All these factors should be taken into consideration while treating these patients. Maintain adequate intake of calories. If fluid overload is a problem, then Inj. Glucagon 0.5-1 mg can be given intra muscularly. Blood sugar should be monitored every 4-6 hours for recurrent hypoglycemia.
Treatment involves careful fluid management, diuretics, and dialysis if needed.
Secondary bacterial infections like urinary tract infection, pneumonia etc. are more common in pregnancy associated with malaria. Some of these patients may develop septicaemic shock, the so called 'algid malaria'. Treatment involves administration of 3 rd generation cephalosporins, fluid replacement, monitoring of vital parameters and intake and output. Patient s blood is removed and it is replaced with packed cells. Management of labour Anemia, hypoglycemia, pulmonary oedema, and secondary infections due to malaria in full term pregnancy lead to problems for both the mother and the foetus.