1. dr. ruksana ahmed - nutrition and mip_25apr2015
DESCRIPTION
Anti Aging on the 2nd MAMCNTRANSCRIPT
![Page 1: 1. Dr. Ruksana Ahmed - Nutrition and MiP_25Apr2015](https://reader030.vdocuments.net/reader030/viewer/2022033019/55cf8ef3550346703b975319/html5/thumbnails/1.jpg)
Malaria in pregnancy
Role of Nutrition Rukhsana Ahmed MBBS, MTropPaeds, PhD
![Page 2: 1. Dr. Ruksana Ahmed - Nutrition and MiP_25Apr2015](https://reader030.vdocuments.net/reader030/viewer/2022033019/55cf8ef3550346703b975319/html5/thumbnails/2.jpg)
Talk components
• Epidemiology of malaria in pregnancy
• Adverse outcome of malaria in pregnancy
• Maternal nutrition and impact
• Link between maternal nutrition and adverse pregnancy outcome
![Page 3: 1. Dr. Ruksana Ahmed - Nutrition and MiP_25Apr2015](https://reader030.vdocuments.net/reader030/viewer/2022033019/55cf8ef3550346703b975319/html5/thumbnails/3.jpg)
Adverse effect of malaria in pregnancy
Mother:
Anaemia
Severe disease
Baby:
Low birth weight
Premature delivery
![Page 4: 1. Dr. Ruksana Ahmed - Nutrition and MiP_25Apr2015](https://reader030.vdocuments.net/reader030/viewer/2022033019/55cf8ef3550346703b975319/html5/thumbnails/4.jpg)
Malaria in pregnancy:
Asymptomatic infection
Nutrient transport
Placental sequestration
Low birth weight
Risk of infant mortality
P. falciparum malaria
Anemia
Acquired immunity - high
1st & 2nd pregnancies at
greatest risk
Prevention essential
![Page 5: 1. Dr. Ruksana Ahmed - Nutrition and MiP_25Apr2015](https://reader030.vdocuments.net/reader030/viewer/2022033019/55cf8ef3550346703b975319/html5/thumbnails/5.jpg)
Parasite in pregnant woman
![Page 6: 1. Dr. Ruksana Ahmed - Nutrition and MiP_25Apr2015](https://reader030.vdocuments.net/reader030/viewer/2022033019/55cf8ef3550346703b975319/html5/thumbnails/6.jpg)
Nutritional link with malaria
Infects
humans
Chronic effects
Anaemia
Neurological/
cognitive
developmental
malnutrition Impaired
growth
pregnancy
fetus Low birth
weight
Infant
mortality
maternal anaemia Impaired
productivity
![Page 7: 1. Dr. Ruksana Ahmed - Nutrition and MiP_25Apr2015](https://reader030.vdocuments.net/reader030/viewer/2022033019/55cf8ef3550346703b975319/html5/thumbnails/7.jpg)
8
Neonatal 42%
HIV/AIDS 1%
Diarrhoea 19%
Measles 1%
Injuries, 3%
Other, 19%
Malaria
1%Pneumonia
15%
>35%
attributable to
undernutrition
Globally >35% of under-five deaths are attributable to undernutrition
1
Source: WHO
![Page 8: 1. Dr. Ruksana Ahmed - Nutrition and MiP_25Apr2015](https://reader030.vdocuments.net/reader030/viewer/2022033019/55cf8ef3550346703b975319/html5/thumbnails/8.jpg)
Consequences of Maternal Undernutrition
Maternal consequences
Child consequences
Increased risk of maternal death
Increased infections
Anaemia
Compromised immune functions
Lethargy and weakness
Lower productivity
Lactational failure
Increased risk of foetal and neonatal
deaths
Intrauterine growth retardation
Low birth weight
Pre-term birth
Compromised immune functions
Birth defects
Cretinism and reduced IQ
Source: UNICEF, 2006
1
![Page 9: 1. Dr. Ruksana Ahmed - Nutrition and MiP_25Apr2015](https://reader030.vdocuments.net/reader030/viewer/2022033019/55cf8ef3550346703b975319/html5/thumbnails/9.jpg)
Maternal health and undernutrition: consequences
• Poor maternal health
• Inadequate diet before and during pregnancy
• Lack of micronutrient supplementation
• Subsequent multiple pregnancies
Poor intrauterine
growth
& low birth weight
Sub-optimal child growth and development, impaired
cognition, chronic diseases in adulthood
![Page 10: 1. Dr. Ruksana Ahmed - Nutrition and MiP_25Apr2015](https://reader030.vdocuments.net/reader030/viewer/2022033019/55cf8ef3550346703b975319/html5/thumbnails/10.jpg)
![Page 11: 1. Dr. Ruksana Ahmed - Nutrition and MiP_25Apr2015](https://reader030.vdocuments.net/reader030/viewer/2022033019/55cf8ef3550346703b975319/html5/thumbnails/11.jpg)
![Page 12: 1. Dr. Ruksana Ahmed - Nutrition and MiP_25Apr2015](https://reader030.vdocuments.net/reader030/viewer/2022033019/55cf8ef3550346703b975319/html5/thumbnails/12.jpg)
Ways to improve maternal nutrition in pregnancy
• Increase food intake
• Take iron and folic acid supplementation
• Use iodized salts
• Take other micronutrients/vitamin A after delivery
• Reduce workload
• Management of malaria and other parasites
![Page 13: 1. Dr. Ruksana Ahmed - Nutrition and MiP_25Apr2015](https://reader030.vdocuments.net/reader030/viewer/2022033019/55cf8ef3550346703b975319/html5/thumbnails/13.jpg)
Malaria control in pregnancy
• Prompt management of symptomatic cases
• Sleep under insecticide treated bednet
• Screening and treat for malaria
• Repeated screening for malaria at every antenatal visit
• Intermittent treatment and prevention therapy
![Page 14: 1. Dr. Ruksana Ahmed - Nutrition and MiP_25Apr2015](https://reader030.vdocuments.net/reader030/viewer/2022033019/55cf8ef3550346703b975319/html5/thumbnails/14.jpg)
Thank you