Malaria in pregnancy.
Malaria in pregnancy is one of the major causes of maternal morbidity worldwide, and leads to poor birth outcomes. There is a complex interaction between pregnancy and parasite-all favour the parasite and disadvantage the pregnant woman. Women who are semi-immune lose much of that immunity. They may present with placental malaria but with no parasites in their peripheral blood. A non-immune pregnant women and her fetus are at serious risk from falciparum malaria. The diagnosis and management of malaria in pregnancy, including the safety of antimalarial drugs and interactions of malaria with HIV in pregnancy are reviewed.
Whitty
Christopher J M
CJ
Department of Infectious and Tropical Disease, London School of Hygiene and Tropical Medicine, London, UK.
Edmonds
Sally
S
Mutabingwa
Theonest K
TK
D000740:Anemia / Q000150:complications; D000962:Antimalarials / Q000627:therapeutic use*; D005260:Female; D006801:Humans; D016778:Malaria, Falciparum / Q000188:drug therapy* / Q000517:prevention & control; D016780:Malaria, Vivax / Q000188:drug therapy* / Q000517:prevention & control; D010922:Placenta Diseases / Q000469:parasitology; D011247:Pregnancy; D015597:Pregnancy Complications, Parasitic / Q000188:drug therapy* / Q000517:prevention & control
D000962:Antimalarials