Severe malaria during pregnancy at the maternity ward of the municipal medical center of Ratoma, Guinea-Conakry

Background: Gestational malaria remains a major public health problem in malarious areas. The objectives of this work were to describe the socio-demographic, clinical, paraclinical, therapeutic and prognostic characteristics of patients who developed severe malaria during pregnancy.Methods: It was a descriptive prospective study carried out in the maternity ward of Ratoma municipal medical center, which was carried out over a period of 6 months from 01 October 2018 to 31 March 2019. This study involved all pregnant women who had presented severe malaria according to WHO criteria.Results: The incidence of severe malaria during pregnancy was 7%. The average age of our patients was 22.4 years with extremes of 15 and 47 years. The symptomatology that motivated the consultation was variable, the most frequent signs were: hyperthermia (100%), headache (79%), vomiting (99%). The general examination at admission objectified a fever with an average temperature of 39°C with extremes of 38-40.4°C. All patients had a positive rapid diagnostic test (RDT) as well as their thicker drop. The hemogram revealed the existence of a more or less severe anemia in 89.9% of cases. All patients were treated with parenteral quinine (100%). Maternal lethality was 1.8%. After severe malaria, 70 patients (62.5%) carried their pregnancy to term and 40 delivered an eutrophic child (35.71%), 30 (26.78%) delivered a hypotrophic child, 20 (17.85%) had a spontaneous abortion, premature delivery was observed in 10 patients (8.9%), and fetal death in utero was observed in 12 patients (10.71%).Conclusions: All patients had received parenteral quinine curative therapy. Maternal and perinatal complications were common. To improve this prognosis, intermittent preventive treatment and the use of insecticide-treated nets, which are the most effective prevention method at this time, must be further promoted in anticipation of the much hoped-for vaccine

The Management of Protected Areas in Seven Countries of West and Central Africa

Note portant sur l’auteur Introduction Africa harbours a great variety of ecosystems and almost one-third of the biological diversity of the world (IUCN, 2005) but it is also the continent that suffers from the highest rates of poverty on the planet. In order to try to protect natural resources while ensuring the development of its people, the creation and management of protected areas is widely practised and recognized at the international level. It could even be said that the conservation o..

Quelles aires protégées pour l’Afrique de l’Ouest ?

Concilier conservation dans les aires protégées et développement des populations locales exige une bonne connaissance de la dynamique des systèmes naturels et sociaux. Issu d’un séminaire interdisciplinaire qui a réuni les partenaires de 16 pays, en majorité africains, ce CD-ROM présente les données biologiques et sociales permettant de questionner les pratiques en cours dans les aires protégées d’Afrique de l’Ouest. Il s’adresse aux scientifiques, aux gestionnaires et aux décideurs.Reconciling conservation in protected areas and development for the local people requires a good knowledge of the dynamics of natural and social systems. The result of an interdisciplinary seminar which brought together participants of 16 countries, mostly African, this work presents biological and social data in support of a re-consideration of the practices in progress in the protected areas of West Africa. It is intended as much for scientists as for managers and decision-makers