Management of malaria in pregnancy
Stephen J Rogerson
The Indian Journal of Medical Research | WOLTERS KLUWER MEDKNOW PUBLICATIONS | Published : 2017
Pregnant women are especially susceptible to malaria infection. Without existing immunity, severe malaria can develop requiring emergency treatment, and pregnancy loss is common. In semi-immune women, consequences of malaria for the mother include anaemia while stillbirth, premature delivery and foetal growth restriction affect the developing foetus. Preventive measures include insecticide-treated nets and (in some African settings) intermittent preventive treatment. Prompt management of maternal infection is key, using parenteral artemisinins for severe malaria, and artemisinin combination treatments (ACTs) in the second and third trimesters of pregnancy. ACTs may soon also be recommended a..View full abstract
This work is supported by the National Health and Medical Research Council of Australia. Author thanks Siddhartha Mahanty for helpful review of the manuscript.