Epidemiological and Prognostic of Malaria During Pregnancy in N’djamena Mother and Child University Hospital

Introduction: Pregnancy causes immunological changes in women and makes them more vulnerable to malaria.

Objective: Evaluate the epidemiological and prognostic aspects of gestational malaria.

Patients and Method: This was a cross-sectional, analytical study conducted over a period of 12 months from January to December 2022, including pregnant women and/or women in the immediate postpartum period admitted to the department of gynecology and obstetrics of N’djamena Mother and child university hospital with malaria. Studied variables were epidemiological and prognostic. The data were entered and analyzed using SPSS 18.0.

Results: Among 4,472 patients admitted in the department of gynecology and obstetrics, 684 pregnant women were diagnosed for malaria, representing 15.29%. The average age was 26 years. The reason for admission was fever (44.3%), occurring in the third trimester (55%) with prematurity as a complication (15.05%). Artesunate was the most commonly used antimalarial treatment in our series.

Conclusion: Gestational malaria is very common in our context. Efforts must be made to raise awareness and promote prevention.

Keywords: Malaria, Third Trimester, Frequency, CHU-ME, N’Djamena.