15.1.3
Intermittent Presumptive Treatment of Malaria in Pregnancy (IPTP)
Malawi Standard Treatment Guidelines, 6th Edition, 2023. Chapter 15, Parasitic Conditions.
Clinical Description
- Intermittent Presumptive Treatment of malaria in pregnancy (IPTp) is one of the major malaria preventive strategies in Malawi
- Pregnant women should receive at least three doses of Sulfadoxine-Pyrimethamine (SP) 525mg after the first trimester
- Administer three tablets of SP with each scheduled antenatal care visit after 1st trimester (at 13 weeks’ gestation)
- The doses should be administered at least four weeks apart and given as directly observed therapy (DOT)
- The last dose of SP can be delivered safely up until the time of delivery
- Sulfadoxine-Pyrimethamine can be given either on an empty stomach or with food
Note: HIV positive women receiving Cotrimoxazole Prophylaxis should not receive SP
Check doses against the printed guideline and your clinical judgement before treating a patient. Spotted an error? Report it from the contact links below.
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