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Table 7 Pregnancy outcome by exposure group, according to anti-malarial drug exposure during the first trimester

From: Safety of artemether-lumefantrine in pregnant women with malaria: results of a prospective cohort study in Zambia

 

Exposure to anti-malarial(s) during first trimester

 

AL only

(N = 150)

AL plus SP

(N = 9)

SP or/and quinine

(N = 135)

None

(N = 684)

Unknown

(N = 42)

Pregnancy outcome - n (%)

Abortion (≤28 weeks)

4 (2.7)

2 (22.2)

0 (-)

8* (1.2)

1** (2.4)

Stillbirth (>28 weeks)

2 (1.3)

0 (-)

3 (2.2)

17 (2.5)

0 (-)

Preterm delivery (<37 weeks)

20 (13.3)

1 (11.1)

28 (20.7)

104 (15.2)

8 (19.0)

Full term delivery (≥37 weeks)

113 (75.3)

6 (66.7)

98 (72.6)

523 (76.5)

32 (76.2)

Unknown (mother withdrawn prior to delivery)

11 (7.3)

0 (-)

6 (4.4)

32 (4.7)

1 (2.4)

  1. Enrolled population: newborns, stillbirths and aborted foetuses
  2. AL = artemether-lumefantrine; SP = sulphadoxine-pyrimethamine
  3. *5 abortions: one woman with triplets, one with twins
  4. ** Incomplete date of last menstrual period, therefore, counted as unknown first trimester exposure (a woman who was likely to have taken AL during the first trimester)