Malaria-in-Pregnancy

Malaria-in-Pregnancy - Malaria in Pregnancy Prof.Surendra...

Info iconThis preview shows pages 1–6. Sign up to view the full content.

View Full Document Right Arrow Icon
Prof.Surendra Nath Panda, M.S. Malaria in Pregnancy M.K.C.G.MEDICAL COLLEGE BERHAMPUR, ORISSA, INDIA
Background image of page 1

Info iconThis preview has intentionally blurred sections. Sign up to view the full version.

View Full DocumentRight Arrow Icon
11:01 AM Malaria in Pregnancy - Prof.S.N.Panda 2 02-11-02 Malaria Menance World wide 103 countries with 2.5 billion people, developing countries worst affected. 40 % of world’s population in shadow of Malaria. Deaths- Under estimated/Unknown,1.1 to 2.7 million per year Gender related mortality - Females more Malaria in Pregnancy: - Mutually aggravating Mortality is double Primigravidae - 60-70% Highest prevalence in second half. Plasmodium Falciparum – More common.
Background image of page 2
11:01 AM Malaria in Pregnancy - Prof.S.N.Panda 3 02-11-02 Malaria in Pregnancy : Malaria and pregnancy are mutually aggravating conditions. The physiological changes of pregnancy and the pathological changes due to malaria have a synergistic effect on the course of each other, thus making life difficult for the mother, the child and the treating physician. P. falciparum malaria can run a turbulent and dramatic course in pregnant women. The non- immune, primigravidae are usually the most affected. In areas where malaria is endemic, 20-40% of all babies born may have a low birth weight. Sinister Coincidence
Background image of page 3

Info iconThis preview has intentionally blurred sections. Sign up to view the full version.

View Full DocumentRight Arrow Icon
11:01 AM Malaria in Pregnancy - Prof.S.N.Panda 4 02-11-02 Malaria in Pregnancy : More common. Malaria is more common in pregnancy compared to the general population probably due to Immuno suppression and loss of acquired immunity to malaria. More atypical. In pregnancy, malaria tends to be more atypical in presentation probably due to the hormonal , immunological and haematological changes of pregnancy. More severe. Probably for the same reason, the parasitemia tends to be 10 times higher and as a result, all the complications of falciparum malaria are more common in pregnancy compared to the non-pregnant population. Double Trouble
Background image of page 4
Malaria in Pregnancy - Prof.S.N.Panda 5 02-11-02 Malaria in Pregnancy : More fatal P. falciparum malaria in pregnancy being more severe, the mortality is also double (13 % ) compared to the non-pregnant population (6.5%). Selective treatment Some anti malarials are contra indicated in pregnancy and some may cause severe adverse effects. Therefore the treatment may become difficult, particularly in cases of severe P. falciparum malaria. Other problems Management of complications of malaria may be difficult due to the various physiological changes of pregnancy. Careful attention has to be paid towards fluid management, temperature control, etc. Decisions regarding induction of labour may be difficult and complex. Foetal loss, IUGR, and premature labour are common.
Background image of page 5

Info iconThis preview has intentionally blurred sections. Sign up to view the full version.

View Full DocumentRight Arrow Icon
Image of page 6
This is the end of the preview. Sign up to access the rest of the document.

Page1 / 40

Malaria-in-Pregnancy - Malaria in Pregnancy Prof.Surendra...

This preview shows document pages 1 - 6. Sign up to view the full document.

View Full Document Right Arrow Icon
Ask a homework question - tutors are online