Fetomaternal Outcome of Pregnant Women with Malaria : Fetomaternal Outcomes of Pregnant Women

. Mehwish; Mehreen Memon; Bakhtawar Solangi; . Erum; . Raishem; . Farzana; . Tosheeba; Neeta Maheshwary

doi:10.54393/pjhs.v6i7.3124

Authors

. Mehwish Department of Obstetrics and Gynecology, Peoples University of Medical and Health Sciences, Nawab Shah, Pakistan
Mehreen Memon Department of Obstetrics and Gynecology, Countenance Difference Fund Hospital, Hyderabad, Pakistan
Bakhtawar Solangi Department of Obstetrics and Gynecology, Peoples University of Medical and Health Sciences, Nawab Shah, Pakistan
. Erum Department of Obstetrics and Gynecology, Peoples University of Medical and Health Sciences, Nawab Shah, Pakistan
. Raishem Department of Obstetrics and Gynecology, Peoples University of Medical and Health Sciences, Nawab Shah, Pakistan
. Farzana Department of Obstetrics and Gynecology, Peoples University of Medical and Health Sciences, Nawab Shah, Pakistan
. Tosheeba Department of Obstetrics and Gynecology, Peoples University of Medical and Health Sciences, Nawab Shah, Pakistan
Neeta Maheshwary Ziauddin University, Karachi, Pakistan

DOI:

https://doi.org/10.54393/pjhs.v6i7.3124

Keywords:

Anemia, Malaria, Low Weight, Preterm Birth, Outcomes

Abstract

Malaria during pregnancy is a major public health concern, with devastating implications for both the mother and the unborn child. Objectives: To evaluate the maternal and fetal outcomes in pregnant women infected with Plasmodium falciparum and Plasmodium ovale/vivax. Methods: This descriptive cross-sectional study was carried out in Obstetrics and Gynecology Ward II using non-probability convenience sampling. It included 110 pregnant women diagnosed with malaria, excluding those with underlying health conditions. Data were gathered through interviews, medical records, and laboratory tests. Various maternal and neonatal factors, including hemoglobin levels and birth weight, were recorded. The chi-square test was performed to evaluate the relationship between malaria and fetal outcomes, with p-values<0.05 considered statistically significant. Results: Among 110 pregnant women, 58 (52.7%) were aged 21–30 years. The majority, 69 (62.7%), had 2–5 pregnancies, while 25 (22.7%) were primigravida. Preterm birth and full-term deliveries were equally distributed, 55 (50.0%), while anemia was prevalent in 82 (74.5%) of cases. Low birth weight was observed in 35 (31.8%) of neonates. Among 71 women with P. falciparum infection, 63 (88.7%) developed anemia, which was significantly higher than in the P. ovale/vivax group, where only 19 out of 39 (48.7%) were anemic (p<0.001). Preterm birth, 45 (63.4%) and low birth weight, 34 (47.9%), were significantly greater in falciparum cases (p<0.001). Conclusions: It was concluded that Plasmodium falciparum infection poses a higher frequency of adverse fetomaternal outcomes compared to Plasmodium ovale/vivax, characterized by noticeably greater incidences of hypoglycemia, low weight at birth weight, premature birth, and anemia.

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