Prevalence of Gestational Malaria in Kisangani, Democratic Republic of Congo

• 作者: Antoine Modia O’yandjo Gedeon Katenga Bosunga Jean-Didier Bosenge Nguma Jean-Pascal Manga Okenge Joris Losimba Likwela Maindo A. Mike-Antoine No?l Labama Otuli
• 来源期刊: 妇产科期刊(英文)
• 学科: 医学
• 关键词: GESTATIONAL MALARIA Thick DROP PLACENTAL IMPRINT PARASITAEMIA Kisangani
• 年，卷（期）: 2018,（10）
• 页码范围: 854-866
• 页数: 13页
• 分类号: R73

摘要

Introduction: Gestational malaria is a major public health problem because it is a threat to pregnant women and their children. As Kisangani is a stable malaria transmission area and there is a paucity of data on the status of gestational malaria in our settings, we have found it appropriate to determine the prevalence of gestational malaria and its determinants in Kisangani City. Methods: We conducted a cross-sectional analytical study in Kisangani from January 1 to September 30, 2017. Our population study consisted of 1248 parturients recruited at delivery. We made the thick drop in peripheral blood from parturients at the admission and at the level of placental impressions after delivery. Results: The average age of the respondents was 25.3971 ± 6.2452 years;the overall prevalence of gestational malaria was 27.56% including 12.66% peripheral parasitaemia, 12.34% placental parasitaemia and 2.56% parasitaemia level and placental and peripheral blood impressions. Youngest age ≤ 18 years [OR (95% CI) = 2.44 (1.75 - 3.41), p 0.001], primiparity [OR (95% CI) = 2.94 (2.00 - 4.32), p 0.001] and positive HIV serology [OR (95% CI) = 3.01 (1.23 - 7.43), p = 0.008] increased the risk of gestational malaria;the use of mosquito net impregnated with insecticide [OR (95% CI) = 0.29 (0.14 - 0.61), p 0.001] reduced this risk. Conclusion: The prevalence of gestational malaria is 27.56% in Kisangani. The youngest age ≤ 18 years, the primiparity and positive HIV serology of pregnant women were the most associated risk factors.