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Objectives: To evaluate maternal and fetal outcomes and factors that influence these outcomes in women diagnosed with malaria in pregnancy. Design: A cross-sectional descriptive study of women admitted with malaria over an 8-month period using an interviewer-administered questionnaire plus case notes review for prospective data collection. Setting: The study setting was three district hospitals in a high seasonal malarial province and a central hospital in a non-malarial urban area in Zimbabwe. Subjects: There were 103 women admitted with malaria at the four study centres during the study period. Results: Maternal outcomes assessed were maternal deaths 2(2%), cerebral malaria 2(2%) and severe anaemia 6(6%). Maternal adverse outcomes appear to have been influenced by antenatal booking status, HIV infection, use of preventive measures and late presentation to hospital. Of the 51 patients delivered by the time of discharge, 23% were live term births, 10% preterm births, 10% low birth weight babies, 6% stillbirths and 9% miscarriages. Nearly half the patients did not use intermittent preventive treatment. Conclusion: Malaria is a significant cause of maternal and perinatal morbidity and mortality. However, most women if diagnosed and treated early will recover and have a good pregnancy outcome. Women living in malaria endemic areas may benefit from intermittent preventive treatment (IPT) and early booking for antenatal care enables them to access IPT and insecticide treated bed nets (ITNs) where available.

arc journal of nursing and healthcare

A Study of the Outcomes of 103 Pregnant Women Admitted with Malaria at Three District Hospitals in Mashonaland East Province and One Central Hospital in Harare Province in Zimbabwe