alexa Appraisal of the Efficacy of Sp-Iptp at Aminu Kano Teac
ISSN: 2161-0932

Gynecology & Obstetrics
Open Access

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Research Article

Appraisal of the Efficacy of Sp-Iptp at Aminu Kano Teaching Hospital-Impact on Maternal Anaemia, Malaria Parasitaemia and Clinical Malaria

Omole-Ohonsi A*, Attah R, Umoru JU and Habib R

Department of Obstetrics and Gynaecology, Bayero University, Aminu Kano Teaching Hospital, Kano, Nigeria

*Corresponding Author:
Dr. Omole-Ohonsi
Department of Obstetrics and Gynaecology, Bayero University
Aminu Kano Teaching Hospital
Kano, Nigeria
Tel: +234807870540
E-mail: [email protected]

Received Date: May 30, 2014; Accepted Date: July 05, 2014; Published Date: July 15, 2014

Citation: Omole-Ohonsi A, Attah R, Umoru JU, Habib R (2014) Appraisal of the Efficacy of Sp-Iptp at Aminu Kano Teaching Hospital-Impact on Maternal Anaemia, Malaria Parasitaemia and Clinical Malaria. Gynecol Obstet (Sunnyvale) 4:231. doi: 10.4172/2161-0932.1000231

Copyright: © 2014 Omole-Ohonsi A, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

 

Abstract

Background: Sulphadoxine-pyrimethamine (SP) Intermittent Preventive Treatment in Pregnancy (IPTp), is the malaria prophylaxis that is recommended in malaria endemic areas. Increasing reports of resistance to SP across the globe makes appraisal of its efficacy to be necessary in health facilities that use it.

Objective: To determine the efficacy of SP-IPTp in the prevention of malaria in pregnancy using Proguanil chemoprophylaxis as the gold standard, at Aminu Kano Teaching Hospital, Kano, Nigeria.

Methods: In this prospective study, 300 primigravid women were enrolled and assigned by block randomization to SP-IPTp (cases) or proguanil chemo prophylaxis(control) group. Each group consisted of 150 women. Study variables of interest were Packed Cell Volume (PCV) at recruitment and at 34 weeks gestation, peripheral malaria parasitaemia, severe anaemia at 34 weeks gestation, and the frequency of clinical malaria during the study period in the two groups. The data obtained were recorded using tables. Students’t-test, Z-test and chi-square test were used to compare means and proportions respectively for statistically significant differences, setting the level of significance at P<0.05.

Results: There was statistically significant increase in the PCV between recruitment and at 34 weeks in each group (P<0.05), but there was no statistically significant difference in the PCV, peripheral malaria parasitaemia and frequency of clinical malaria between the two groups at 34 weeks gestation (P>0.05).

Conclusion: SP-IPTp has similar effectiveness as proguanil chemoprophlaxis. SP-IPTp is still effective in the prevention of malaria in pregnancy at Aminu Kano Teaching Hospital.

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