peripheral blood smears of near-term pregnant women, as well as the placental, cord, and peripheral blood smears of their newborn babies, were examined for malaria parasites, using the Giemsa staining technique. Out of 152 pregnant women screened, 21 (13.82%) of them were infected with malaria parasites. Of the 152 new born babies, 4 (2.63%) showed positive peripheral parasitaemia. Placental parasitaemia was 7/152 (4.61%), while cord blood parasitaemia was 9/152 (5.92%). There were strong associations between peripheral and cord malaria parasitaemia and congenital malaria (P < 0.05). Plasmodium falciparum occurred in all, and none had mixed infection. The average birth weights of the babies delivered of nonmalarious pregnant women were higher than those delivered by malarious pregnant women, though not significant (P > 0.05). Malaria parasitaemia occurred more frequently in primigravidae than multigravidae.

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Section: Discussionsupporting

confidence: 72%

Prevalence of Congenital Malaria in Minna, North Central Nigeria

Omalu

Mgbemena

et al. 2012

Journal of Tropical Medicine

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“…However, the prevalence of anemia among women with malaria parasitaemia is more or less comparable to 59.6% reported from similar study group in Calabar, Nigeria [41] .Anemia was three times higher among those with malaria parasitaemia compared to those without malaria parasitaemia in this study. This direct correlation between severity of parasitaemia and anemia was noted by other researchers elsewhere [15,27,32,38,40,41] .This higher prevalence rate of anemia among women with malaria parasitaemia is attributed to increased haemolysis of parasitized red blood cells by the reticuloendothelial system in the body [4,42,43] . The degree of haemolysis leading to increase prevalence of anemia is related to the density and severity of malaria parasitaemia [43,44] .…”

Section: Discussionsupporting

confidence: 63%

“…[25,28,31] The resultant effect are more frequent episodes of Plasmodium parasitaemia and greater severity of malaria. [15,27,32] Placental parasitaemia may sometimes exceed 50 percent of placental erythrocytes without any parasite in the peripheral blood. [13,33 -35] Anemia in pregnancy significantly cause by malaria is associated with a high fetal wastage and an important contributor to maternal morbidity and mortality especially in the tropics.…”

Section: Introductionmentioning

confidence: 99%

Burden of Anemia among Pregnant Women with Asymptomatic Malaria Parasitaemia at Booking Visit in Abuja, Nigeria

2016

AIMDR

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Background: Malaria parasitaemia in pregnant women is associated with adverse maternal and fetal complications including anemia. The study aimed at determining prevalence of anemia among pregnant women with asymptomatic malaria parasitaemia at booking in a tertiary hospital in Abuja, Nigeria. Methods: This was a cross-sectional descriptive study of consented 659 pregnant recruited consecutively at booking for antenatal care. Structured questionnaire was administered on each subject and then blood was taken for their packed cell volumes estimation using Hawksley`s microhaematocrit reader as well as thick and thin blood films for malaria parasites assessment.The data were analysed using 2008 EPI-info 3.5.1(CDC, Atlanta Georgia, USA).. Results: Out of 659 pregnant women screened, 255 (38.7%) had significant malaria parasitaemia. Among women with significant malaria parasitaemia, 176 (69.0%), 68 (26.7%) and 11 (4.3%) had mild, moderate and severe malaria parasitaemia respectively. Prevalence of anemia (PCV< 33%) in the entire study population screened was 38.4% (253/659). Among pregnant women with significant malaria parasitaemia, 163 of them were anaemic, giving prevalence of anaemia of 63.9% (163/255) while anemia was noted in 22.3% (90/404) of women with no malaria parasitaemia. The risk of anemia was significantly higher as the severity of parasitaemia increases among the study (P < 0.00001). Conclusion: Anaemia in pregnancy is common among asymptomatic women with malaria parasitaemia and the risk increased significantly as the severity of malaria parasitaemia increases depicting malaria as a common cause of anemia in our obstetric population. Routine screening for malaria infestation at booking is therefore recommended.

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“…According to the 2008 Nigeria Demographic and Health Survey, only 11.8% of pregnant women slept under an ITN, and only 6.5% of pregnant women had taken the recommended two doses of SP during pregnancy [12]. Accordingly, the prevalence of malaria in pregnancy remains high, with recent estimates suggesting prevalence rates of close to 50% in the second and third trimesters [13]. …”

Section: Introductionmentioning

confidence: 99%

Preventing malaria in pregnancy through community-directed interventions: evidence from Akwa Ibom State, Nigeria

Okeibunor

Orji

Brieger

et al. 2011

Malar J

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BackgroundDespite massive anti-malaria campaigns across the subcontinent, effective access to intermittent preventive treatment (IPTp) and insecticide-treated nets (ITNs) among pregnant women remain low in large parts of sub-Saharan Africa. The slow uptake of malaria prevention products appears to reflect lack of knowledge and resistance to behavioural change, as well as poor access to resources, and limited support of programmes by local communities and authorities.MethodsA recent community-based programme in Akwa Ibom State, Nigeria, is analysed to determine the degree to which community-directed interventions can improve access to malaria prevention in pregnancy. Six local government areas in Southern Nigeria were selected for a malaria in pregnancy prevention intervention. Three of these local government areas were selected for a complementary community-directed intervention (CDI) programme. Under the CDI programme, volunteer community-directed distributors (CDDs) were appointed by each village and kindred in the treatment areas and trained to deliver ITNs and IPTp drugs as well as basic counseling services to pregnant women.FindingsRelative to women in the control area, an additional 7.4 percent of women slept under a net during pregnancy in the treatment areas (95% CI [0.035, 0.115], p-value < 0.01), and an additional 8.5 percent of women slept under an ITN after delivery and prior to the interview (95% CI [0.045, 0.122], p-value < 0.001). The effects of the CDI programme were largest for IPTp adherence, increasing the fraction of pregnant women taking at least two SP doses during pregnancy by 35.3 percentage points [95% CI: 0.280, 0.425], p-value < 0.001) relative to the control group. No effects on antenatal care attendance were found.ConclusionThe presented results suggest that the inclusion of community-based programmes can substantially increase effective access to malaria prevention, and also increase access to formal health care access in general, and antenatal care attendance in particular in combination with supply side interventions. Given the relatively modest financial commitments they require, community-directed programmes appear to be a cost-effective way to improve malaria prevention; the participatory approach underlying CDI programmes also promises to strengthen ties between the formal health sector and local communities.

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Malaria among pregnant women in Abeokuta, Nigeria

Cited by 32 publications

References 8 publications

Prevalence of Congenital Malaria in Minna, North Central Nigeria

Prevalence of Congenital Malaria in Minna, North Central Nigeria

Burden of Anemia among Pregnant Women with Asymptomatic Malaria Parasitaemia at Booking Visit in Abuja, Nigeria

Preventing malaria in pregnancy through community-directed interventions: evidence from Akwa Ibom State, Nigeria

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