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Hello everyone!

Eventhough I've made all reservations for hooneymoon in Kenya I'm now in a serious doubt should we go or not. The problem is that we are planning to have a baby soon after the trip. I'm wondering how safe it is, taking account that no prophylaxis is 100% safe and eventhough I'm negative on blood testing there could be some Plasmodium sleeping in my liver and waiting for appropriate moment to develop disesase.

How long after the trip should we wait?
Unfortunately the risk always exist and no doctor could tell me that my nightmares of getting malaria when pregnant six months after trip can not become true.

Has anyone had similar problems and dilemmas?
Please help me get right decision!
Many thanks in advance!

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1

As a fully-qualified medic, I would say...why not do like Angelina and just adopt a baby whenever you feel the urge?

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2

Give the woman a break.

After my recent experience going to my doctor for a malarone prescription I wil never criticise anyone for asking medical questions on here again.

My doctor told me (a) I didn't need a prescription for malarone, then (b) proceeded to ask me whether I was going to take the one a day or 4 a day dose (I don't even know what that is- a treatment dose?), then (b) was counting up how many to prescribe and was going to give me enough for 1 week prior to and 4 weeks after.

Honestly, I see better advice on the TT.

Still, she did give me an NHS prescription which meant the whole lot cost me £6.85. Didn't realise until I picked it up.

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3

I think you're getting a bit too paranoid here. Take prophylaxies during your trip, sleep under a moquito net, wear socks and long sleeve Tshirts at night, and get some anti mosquito cream and this is it.
No big deal really.

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4

I should say that after all those years living in Africa, I never got malaria.

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5

You may be interested in this from the UK Health Protection Agency. It is based on how long it takes various antimalarials to be completely gone from your system. Do note that if you will not be using contraception during your trip, because you are hoping to become pregnant, you should NOT take doxycycline as it can interfere with development of bones & teeth of the fetus. It can also interfere with certain oral contraceptives. Also note that the UK HPA says risk from other antimalarials is more theoretical than real. There is too little experience with Malarone to be sure it is safe during pregnancy, but it looks like it might be OK. For mefloquine (LAriam) they say "Women who have taken mefloquine inadvertently just prior to or during the first trimester should be advised that this does not constitute an indication to terminate the pregnancy."

Chemoprophylaxis prior to conception
If a female traveller is planning to conceive during a visit to a destination with a high risk of contracting chloroquine-resistant falciparum malaria, expert advice should be sought.

Time to allow after finishing a course of an antimalarial before attempting to conceive:
• Mefloquine (Lariam): 3 months.
• Doxycycline: 1 week.
• Atovaquone/proguanil(Malarone): 2 weeks.

After your return, be sure to check with your doctor any time you think you have come down with "Flu-like illness" (chills, fever, headache, fatigue, etc). The species of malaria that can show up a few months after your return is still susceptible to chloroquine. So that is what you would be treated with. Chloroquine is considered safe in all trimesters. You need a second drug to be sure all the parasites are gone from your liver, but that drug is not safe during pregnancy, so you would take it after delivery.


Nutrax
The plural of anecdote is not data.
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6

Yes, I understand the original question, but I wanted to add the other info, because it might be of interest to her.


Nutrax
The plural of anecdote is not data.
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7

My mum grew up in Kenya and had it about 3 times in the 25 years she lived there (from when she was born up until she left). Sometimes you're lucky and sometimes you're not... though it does depend on where you're staying a lot of the time. I posted something similar on the Thai board in the last week... stay away from breeding grounds for mozzies such as lakes and water storage containers like tanks etc. You shouldn't have too much problem since you are on the move, though.

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