Department of Gynecological, Obstetrical & Urological Sciences, Sapienza University of Rome, Rome, Italy.
Department of Uro-Gynaecology, Gynaecology Oncology, University Hospital of Wales, Cardiff, Wales, United Kingdom.
Indian J Med Res. 2020 Nov;152(5):449-455. doi: 10.4103/ijmr.IJMR_851_18.
Malaria in pregnancy is an important cause of maternal and foetal morbidity and is a potentially life-threatening infection. With ever-growing global exchanges, imported malaria in pregnancy is becoming an issue of concern in non-endemic countries where women, because of low immunity, have higher risk of severe diseases and death. Malaria in pregnancy is a dangerous condition which can be associated with important consequences for both mother and child such as stillbirth, low birth weight, maternal anaemia. In non-endemic-countries it is more frequent in its severe form which can lead to maternal death if not treated adequately. Specific anti-malarial interventions such as the use of repellents and insecticide treated bed nets in addition to chemoprophylaxis should be used by pregnant women if they are travelling to endemic areas. In cases of confirmed infection, specific treatment regimens vary according to gestational age and the presence of complications. Malaria should be considered a global health problem, increasingly involving western countries. Clinicians all over the world need to be prepared for this emerging disease both in terms of prevention and therapy.
妊娠疟疾是孕产妇和胎儿发病率的一个重要原因，也是一种潜在的危及生命的感染。随着全球交流的不断增加，在非疟疾流行国家，妊娠疟疾已成为一个令人关注的问题，由于免疫力低下，这些国家的妇女罹患严重疾病和死亡的风险更高。妊娠疟疾是一种危险的病症，可能会对母婴双方造成严重后果，如死胎、低出生体重、产妇贫血。在非疟疾流行国家，妊娠疟疾更常见于严重形式，如果得不到充分治疗，可能导致孕产妇死亡。如果孕妇前往疟疾流行地区，应使用特殊的抗疟干预措施，如使用驱虫剂和经杀虫剂处理过的蚊帐，以及化学预防措施。如果确诊感染，具体的治疗方案根据妊娠年龄和是否存在并发症而有所不同。疟疾应被视为一个全球性的健康问题，越来越多的西方国家也受到影响。全世界的临床医生都需要为这种新出现的疾病做好预防和治疗的准备。
