malaria

Question 1

which malarial parasite has the worst prognosis in pregnancy

Answer 1

p.falciparum

Question 2

do nulliparous women have a higher risk of parasitaemia?

Answer 2

yes - 66% compared to 30% in multips

Question 3

Does a negative blood film exclude infection in a pregnant woman in an endemic area?

Answer 3

no - malaria can sequester in the placenta in areas where many women are semi-immune to malaria

Question 4

features of malaria in a pregnant woman?

Answer 4

spiking fever cyclical associate with miscarriage/PTD
hypoglycaemia esp in pregnancy
pulmonary oedema from increased capillary permeability
haemolysis - jaundice and renal failure

Question 5

features of malaria on the fetus

Answer 5

PTD
FGR
abnormal doppler waves

Question 6

what other disease is more likely to be transmitted to fetus at the same time as malaria?

Answer 6

HIV

Question 7

management of malaria

Answer 7

anti malarial and prevention like sprays, nets, avoid travelling to malaria endemic areas