Burden of Placental Malaria among Pregnant Women Who Use or Do Not Use Intermittent Preventive Treatment at Mulago Hospital, Kampala
| dc.contributor.author | Odongo, Charles Okot | |
| dc.contributor.author | Odida, Michael | |
| dc.contributor.author | Wabinga, Henry | |
| dc.contributor.author | Obua, Celestino | |
| dc.contributor.author | Byamugisha, Josaphat | |
| dc.date.accessioned | 2023-02-27T20:17:30Z | |
| dc.date.available | 2023-02-27T20:17:30Z | |
| dc.date.issued | 2016 | |
| dc.description.abstract | Intermittent preventive treatment of malaria in pregnancy with sulphadoxine-pyrimethamine (SP-IPTp) is widely used to reduce the incidence of adverse pregnancy outcomes. As a monitor for continued effectiveness of this intervention amidst SP resistance, we aimed to assess malaria burden among pregnant women who use or do not use SP-IPTp. In a descriptive cohort study at Mulago Hospital, Kampala, 87 women who received two supervised doses of SP-IPTp were followed up until delivery. Controls were pregnant women presenting in early labour without history of SP-IPTp. Histopathological investigation for placental malaria (PM) was performed using the Bulmer classification criterion. Thirty-eight of the 87 women returned for delivery and 33 placentas were successfully collected and processed along with 33 placentas from SP nonusers. Overall, 12% (4/33) of the users had evidence of PM compared to 48% (16/33) of nonusers. Among nonusers, 17/33, 8/33, 2/33, and 6/33 had no placental infection, active infection, active-chronic infection, and past-chronic infection, respectively. Among users, respective proportions were 29/33, 2/33, 0/33, and 2/33. No difference in birth weights was apparent between the two groups, probably due to a higher proportion of infections occurring later in pregnancy. Histological evidence here suggests that SP continues to offer substantial benefit as IPTp. | en_US |
| dc.identifier.citation | Odongo, C. O., Odida, M., Wabinga, H., Obua, C., & Byamugisha, J. (2016). Burden of placental malaria among pregnant women who use or do not use intermittent preventive treatment at Mulago Hospital, Kampala. Malaria Research and Treatment, 2016.http://dx.doi.org/10.1155/2016/1839795 | en_US |
| dc.identifier.uri | https://nru.uncst.go.ug/handle/123456789/8010 | |
| dc.language.iso | en | en_US |
| dc.publisher | Malaria Research and Treatment | en_US |
| dc.subject | Placental Malaria | en_US |
| dc.subject | Pregnant Women | en_US |
| dc.subject | Intermittent Preventive Treatment | en_US |
| dc.title | Burden of Placental Malaria among Pregnant Women Who Use or Do Not Use Intermittent Preventive Treatment at Mulago Hospital, Kampala | en_US |
| dc.type | Article | en_US |
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