Abstract

CARMONA-FONSECA, Jaime  and  MAESTRE-B, Amanda. Incidence of gestational, congenital and placental malaria in Urabá (Antioquia, Colombia), 2005-2007. Rev Colomb Obstet Ginecol [online]. 2009, vol.60, n.1, pp.19-33. ISSN 0034-7434.

Introduction: gestational (GM), congenital (CM) and placental malaria (PM) and associated mortality frequency in Colombia remains unknown, as does GM’s clinical features. Objectives: estimating GM, PMand CM prevalence and incidence and mortality caused by GM and CM and describing GM’s symptoms and signs. Methodology: this was a descriptive study of pregnant women aged 15-44, their children and placentas; it had longitudinal (cohort) and cross-sectional components. The pregnant women were recruited during their prenatal visits and in the delivery rooms of three towns in Urabá (Antioquia, Colombia) from 2005-2007. Results: 2,117 pregnant women were evaluated: a) cohort: n=1,927 women with at least two reviews of thick smear; b) cross-sectional group: n=190 women having had just a thick smear examination (during prenatal consultation or childbirth). There were 220 cases of GM according to thick smear for Plasmodium (76% P. vivax, 22% P. falciparum, 2% mixed malaria). GM prevalence was 10.39%, GM incidente 9.28%, 9.01 per 100 women per week GM incidence rate, 2.7% CM and 11.7% PM prevalence. The symptoms and signs found in pregnant women suffering from GM agreed with those for pregnant and non-pregnant women. There were no deaths amongst the 220 pregnant women who had malaria or amongst the five children who presented CM. Conclusions: GM, CM and PM frequencies indicated that these types of malaria are public health problems amongst pregnant women and infants in Uraba.

Keywords : malaria; pregnancy; malaria during pregnancy; congenital malaria; placental malaria; incidence; Colombia.

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