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Malaria in pregnancy: clinical, therapeutic and prophylactic considerations

Obstetrics and Gynaecology Department, Royal Victoria Infirmary, Queen Victoria Road, Newcastle-upon-Tyne, NE1 4LP, UK. email: godfreygitau{at}doctors.org.uk (corresponding author)

John M Eldred, FRCOG, Consultant Obstetrician and Gynaecologist

West Cumberland Hospital, Cumbria, CA28 8JG, UK.

Malaria remains a threat to global health with 40% of the world's pregnant population at risk. The disease has serious maternal and fetal implications. Obstetricians should be aware of the various aspects of malaria. For those practising in endemic regions, malaria in pregnancy forms a significant workload. Obstetricians in non-endemic areas increasingly have to counsel women who are pregnant about foreign travel. Women who are not immune and who plan to travel to malarial areas during pregnancy should be warned of the risks of malaria. If such travel is inevitable, appropriate prophylactic measures should be advised. We highlight aspects of diagnosis, treatment and prophylaxis of malaria in pregnancy.

Keywords Keywords / fetal / malaria / pregnancy / travellers / treatment