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Chapter 33 - Malaria, bites, and stings during pregnancy

from Section 4 - The pregnant patient with coexisting disease

Published online by Cambridge University Press:  05 July 2013

Marc van de Velde
Affiliation:
University Hospital Leuven
Helen Scholefield
Affiliation:
Liverpool Women's Hospital
Lauren A. Plante
Affiliation:
Drexel University College of Medicine
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Summary

This chapter focuses on management of mosquito bites (including malaria), ticks and Lyme disease, Hymenoptera (bees and wasps), snakebites, scorpion and jellyfish stings during pregnancy. Mefloquine is the anti-malarial agent of choice for chloroquine-resistant areas, and evidence suggests it is not associated with an increased risk to the fetus. Careful fluid management is also very important. Dehydration as well as fluid overload should be avoided, because both could be detrimental to the mother and/or the fetus. Hyposensitization therapy is useful in the treatment of allergic disease and in the prophylaxis of anaphylaxis to Hymenoptera stings. First aid for scorpion stings is generally symptomatic, including analgesia, either systemic (opiates or acetaminophen) or locally applied (such as a cold compress). More studies and human investigations are required to evaluate the risk-benefit profiles of snake and scorpion antivenoms on pregnant mothers, embryos, and fetuses.
Type
Chapter
Information
Maternal Critical Care
A Multidisciplinary Approach
, pp. 367 - 378
Publisher: Cambridge University Press
Print publication year: 2013

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