Effects of Malaria in pregnancy on newborn anthropometry

  • Catherine Olufunke Falade College of Medicine, university of Ibadan
  • Olukemi O Tongo College of Medicine, University of Ibadan
  • Oluwatoyin O Ogunkunle College of Medicine, University of Ibadan
  • Adebola Emmanuel Orimadegun College of Medicine, University of Ibadan
Keywords: malaria, pregnancy, newborn, anthropometry

Abstract

Background: Malaria in pregnancy remains a major cause of infant mortality through its contribution to preterm delivery, low birth weight and intrauterine death.

Methodology: During a cross-sectional study of 983 mothers delivering in a secondary health care facility in Ibadan, southwestern Nigeria, an area of high malaria transmission, the effect of maternal and placental malaria parasitaemia on newborn anthropometry was evaluated. Malaria parasitemia was detected by microscopy of Giemsa stained thick blood smears.

Results: Placental, maternal and combined placental and maternal malaria parasitaemia rates at the time of delivery were 13.1%, 12.7% and 11.1% respectively. The geometric mean parasite densities in maternal and placental smears were significantly higher in primigravid mothers than others (p = 0.004 and 0.002 respectively). Low birth weight rate was higher among babies born to mothers with maternal parasitaemia compared to those without (8.0 % versus 6.3%, p < 0.05). The mean birth weight was lower in neonates of mothers with peripheral and placental parasitaemia by 138 g and 122 g (p = 0.01 and 0.02) respectively, while the respective difference was up to 168 g and 151 g among primigravidae (p = 0.03 and 0.04). Neonates of mothers with maternal and placental parasitaemia had a lower mean length than those without parasitaemia (48.2 vs 49.2cm, p = < 0.0001 and 48.5 vs 49.2cm p = 0.02 respectively). Occiptofrontal circumference and ponderal indices were not significantly affected by maternal malaria parasitaemia.

Conclusion: Malaria in pregnancy results in symmetric foetal growth restriction and the effect is more marked among primigravid mothers. 

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Author Biographies

Catherine Olufunke Falade, College of Medicine, university of Ibadan

Senior lecturer/consultant

Clinical pharmacology department

Olukemi O Tongo, College of Medicine, University of Ibadan
Lecturer/Consultant Paediatrician
Oluwatoyin O Ogunkunle, College of Medicine, University of Ibadan

Senior Lecturer/consultant Paediatrician

Department of Paediatrics

Adebola Emmanuel Orimadegun, College of Medicine, University of Ibadan

Fellow/Consultant Paediatrician

Institute of Childhealth

Published
2010-05-09
How to Cite
1.
Falade CO, Tongo OO, Ogunkunle OO, Orimadegun AE (2010) Effects of Malaria in pregnancy on newborn anthropometry. J Infect Dev Ctries 4:448-453. doi: 10.3855/jidc.329
Section
Original Articles