Obstetrics notes

Apr 16th, 2015
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GROUP 3Prevention of malaria in pregnancyThe goal of prevention of malaria in pregnancy is toreduce maternal and perinatal morbidity andmortality associated with malaria. The strategies inprevention of malaria in pregnancy are integrated inthe overall antenatal care (ANC) package formaternal health. They include the provision of:Intermittent preventive treatment for malaria inpregnancy (IPTp)Long lasting Insecticidal NetsProvision of prompt diagnosis and treatment of feverdue to malariaHealth educationIntermittent Preventive Treatment for Malaria in PregnancyIPTp is the presumptive provision of a full treatment course of an efficaciousantimalarial at specific intervals during pregnancy (regardless of whether thewoman is infected or not). IPTp has been shown to reduce the risk ofplacental infection and the associated risk of maternal anaemia, miscarriage,premature deliveries and low birth weight. The current recommendedmedicine for IPTp is 3 tablets of sulphadoxine/ sulphalene 500mg andpyrimethamine 25mg.IPTp is recommended in areas of high malaria transmissionAdminister IPTp with each scheduled visit after quickening to ensure womenreceive a minimum of 2 dosesIPTp should be given at an interval of at least 4 weeks (1 month)IPTp should be given under directly observed therapy (DOT) in the antenatalclinic and can be given on an empty stomach.SP as IPTp is safe up to 40 weeks pregnancy an

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