How are pregnancy related complications of severe malaria managed? | Paras Bliss Hospital
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How are Pregnancy Related Complications of Severe Malaria Managed?

How are Pregnancy Related Complications of Severe Malaria Managed?

by: Dr. Monica Agarwal
Sr. Consultant Obstetrics & Gynecology - Paras Bliss, Panchkula

Malaria is a disease is caused by the bite of female anopheles mosquito which carries the parasite. The severity of malaria varies based on the species of plasmodium.

Symptoms are chills, fever and sweating, usually occurring a few weeks after being bitten.

People travelling to areas where malaria is common typically take protective drugs before, during and after their trip. Treatment includes antimalarial drugs.

Malaria parasites are of four types

  • Plasmodium falciparum
  • Plasmodium vivax
  • Plasmodium ovale
  • Plasmodium malariae

Vivax and falciparum are the most common ones. Falciparum is very dangerous.

Symptoms associated with Malaria  

They are mostly flu like symptoms

  • Fever
  • Headache
  • Muscle pain
  • Fatigue
  • Chills
  • Sweating
  • Cough
  • Diarrhoea
  • Nausea and vomiting

It is confirmed by a blood test. If you have fever with chills, you should immediately come to the hospital for check up and treatment. Malaria occurs most frequently in monsoon season i.e. June to September as it is the breeding season of mosquitoes. Anopheles mosquito is mostly active at night.

How to Prevent Malaria –

Prevention is very important. It can be done by avoiding mosquito bites by keeping your surroundings mosquito free. Avoid stagnant water in and around your house.

Avoid skin exposure by wearing full length garments. Use mosquito repellents and nets to protect yourself.

Malaria in Pregnancy

Pregnant lady is more susceptible to malaria and likely to develop more complications because of the lower immunity.

Complications in mother-

  • Anaemia
  • Jaundice
  • Low BP
  • Low blood sugar
  • Pulmonary edema
  • Kidney failure
  • Liver failure

Baby

  • Miscarriage
  • Still birth
  • Premature birth
  • Fetal distress
  • IUGR
  • Neonatal death

Treatment for Malaria

 Treatment is mandatory because the complications of untreated malaria are more than the side effects of the drugs used.

  • Safer drugs like chloroquine is used during pregnancy
  • Quinine and clindamycin are also used
  • For severe malaria, intravenous drug Artesunate is used
  • Fever is treated by paracetamol
  • Anaemia may need blood transfusion, iron and folic acid
  • Blood sugar also should be monitored frequently
  • Fetal monitoring is also must

Malaria is difficult to treat during pregnancy and you need frequent testing to check that it is gone completely. After you have recovered from malaria, it is important to have regular pregnancy check ups. Frequent ultrasounds maybe needed to check for the baby’s growth also.

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