Association of placental Plasmodium falciparum parasitaemia with maternal and newborn outcomes in the periurban area of Bobo-Dioulasso, Burkina Faso
Autor: | A. Hama Diallo, Armel Poda, Mamoudou Cisse, D. Adolphe Somé, A. Gordon Awandare, T. Robert Guiguemdé |
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Rok vydání: | 2016 |
Předmět: |
medicine.medical_specialty
biology business.industry Obstetrics 030231 tropical medicine Plasmodium falciparum Malaria parasitaemia biology.organism_classification medicine.disease Congenital malaria 03 medical and health sciences 0302 clinical medicine Cord blood parasitic diseases medicine 030212 general & internal medicine medicine.symptom business Placental blood Malaria Parasite density Bobo dioulasso |
Zdroj: | Parasitology Open. 2 |
ISSN: | 2055-7094 |
DOI: | 10.1017/pao.2016.12 |
Popis: | SUMMARYThe prevalence of placental malaria and its impact on maternal and newborn outcomes have been poorly documented in periurban settings of Burkina Faso. Peripheral and placental blood from 320 mothers, and cord blood from their newborns were collected through a cross-sectional study and used to prepare thick and thin blood films. Maternal haemoglobin concentration and birthweight were also measured. The overall malaria parasitaemia prevalence in peripheral, placental and cord blood was of 17·2, 9·1 and 0·9%, respectively.Plasmodium falciparumwas the sole species found in all cases and the mean parasite density in placental blood was 4·5 ± 0·8 parasitesµL−1. Primigravida (aOR: 3·5; 95% CI (1·1–11·2)) and women who did not use a bed net (aOR: 2·6; 95% CI (1·1–6·3)), were at higher odds of placental malaria infection. Women with placental parasitaemia were at increased odds of maternal anaemia (aOR: 3·1; 95% CI (1·3–7·4)). There was no odds difference for LBW between mothers with placental parasitaemia and those without. Placental malaria parasitaemia resulted in a significant mean birthweight reduction of 200 g. Placental malaria infection is higher in primigravida. Use of insecticide-treated bed nets should be therefore emphasized for primigravida during the first antenatal care visit. |
Databáze: | OpenAIRE |
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