ISSN Print: 2381-1056  ISSN Online: 2381-1064
Journal of Nursing Science  
Manuscript Information
 
 
Plasmodium Parasitaemia Among Pregnant Women Attending Antenatal Clinic in Sokoto, North Western Nigeria
Journal of Nursing Science
Vol.1 , No. 1, Publication Date: Mar. 27, 2015, Page: 9-14
1385 Views Since March 27, 2015, 1078 Downloads Since Apr. 12, 2015
 
 
Authors
 
[1]    

Udomah F. P., Department of Haematology and Blood Transfusion Science, University of Calabar Teaching Hospital, Calabar, Cross River State, Nigeria.

[2]    

Isaac I. Z., Department of Haematology and Blood Transfusion Science, Faculty of Medical Laboratory Science, Usmanu Danfodiyo University, Sokoto, Sokoto state, Nigeria.

[3]    

Lukman I., Department of Haematology and Blood Transfusion Science, Faculty of Medical Laboratory Science, Usmanu Danfodiyo University, Sokoto, Sokoto state, Nigeria.

[4]    

Nwobodo D., Department of Haematology and Blood Transfusion Science, Faculty of Medical Laboratory Science, Usmanu Danfodiyo University, Sokoto, Sokoto state, Nigeria.

[5]    

Erhabor O., Department of Haematology and Blood Transfusion Science, Faculty of Medical Laboratory Science, Usmanu Danfodiyo University, Sokoto, Sokoto state, Nigeria.

[6]    

Abdulrahaman Y., Department of Haematology and Blood Transfusion Science, University of Calabar Teaching Hospital, Calabar, Cross River State, Nigeria.

[7]    

John R. T., Department of Obstetrics and Gynecology, Usmanu Danfodiyo University Teaching Hospital, Sokoto, Sokoto state, Nigeria.

 
Abstract
 

Background: Malaria infection during pregnancy is a significant public health problem and a major contributor to adverse maternal and perinatal outcome. In hyper endemic area like Nigeria, it is a common cause of anaemia in pregnancy and is aggravated by poor socioeconomic circumstances. The aim of this study is to investigate plasmodium infection rate and parasite density among pregnant women attending antenatal clinic in Usmanu Danfodiyo University Teaching Hospital (UDUTH), Sokoto. Method: Two hundred and ten (210) consecutively recruited pregnant women, aged between 18-45 years constituted the subjects for this descriptive study. The study was conducted in the month of June, when malaria infection is usually high. Blood samples were collected and examined for malaria parasite. Both thick and thin films were made and stained using parasitological standard procedures. Malaria density was computed using the WHO formulae. Results: The result indicated a malaria prevalence of 52.2%. Malaria infection was significantly higher among pregnant women in the second trimester (50.9%), followed by third trimester (42.9%) and then first trimester (6.2%) (p=0.01). Level of parasitaemia among the subjects indicated that 25(21.6%) had severe malaria infection while 55(47.4%) had moderate case of malaria parasitaemia and 36(31.0%) had mild malaria density. The prevalence of malaria infection was significantly higher among pregnant women in the 18 – 25 years age group (54.3%) followed by those by the 26 – 35 with (43.1%) and 36 – 45 age range (2.6%) (p=0.01). Severe parasitaemia was more prevalent among primigravids women, followed by secundigravids women and the least severity was recorded among multigravids women (12(10.3%), 8(6.9%) and 5(4.3%) respectively). Plasmodium falciparum was responsible for all the cases of malaria. Conclusion: This present study indicates a high prevalence of Plasmodium falciparum malaria among pregnant women in Sokoto, Nigeria. There is need for the implementation of preventive measures including the provision of regular malaria prophylaxis and provision of insecticide-treated mosquito nets to reduce the substantial risks to the pregnant woman and her foetus.


Keywords
 

Malaria Parasitaemia, Pregnant Women, Sokoto


Reference
 
[01]    

World Health Organization. World malaria report 2011 Fact Sheet.

[02]    

Nnaji, G.A., C.I. Okafor and J.I Ikechebelu. An evaluation of the effect of parity and age on malaria parasitaemia in pregnancy. Journal of Obstetrics and Gynaecology. 2006. 26: 755 – 758.

[03]    

Desowitz, R.S. and Alpers, M.P. Placenta plasmodium falciparum parasitaemia in East Sepick (Papua New Guinea) women of different parity: the apparent absence of acute effects on mother and foetus. Annals of Tropical Medicine. Parasitol. 1992. 86: 95-102.

[04]    

Shulman, C.E. Malaria in pregnancy: It’s relevant to Safe motherhood programmes. Ann. Trop-Med Parasitology. 1993. 93 (1): 559 –566.

[05]    

Klufio, C.A. Malaria in pregnancy. PNG Medical Journal. 1992. 35(4): 249 – 257.

[06]    

Shulman, C.E., Graham, W.J., Jilo, H., Lowe, B.S., New, L., Obiero, J. et al. Malaria is Malaria parasitaemia among pregnant women an important cause of anemia in primigravidae: evidence from a district hospital in coastal Kenya. Trans. Roy. Society Tropical Medicine Hygiene. 1996. 90(5): 535 – 539.

[07]    

Brabin, B.J. An analysis of malaria in pregnancy in Africa. Bull World Health Organisation. 1983. 61:1005-1016.

[08]    

McGregor, I.A. Thoughts on malaria in pregnancy. Parasitologia. 1987. 29: 153 – 163.

[09]    

Nyirjesy, P., Kavasya, T., Axelrod, P. and Fischer, P.R. Malaria during pregnancy: neonatal morbidity and mortality and the efficacy of chloroquine chemoprophylaxis. Clinical Infectious Disease. 1993. 16(1): 127 – 132.

[10]    

Nwagha, U.I., Ugwu, V.O., Nwagha, T.U. and Anyaehie, U.S.B. Asymptomatic Plasmodium parasitaemia in pregnant Nigerian women: almost a decade after Roll Back Malaria. Trans. Roy. Society Tropical Medicine Hygiene. 2009. 103:16 – 20.

[11]    

Riley, E.M., Schneider, G., Sambou, I. and Greenwood, B.M. Suppression of cell mediated immune responses to malaria antigens in pregnant Gambian women. American Journal of Tropical Medical Hygiene. 1989. 40:141 – 144.

[12]    

Rasheed, F.N., Bulmer, J.N., Dunn, D.T., Menendex, C., Jawla, M.F.B., Jepson, A. Et al Suppressed peripheral blood and placental blood lymphoproliferative responses in first pregnancies: relevance to malaria. American Journal of Tropical Medicine Hygiene. 1993. 48: 154 – 160.

[13]    

Bouyou-Akotet, M.K., Lonete-Collard, D.E., Mabika-Manfoumbi, M., Kendjo, E., Matsiegui, P.B., Mavoungou, E. et al. Prevalence of Plasmodium falciparum infection in pregnant women in Gabon. Malaria Journal. 2003. 2: 18.

[14]    

Elliott, S.R., Brennan, A.K., Beeson, J.G., Tadesse, E., Molyneux, M.E., Brown, G.V. et al., Placental malaria induces variant antibody of the cytophylic subtype immunoglobulin G1 (IgG1) and IgG3 that correlate with adhesion inhibitory activity. Infection and Immunity. 2005. 73:5903 – 5907.

[15]    

Sachs, J. and Malaney, P. The economic and social burden of malaria, 2002. 415: 680 – 685.

[16]    

Adefioye, O.A., O.A. Adeyeba, W.O. Hassan and O.A. Oyeniran Prevalence of Malaria Parasite Infection among Pregnant Women. American-Eurasian Journal of Scientific Research. 2007. 2 (1): 43-45.

[17]    

Chukwura, E.I., Okpala, E.E, and Ani, I.Q. The prevalence of malaria parasites in pregnant women and other patients in Awka Urban, Anambra State. Journal of Biomedical Investigation. 2003. 1:48-52.

[18]    

Uko, E.K., A.O. Emeribe and G.C. Ejezie Malaria Infection of the placenta and Neo-Natal Low Birth Weight in Calabar. Journal of Medical Laboratory Science. 1998. 7:7 – 10.

[19]    

Anorlu, R.I., Odum, C.U. and Essien, E.E. Asymptomatic malaria parasitaemia in pregnant women at booking in a primary health care facility in a peri-urban community in Lagos Nigeria. African Journal of Medical and Medical Science. 2001. 30: 39 – 41.

[20]    

Nair, L. S. and Nair, A. S. Effects of malaria infection on pregnancy. Indian Journal of Malaria. 1993. 30: 207 – 214.

[21]    

Rogerson, S.J., Hviid, L., Duffy, P., Leke, R., Taylor, D. Malaria in pregnancy: pathogenesis and immunity. Lancet infectious diseases. 2007. 7( 2): 105 – 17.

[22]    

Mockenhaupt, F.P., B. Rong, M. Gunther, S. Beck, H. Till, E. Kohn, W.N. Thompson and U. Bienzle, Anaemia in Pregnant Ghanaian women: Importance of Malaria, iron deficiency and haemoglobinopathies. Trans R Soc. Tropical Medicine Hygiene. 2000. 94: 477 – 483.

[23]    

Falade, C.O., O. Olayeni, H.O., Doda – Adegbola, C.O., Aimaku, O.G., Ademowo and L.A. Salako Prevalence of malaria at booking among antenatal clients in a secondary health care facility in Ibadan, Nigeria. African Journal of Reproductive Health. 2008. 12: 141 – 152.

[24]    

Dolo, A., D. Modiano, B. Maiga, D. Modiano and G. Dolo Differences in susceptibility to malaria between two sympatric ethnic groups in Mali. American Journal Tropical Medicine Hygiene. 2005. 72: 243- 248.

[25]    

Oduola, A.M., Sowunmi, W.R., Kyle, D.E., Martin, R.K., Walker, O. and Salako, L.A. Innate resistance to new anti-malaria drugs in Plasmodium falciparum from Nigeria. Trans. Royal Society Tropical Medical Hygiene. 1992. 86: 123 – 126.

[26]    

Pearson, R.D. Prolactin, pregnancy and anaemia in severe malaria, Trends of Parasitology. 2001.17(18):362.

[27]    

Lander, J., Leroy, V., Simonon, A., Karita, E., Bogaerats, J., Clercq, A.D., Van de, Perre, P., Dabis, F. HIV infection, malaria and pregnancy: A prospective cohort study in Kigali, Rwanda. American Journal Tropical Medicine. Hyg. 2002, 66: 56 – 60.

[28]    

Ogunledun, A., Kofie B.A., Adetunji, A., Fakoya, E.A.O. and Bamgboye, E.A. Prevalence and significance of asymptomatic malaria parasitaemia in Sagamu, Nigeria. Nigerian Journal of Parasitology; 1998. 9: 145 – 158.

[29]    

Saute, F., Menendez, C. and Mayor, A. Malaria in pregnancy in rural Mozambique: the role of parity, sub microscopic and multiple Plasmodium falciparum infections, Tropical Medicine Journal of International Health. 2002.7(1): 19–28.

[30]    

Sule-Odu, A.O., Ogunledun, A. and Olatunji, A.O. Impact of asymptomatic malaria paresitaemia at parturition on perinatal outcome. Journal of Obstetrics and Gynecology. 2002. 22(1): 25 – 28.

[31]    

Omokanye, L.O., R. Saidu, A.A.G. Jimoh, A. Salaudeen, S. Isiaka – Lawal, H.O. Raji, M.A. Ijaiya, A.A. Panti and Y.R. Bologun. The Relationship Between Socio – Demographic Characteristics and Malaria Parasite Density Among Pregnant Women in Illorin. International Journal of Tropical Medicine. Medwell Journals. 2012.7 (2): 64 – 68.

[32]    

Tayo, A.O., O.I. Akinola, L.A.J. Shittu, T.A. Ottun, M.A. Bankole and R.A. Akinola. Prevalence of malaria parasitaemia in the booking antenatal (ANC) Clients at the Lagos state university teaching hospital. African Journal of Biotechnology. 2009. 8: 3628 – 3631.

[33]    

Marielle, K.B.A., E.I.C. Denisa, M.M. Modeste, K. Eric, B.M. Pierre, M. Elie and K. Maryvome, Prevalence of Plasmodium falciparum Infection in Pregnant women in Gabon. Malaria Journal. 2003. 2: 1 – 17.

[34]    

Yahaya, O.O.E., Miachi, I.O., Umar and E. Uwaokhonye Malaria parasitaemia among pregnant women with multiple child birth. International Journal of Medicine and Medical Sciences 2009. 1(11) : 527-529.

[35]    

Ogbodo, S.O., U.I. Nwagha, A.N.C. Okaka, S.C. Ogenyi, R.O. Okoko And T.U. Nwagha Malaria Parasitaemia Among Pregnant Women In A Rural Community Of Eastern Nigeria; Need For Combined Measures. Nigerian Journal of Physiological Sciences. 2009. 24 (2): 95 – 100.

[36]    

Guyatt H.L. and Snow, R.W. The epidemiology and burden of plasmodium falciparum related anaemia among pregnant women in Sub-Saharan Africa. American Journal of Tropical Medicine Hygiene. 2001: 55 (1): 1 – 106.

[37]    

Roll back malaria implementation. Revised 2004 desk top review of implementation in Sokoto State, Nigeria. 2004.3(3): 1- 32.

[38]    

Ofili, A.N. and Okojie, O.H. Assessment of the role of traditional birth attendants in maternal health care in Oredo Local Government Area, Edo State. Nigeria. Journal of Community PHC. 2005. 17(1): 55 – 60.

[39]    

Gamble, C., Ekwane, J.P., ter Kulle, F.O. Insecticide treated nets for preventing malaria in pregnancy (Cochraine Review). In; The Cochraine Library. 2006.Issue 4.

[40]    

Omo-Aghoja, C.O., Abe, E., Feyi-waboso, P. and Okonofua, F.E. The challenges of diagnosis and treatment of malaria in pregnancy in low resource settings. Acta Obstetricia et Gynaecol Scand. 2008. 87(7): 693 – 696.

[41]    

Rijken, M., McGready, R., Boel, M.E., Poespoprodjo, R., Singh, N., Syafruddin, D., Rogerson, S. and Nasten, F. Malaria in Pregnancy in the Asia- Pacific Region. Lancet Infectious Disease. 2012. 12: 75 –78.

[42]    

Raim, O.G. and Kanu, C.P. The prevalence of malaria infection in pregnant women living in suburb of Lagos Nigeria. African Journal of Biochemistry Research. 2010. 4(10): 243-245.

[43]    

Erhabor O, Azuonwu O, Frank-Peterside N. Malaria among long distance truck drivers in the Niger Delta of Nigeria. Afr Health Sci. 2012. 12(2):98-103.

[44]    

Erhabor O, Adias TC, Hart ML. Effects of falciparum malaria on the indices of anemia among pregnant women in the Niger Delta of Nigeria. Journal of Clinical Medicine and Research, 2010. 3:035-041.

[45]    

Abdullahi AU, Abubakar T, Adamu AI, et al. Malaria in Sokoto, North Western Nigeria. African Journal of Biotechnology, 2009. 8 (24): 7101-7105.





 
  Join Us
 
  Join as Reviewer
 
  Join Editorial Board
 
share:
 
 
Submission
 
 
Membership