THE PREVALENCE OF MALARIA AMONG PREGNANT WOMEN ON ADDMISSION IN IMO STATE SPECIALIST HOSPITAL OWERRI
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ABSTRACT
A study was made to determine the prevalence of malaria infection among pregnant women on admission in Imo State specialist Hospital Owerri between July to August 2012. Blood samples were collected from the patients and a thick blood film made. The films were stained using parasitological standard procedures. Twenty-five (25) pregnant women in their 1st trimesters had the highest severe parasitaemia with 54.5%. And also primigravidae were also observed to have the highest infection rate with 87.5%. Similarly, the direct stained smear technique showed that 2,301 (80.1%) persons had malaria parasites while the Plasmodium falciparium (pf) antigen test showed that 1,801 (62.7%) persons were positive for malaria due to Plasmodium falciparium.Comparatively, the QBC and slide smear techniques were more effective for parasite detection than the pf antigen test. The age related prevalence showed that pregnant women within the age bracket 18 – 25 years had the highest prevalence (86.1%) of malaria infection, followed by those in the 36 – 40 (82.8%). The least prevalent age group was the 40 years and above group (74.7%) The overall mean infection according to zones showed that Owerri had the highest prevalence (83.9%), followed by Okigwe (72.1%) and Orlu (66.9%). Statistical analysis of the data showed a significant difference (p < 0.05) in the prevalence of plasmodiasis between the three zones of Imo State. Many pregnant women lost their jobs, some could not attend fully their businesses, some missed their religious activities due to malaria in pregnancy. Some women had low birth weight babies, some pre – term delivery etc due to malaria in pregnancy. This study has shown that malaria is a major public health challenge among pregnant women in Imo State Nigeria, leading to inestimable economic and social losses.
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