Malaria in Pregnancy: Morbidities and Management
Malaria infection during pregnancy remains an important public health concern especially in the tropics with substantial risk for the mother, her fetus and the neonate. More than 25 million African women in malaria endemic areas get pregnant and are at risk of infection with Plasmodium falciparum. Several pregnancy complications including miscarriage, preterm labor, intrauterine growth restriction (IUGR) and intrauterine fetal death (IUFD) have been associated with malaria. In early pregnancy treatment options are very limited partly due to drug resistance and the uncertainty about the safety of some antimalarials in pregnancy. Quinine still remains safe in all trimesters. A package of interventions for the prevention and
control of malaria in the African Subregion during pregnancy has been recommended by the World Health Organization (WHO). These include intermittent preventive treatment (IPT), use of insecticide treated nets
(ITNs) and access to effective case management for malaria illness and anemia.
Keywords: malaria in pregnancy, treatment, insecticide treated nets, intermittent preventive therapy.