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Publication Details
AFRICAN RESEARCH NEXUS
SHINING A SPOTLIGHT ON AFRICAN RESEARCH
medicine
Malaria at parturition in nigeria: Current status and delivery outcome
Infectious Diseases in Obstetrics and Gynecology, Volume 2009, Article 473971, Year 2009
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Description
Background. To evaluate the current status of malaria at parturition and its impact on delivery outcome in Nigeria. Methods. A total of 2500 mother-neonate pairs were enrolled at 4 sites over a 12-month period. Maternal and placental blood smears for malaria parasitaemia and haematocrit were determined. Results. Of the 2500 subjects enrolled, 625 were excluded from analysis because of breach in study protocol. The mean age of the remaining 1875 mothers was 29.0 ± 5.1 years. The prevalence of parasitaemia was 17 and 14 in the peripheral blood and placenta of the parturient women, respectively. Peripheral blood parasitaemia was negatively associated with increasing parity (P <.0001). Maternal age < 20 years was significantly associated with both peripheral blood and placental parasitaemia. After adjusting for covariates only age < 20 years was associated with placental parasitaemia. Peripheral blood parasitaemia in the women was associated with anaemia (PCV ≤ 30) lower mean hematocrit (P <.0001). lower mean birth weight (P <.001) and a higher proportion of low birth weight babies (LBW), (P =.025). Conclusion. In Nigeria, maternal age < 20 years was the most important predisposing factor to malaria at parturition. The main impacts on pregnancy outcome were a twofold increase in rate of maternal anaemia and higher prevalence of LBW. Copyright © 2009 Olugbenga A. Mokuolu et al.
Authors & Co-Authors
Mokuolu, Olugbenga Ayodeji
Nigeria, Ilorin
University of Ilorin
Falade, Catherine Olufunke
Nigeria, Ibadan
University College Hospital, Ibadan
Orogade, Adeola A.
Nigeria, Zaria
Ahmadu Bello University
Okafor, Henrietta Uche
Nigeria, Naukka
University of Nigeria
Adedoyin, Olanrewaju Timothy
Nigeria, Ilorin
University of Ilorin
Oguonu, Tagbo A.
Nigeria, Zaria
Ahmadu Bello University
Dada-Adegbola, Hannah Odunola
Nigeria, Ibadan
University College Hospital, Ibadan
Oguntayo, O. A.
Nigeria, Zaria
Ahmadu Bello University
Ernest, S. Kolade
Nigeria, Ilorin
University of Ilorin
Hamer, Davidson Howes
United States, Boston
Boston University
Callahan, Michael V.
United States, Boston
Massachusetts General Hospital
Statistics
Citations: 46
Authors: 11
Affiliations: 6
Identifiers
Doi:
10.1155/2009/473971
ISSN:
10647449
e-ISSN:
10980997
Research Areas
Infectious Diseases
Maternal And Child Health
Sexual And Reproductive Health
Study Design
Cross Sectional Study
Study Locations
Nigeria
Participants Gender
Female