Effectiveness of antenatal intermittent preventive treatment for malaria with sulphadoxine-pyrimethamine on peripartum outcomes

Autor: Isaac Okezie Godwin, Ifeoma Mercy Ekejindu, George Uchenna Eleje, Dorothy Amauche Ezeagwuna, Chigozie Geoffrey Okafor, Arinze Anthony Onwuegbuna, Osita Samuel Umeononihu, Prisca Obiageli Godwin, Onyecherelam Monday Ogelle, Joseph Ifeanyichukwu Ikechebelu
Jazyk: angličtina
Rok vydání: 2022
Předmět:
Zdroj: Therapeutic Advances in Infectious Disease, Vol 9 (2022)
Druh dokumentu: article
ISSN: 2049-937X
20499361
DOI: 10.1177/20499361221122620
Popis: Background: Following the World Health Organization (WHO) recommendations for 4-weekly antenatal intermittent preventive treatment of malaria in pregnancy using sulphadoxine-pyrimethamine (IPTp-SP), there is a need to evaluate the drug performance in order to determine their effectiveness as tools in malaria control policy. Objectives: To determine prevalence of cord blood malaria, compliance gap and adverse pregnancy outcomes (anaemia, preterm delivery, spontaneous abortion, intra-uterine foetal death and low birth weight) among antenatal IPTp-SP users compared with non-users. Methods: A cross-sectional analytical study was conducted among consenting 390 participants who were administered a questionnaire, and paired blood samples were collected from the venous blood of participants and neonatal cord immediately after delivery. The participants were categorised as IPTp-SP users and non-users. Adverse pregnancy outcomes were assessed. Neonatal birth weights were also measured within 1 h after delivery. Malaria parasitaemia and anaemia were analysed using standard parasitological and haematological methods of examination. Data were analysed using SPSS version 25 for Windows and p -value of
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