SUMMARY
Objectives: To describe the risk factors,
clinical features, complications of malaria during pregnancy and maternal and
fetal prognosis. .
METHODS: A retrospective study from 1 January
2011 to 1 January 2013, a study period of 2 years service in obstetrics
gynecology general hospital Walungu. Data were recorded and analyzed using
Excel 2010 software. The percentage was calculated using the formula:%nx = 100
/ n Ó
The following parameters were studied:
- For the mother: The origin, maternal age, parity, obstetric
formula, date of last rule, expected date of confinement, clinical signs,
gestational age, mode of delivery.
- In the newborn: birth weight, mode of output (living or dead).
.
Results: During our study period forty cases of
malaria were diagnosed in the obstetrics and gynecology department of the
General Referral Hospital Walungu a total of 8351 women hospitalized during the
24 months an incidence of 0.5% frequency. Malaria in pregnancy is higher in
women from outside territory 80% .67,5% of malaria on pregnancy are born to
mothers whose age is between 18 and 35 ans.52, 5% of cases malaria in pregnancy
are from term. The primiparous pregnancies are most affected by malaria during
pregnancy with 57.5% .67,5% of pregnant did not follow the ANC, a large
proportion of pregnant have a fever with an incidence of 90% .55% of newborns
have a lower weight to 2500gr. Fetal mortality is 10%, quinine is the drug most
commonly used with 67.7%, the threat of birth is 37.5%, the threat of abortion
27.5%, preterm delivery 7 5% abortion being 15% last term exceeding 5%.
Conclusion: Malaria is a very common disease
like other diseases of tropical Africa, with the most complications in the
breast that fetal prognosis. The diagnostic approach based malaria symptoms has
a low positive predictive value for pregnancy. A thick or at least a rapid
diagnostic test for gout should be routinely performed before any access
fébrile.la quinine molecule remains the most used in our services.
Keywords: Malaria, Pregnancy, abortion, anemia,
hypotrophy, prematurity.
SIGLES ET ABREVIATIONS
FSKI : Fonds social du Kivu
HGRW : Hôpital Général de
Référence de walungu
Prof : Professeur
OMS : Organisation mondiale de la santé
CPN : consultations prénatales
UEA : Université Evangélique en Afrique
RDC : République démocratique du Congo
MFIU : Mort foetale in utero
DDR : Date de dernier regle
DPA : Date probable d'accouchement
G.E : Goutte Epaisse
RCIU : Retard de croissance intra utérine
RPM : Rupture prématuré de membranes
IVG : Interruption volontaire de la grossesse
IST : Infection sexuellement transmissible
GEU : Grossesse extra utérine
CSA :Chondroitinsulphate A
TDR : Test de diagnostic rapide
SP : Sulfadoxine pyriméthamine
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