Malaria
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: ¿ Pregnant women of all gravidity confirmed as having HbSS genotype. ¿ Screened after 16 weeks or onset of quickening, both aparasitaemic and parasitaemic at first enrolment. ¿ Must give informed written consent.
Exclusion criteria
Exclusion criteria: ¿ Known adverse drug reaction to any of the two medications (Sulphadoxine/Pyrimethamine and Proguanil). ¿ Co-existing medical disorders that may alter immunity such as diabetes mellitus (DM) and human immunodeficiency virus infection (HIV). ¿ Multiple gestations. ¿ Presence of severe clinical malaria at booking. ¿ Less than 16 weeks gestational age for Sulphadoxine/Pyrimethamine (SP) group. ¿ Use of antimalarials within the last one week prior to booking. ¿ Refusal to give informed written consent.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| incidence of malaria parasite at delivery | — |
Secondary
| Measure | Time frame |
|---|---|
| incidence of clinical malaria, incidence of malaria complications such as worsening maternal anaemia (haemoglobin concentration <10g/dl) and low birth weight (<2500g), adherence to medications and incidence of adverse drug events. | — |
Countries
Nigeria
Contacts
Senior Lecturer Consultant Obstetrician and Gynaecologist College of Medicine University of Lagos Lagos University Teaching Hospital Idi Araba Lagos Nigeria