Prevalence and Risk Factors for Placental Malaria in Nnewi, South East Nigeria
Journal Title: International Journal of TROPICAL DISEASE & Health - Year 2014, Vol 4, Issue 3
Abstract
Background: Placental malaria is one of the complications of malaria in pregnancy and is associated with poor pregnancy outcome. Demonstration of its prevalence and risk factors will help in modifying the measures in the prevention of malaria in pregnancy and strengthens the effective pre-existing preventive measures in our community. More so, there is paucity of studies of placental malaria in our environment using histology which is the gold standard. Aim: To determine the prevalence and the risk factors for placental malaria. Study Design and Setting: This is a cross sectional study carried out at Nnamdi Azikiwe University Teaching Hospital (NAUTH), Nnewi, South East, Nigeria between 1st August, 2012 and 31st January, 2013. Materials and Methods: A cross section of pregnant women who delivered in the labour ward was recruited for the study. The following data were obtained from those who met the inclusion criteria: age, parity, gestational age, the booking status, educational level and husband’s occupation. The history of Intermittent preventive therapy (IPT), Insecticide treated net (ITN), HIV status, Blood group and Haemoglobin genotype were also obtained. Descriptive analysis of the results was done using the statistical package for social sciences (SPSS) version 16. Univariate analysis and logistic regression were used and the results expressed in Odd ratios (OR) and Confidence interval (C.I). P-value <0.05 was taken as significant level. Result: Out of 200 placentae analyzed, 141 were positive for malaria, giving a prevalence of 70.5%. The commonest form of parasitisation was chronic infection (68.09%) followed by past infection (19.14%) and acute infection (12.77%). Using univariate analysis, the potential risk factors were young age, primigrividity, unbooked status and non use of IPT, non use of ITN, low social class, HIV positivity and haemoglobin genotype AA. However when these were subjected to logistic regression, the independent risk factors identified were young age, primigrividity, unbooked status, non use of IPT and non use of ITN. Conclusion: This study highlighted high prevalence of placental malaria in our environment. The independent risk factors noted were young age, primigrividity, unbooked status, non use of IPT and non use of ITN.
Authors and Affiliations
V. E. Okolie, N. J. Obiechina, Z. C. Okechukwu, C. F. Oguejiofor, L. Okor, A. O. Onyegbule, O. I. Udegbunam, L. S. A. Nwajiaku, C. Ogbuokiri, R. Egeonu
Keywords
Related Articles
- EP ID EP342904
- DOI 10.9734/IJTDH/2014/8365
- Views 66
- Downloads 0
Fecal Calprotectin in Assessment of Ulcerative Colitis Activity
Background: It is important to evaluate the activity of inflammatory bowel disease (IBD) for the treatment. Fecal Calprotectin has been shown to be excellent marker of intestinal inflammation because it is simple, rapid,...
Drug Resistant Non-acid Fast Bacteria Pathogens, Isolated from Tuberculosis (TB) Patients with Known HIV Status from the North West Region
Aims: To investigate the prevalence of Non-Mycobacterium tuberculosis (MTB) bacterial pathogens from TB patients with known HIV status as well as their resistant patterns to commonly used antibiotics. Study Design: This...
Predictors of Low Body Mass Index Among Patients with Smear Positive Pulmonary Tuberculosis in Kenya
Aim: To determine the predictors of low body mass index (BMI) among tuberculosis (TB) cases in three high TB/HIV burden provinces in Kenya. Study Design: Cross-sectional survey, July 2010 to May 2011. Study Setting: Thr...
A Case Report of Cutaneous Larvae Migrans with Associated Fungal Superinfection in Uyo, Nigeria
Aims: To describe a case of Cutaneous Larvae Migrans (CLM) with associated fungal and bacterial superinfection seen in the Tuberculosis and Infectious Disease Unit of University of Uyo Teaching Hospital. Presentation of...
Coital Abstinence and High Risk Sexual Behavior among Husbands of Postpartum Women, in Ikenne, Southwestern Nigeria
Aims: To determine the prevalence of high risk sexual behavior and its relationship to the duration of coital sexual abstinence in husbands of postpartum women. Study Design: Cross sectional descriptive study. Place and...