Is to determine the prevalence and predictors of placental malaria among pregnant women. Methodology: The study was cross-sectional in design. It was carried out over six months. We administered Pretested questionnaire to 300 eligible subjects. The researchers took maternal peripheral blood for malaria parasites while cord and placental blood sample at delivery for neonatal packed cell volume (PCV) and Malaria parasite. Data were analyzed using STATA 10. Result: One hundred and forty-four (48%) participants had placental malaria parasitemia, while 173 (57.7%) had peripheral malaria parasitemia. Maternal age less than 20 years (P=0.008), low parity, and hemoglobin type AA (P=0.002) were significantly associated with a higher prevalence of placental parasitemia. Maternal secondary and tertiary education (P=0.013), perceived susceptibility to placental malaria and IPT use (p=0.014) were significantly associated with lower prevalence. Conclusion: This study has shown that placental parasitemia is a significant problem in pregnancy as it is strongly associated with certain maternal factors. There is the need to intensify control efforts aimed at reducing malaria in pregnancy in Nigeria, and mothers with increased risk factors should receive more focused attention.
<p class="abstract">Abdominal pregnancy is a rare form of extra-uterine gestation in which implantation occurs in the peritoneal cavity, unlike this case it rarely reaches advanced gestation and viability of fetal outcome are not commonly documented. Abdominal pregnancy accounts for about 1-2% of ectopic gestation. It is associated with poor fetal outcome and great morbidity and mortality due to heamorrhage especially in a low resource setting. We present an undiagnosed advanced case of abdominal pregnancy of a 30 yr old unbooked G2P1+0 (1A) with early ultrasound estimation of 37 weeks and 6 days. She presented with (abdominal) labour pains and ultrasound diagnosis of breech presentation, suspicion of a bicornuate uterus and intrauterine growth restriction. She was planned for emergency cesarean delivery on this basis but found advanced abdominal pregnancy, and subsequently on delivery had good maternal and fetal outcome. Abdominal pregnancy with live fetus is extremely rare, and requires a high index of suspicion, to avoid high risk of maternal morbidity and mortality and it is also imperative for all healthcare givers to localized pregnancy whenever they get in contact with a woman who has recently missed her period.</p>
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