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Infectious Diseases in Obstetrics and Gynecology
Volume 2006 (2006), Article ID 23125, 5 pages
http://dx.doi.org/10.1155/IDOG/2006/23125
Clinical Study

Intestinal Parasitic Infections Among Pregnant Women in Venezuela

1Environmental Health, Ministry of Health, Carupano, Sucre 6150, Venezuela
2Center for Parasitological Research JWT, University of Los Andes, Trujillo 3102, Venezuela
3Salud-Miranda, Miranda 1201, Venezuela
4Institute for Pathology, Caracas 1040, Venezuela
5Faculty of Health Sciences, University of Carabobo, Valencia 2001, Venezuela
6Military Hospital, Caracas 1020, Venezuela
7Environmental Health, Ministry of Health, Táchira 5032, Venezuela
8Sanitary District Cagijal, Yaguaraparo, Sucre 6150, Venezuela
9Perez de Leon Hospital, Caracas 1073, Venezuela
10Obstetrics & Gynecology Service, Maracaibo University Hospital, Maracaibo, Zulia 4004, Venezuela
11Chubasquen Hospital, Chubasquen, Portuguesa 3357, Venezuela
12Environmental Health, Ministry of Health, Maracay, Aragua 2102, Venezuela

Received 15 April 2005; Revised 30 April 2005; Accepted 7 December 2005

Copyright © 2006 Alfonso J. Rodríguez-Morales et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Introduction. Intestinal parasitic infections, especially due to helminths, increase anemia in pregnant women. The results of this are low pregnancy weight gain and IUGR, followed by LBW, with its associated greater risks of infection and higher perinatal mortality rates. For these reasons, in the setting of no large previous studies in Venezuela about this problem, a national multicentric study was conducted. Methods. Pregnant women from nine states were studied, a prenatal evaluation with a coproparasitological study. Univariated and multivariated analyses were made to determine risk factors for intestinal parasitosis and related anemia. Results. During 19 months, 1038 pregnant women were included and evaluated. Intestinal parasitosis was evidenced in 73.9%: A lumbricoides 57.0%, T trichiura 36.0%, G lamblia 14.1%, E hystolitica 12.0%, N americanus 8.1%, E vermicularis 6.3%, S stercoralis 3.3%. Relative risk for anemia in those women with intestinal parasitosis was 2.56 (P<.01). Discussion. Intestinal parasitoses could be associated with conditions for development of anemia at pregnancy. These features reflect the need of routine coproparasitological study among pregnant women in rural and endemic zones for intestinal parasites. Further therapeutic and prophylactic protocols are needed. Additional research on pregnant intestinal parasitic infection impact on newborn health is also considered.