Plasmodium vivax Malaria in Pregnant Women in the Brazilian Amazon and the Risk Factors Associated with Prematurity and Low Birth Weight: A Descriptive StudyReport as inadecuate




Plasmodium vivax Malaria in Pregnant Women in the Brazilian Amazon and the Risk Factors Associated with Prematurity and Low Birth Weight: A Descriptive Study - Download this document for free, or read online. Document in PDF available to download.

Introduction

Plasmodium vivax is the most prevalent malaria species in the American region. Brazil accounts for the higher number of the malaria cases reported in pregnant women in the Americas. This study aims to describe the characteristics of pregnant women with malaria in an endemic area of the Brazilian Amazon and the risk factors associated with prematurity and low birth weight LBW.

Methods-Principal Findings

Between December 2005 and March 2008, 503 pregnant women with malaria that attended a tertiary health centre were enrolled and followed up until delivery and reported a total of 1016 malaria episodes. More than half of study women 54% were between 20–29 years old, and almost a third were adolescents. The prevalence of anaemia at enrolment was 59%. Most women 286-503 reported more than one malaria episode and most malaria episodes 84.5%, 846-1001 were due to P. vivax infection. Among women with only P. vivax malaria, the risk of preterm birth and low birth weight decreased in multigravidae OR, 0.36 95% CI, 0.16–0.82; p = 0.015 and OR 0.24 95% CI, 0.10–0.58; p = 0.001, respectively. The risk of preterm birth decreased with higher maternal age OR 0.43 95% CI, 0.19–0.95; p = 0.037 and among those women who reported higher antenatal care ANC attendance OR, 0.32 95% CI, 0.15–0.70; p = 0.005.

Conclusion

This study shows that P. vivax is the prevailing species among pregnant women with malaria in the region and shows that vivax clinical malaria may represent harmful consequences for the health of the mother and their offsprings particularly on specific groups such as adolescents, primigravidae and those women with lower ANC attendance.



Author: Camila Bôtto-Menezes , Mônica Caroline Silva dos Santos, Janicéia Lopes Simplício, Jandira Menezes de Medeiros, Kelly Cristin

Source: http://plos.srce.hr/



DOWNLOAD PDF




Related documents