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Malaria during pregnancy - Online Doctor Chats

Date : 13-Jan-2012
User rating for this question
Excellent Posted in: Women's Health
Answered by

General & Family Physician
Practicing since : 2009
Answered : 653 Questions
Doctor :   Hi
User :   Can you refer my previous interactions
Doctor :  
Yes
Doctor :  
I am the same doctor
Doctor :  
I remember
User :   Around 1 hour ago the interaction was incompelte, can I ask one last question
Doctor :   Sure

User :   My Wife was prescribed the following medicine during malaria,
Rez-Q Inj
Perinorm Inj
Ranitidin Inj
These inj we giving through D-10 IV saline.
Please confirm if these medicines are the cause of fetus to be dead.
Doctor :   No

Doctor :  
It was the right line of treatment
Doctor :  
They had started intensive treatment to safeguard the mother and the baby
User :   What could be the reason, since it is important for us to why did the fetus stop movement
Doctor :   One likely possibility is the spread of infection from the mother to the fetus

User :   I remember in my last interaction U told Rez-Q is contraticted in pregerency
Doctor :   No

Doctor :  
It is a safe drug
Doctor :  
In the last chat I chatted with you and said that
Doctor :  
Quinine is the drug in it
Doctor :  
and they have given it rightly
Doctor :   It would have been preferred for its reliability and is given through injected route

Doctor :  
You can refer to my previous chat which would be saved in your chat history
User :   Can you just recollect since the exact wordings used by you were "Why did the doctor give the Rez q injection which is contraindicated during pregnancy"
Doctor :   Ok, I will see that

Doctor :  
Give me a minute
User :   Ok, I am online till then
Doctor :   I have posted the entire chat history
User :   Could you find the wordings

Doctor :  
In the last 2 chats I am not able to see that
User :   check chat of 13-Nov-2009
Doctor :  
Yes
Doctor :  
I was doing that now
Doctor :  
I could find it out
Doctor :  
But it was not me
Doctor :  
I will explain you
Doctor :   All antimalarials are contraindicated in Pregnancy

Doctor :  
But it has to be treated
Doctor :  
So weighing the risks and results decision is taken
Doctor :   Are you there?

User :   Yes
Doctor :  
Quinine was the medication which was given your wife
Doctor :  
There are other options like Chloroquine
Doctor :  
But Plasmodium falciparum is of a dangerous variety
Doctor :  
Hence, Quinine is given
Doctor :  
for better results
Doctor :  
Are you getting it?
User :   What do you suggest now before planning our next pregerency. chemoprophylaxis against malaria
Doctor :   Firstly complete the course of treatment

User :   Malaria is no longer in blood still we have to compelete
Doctor :   I will explain you

Doctor :  
What are the medications she is on now?
Doctor :  
Wrt Malaria
User :   (1) Rovamycin to cure cervix injury (2) Raricap to increase iron & hemoglobin (3) Folvit
Doctor :   Ok

Doctor :  
Any malaria medications?
User :   no after incomplete treatment of malaria during pregerency no medications for malaria after that
Doctor :   Incomplete?

Doctor :  
Has the test been repeated?
User :   Yes, during pregerancy we had to leave the treatment incomplete for some personal reasons the treatment givin was Rez-Q Inj Perinorm Inj Ranitidin Inj
Doctor :   Ok

Doctor :  
For how many days was it given?
User :   1 & half day. Thereafter malaria was cured however (not detected in blood) After some 4 days time we did sonography and found that the fetus was dead
Doctor :   Ok

Doctor :  
I would like you to repeat the blood test for malaria
User :   YES did yesterday (not dected)
Doctor :  
Thick smear , thin smear and QBC
User :   elevated SGOT & SGPT
Doctor :   Were all done?
Doctor :  
That is liver
Doctor :   related
User :   YES No malaria only problem was elevated SGOT & SGPT
Doctor :   Ok

Doctor :  
That will improve with time
Doctor :  
Need not worry about it now
Doctor :  
However show the same report to your Gynec during follow up
User :   At the time of blood test, we just asked to dected malaria Thick smear , thin smear and QBC was not asked should we check again with another report
Doctor :   Better to do all 3

Doctor :   and get a negative report hopefully
User :   Ok will do all three again. What medication to take now to comeplete the treatment or what to do to prevent malaria during next pregerency
Doctor :   Nothing like that

Doctor :  
If it is fine now, no need of further treatment
User :   What your name I will get back to U later
Doctor :   Sure, I am Dr.Bharath here
Doctor :  
Also I want to ask one more question
Doctor :  
Why was SGOT and SGPT done?
User :   Specially asked by the Doc
Doctor :   When?
User :   During pregerency when malaria was not dected
Doctor :   Ok

Doctor :  
Have you followed up on that?
Doctor :  
and even recently did it show elevated levels?
User :   No they have decreased after that
Doctor :   Fine

User :   but not in normal range
Doctor :  
Its ok
Doctor :  
Will improve over time
Doctor :  
No worries
Doctor :  
Is there any thing else I can help you with?
User :   Hope Malaria will not return and it is competelt cured
Doctor :   Sure

Doctor :  
Please fill the feedback form say done when done.
Doctor :   Also it would be better if you can update your mobile no. in your account
User :   ok
Doctor :   Thanks for consulting HealthcareMagic. Bye for now. Please refer your friends to our service.

User :   OK Thanks
Question is related to
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