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Emerg Infect Dis. 2013 Oct;19(10):1605-11. doi: 10.3201/eid1910.130308.

Plasmodium vivax malaria during pregnancy, Bolivia.

Abstract

Plasmodium vivax is a major cause of illness in areas with low transmission of malaria in Latin America, Asia, and the Horn of Africa. However, pregnancy-associated malaria remains poorly characterized in such areas. Using a hospital-based survey of women giving birth and an antenatal survey, we assessed the prevalence rates of Plasmodium spp. infections in pregnant women in Bolivia, and evaluated the consequences of malaria during pregnancy on the health of mothers and newborns. P. vivax infection was detected in 7.9% of pregnant women attending antenatal visits, and placental infection occurred in 2.8% of deliveries; these rates did not vary with parity. Forty-two percent of all P. vivax malaria episodes were symptomatic. P. vivax-infected pregnant women were frequently anemic (6.5%) and delivered babies of reduced birthweight. P. vivax infections during pregnancy are clearly associated with serious adverse outcomes and should be considered in prevention strategies of pregnancy-associated malaria.

KEYWORDS:

Bolivia; Plasmodium vivax; anemia; birthweight; malaria; parasites; pregnancy

PMID:
24050302
PMCID:
PMC3810741
DOI:
10.3201/eid1910.130308
[Indexed for MEDLINE]
Free PMC Article
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