title: The problem of malaria and malaria control in pregnancy in sub-Saharan Africa.
abstract: Plasmodium falciparum infection in pregnant women frequently leads to placental infection and low birth weight (< 2,500 grams) of the infant, particularly in the areas of high malaria transmission found in sub-Saharan Africa. Low birth weight is widely known to be an important risk factor for early infant mortality. To reduce the risk that maternal infection poses to child survival, many antenatal clinic programs recommend and provide antimalarial chemoprophylaxis, often with chloroquine (CQ) as a recommended element for antenatal care. Prior to the 1980s, despite widespread advocacy for this intervention, little was known about the effect of this intervention strategy. As an introduction to the Mangochi Malaria Research Project, which examined the efficacy of several antimalarial regimens using CQ or mefloquine in pregnant women in Malawi, we describe the background of knowledge regarding malaria infection in pregnant African women and the important elements of an intervention and prevention strategy.
authors.affiliation: Division of Parasitic Diseases, National Center for Infectious Diseases, Centers for Disease Control and Prevention, Atlanta, Georgia, USA.
authors.forename: R W
authors.initials: RW
authors.lastname: Steketee
authors.forename: J J
authors.initials: JJ
authors.lastname: Wirima
authors.forename: L
authors.initials: L
authors.lastname: Slutsker
authors.forename: D L
authors.initials: DL
authors.lastname: Heymann
authors.forename: J G
authors.initials: JG
authors.lastname: Breman
mesh_terms: D017954:Africa South of the Sahara; D000962:Antimalarials / Q000627:therapeutic use*; D005260:Female; D005313:Fetal Death; D006801:Humans; D007112:Immunity, Maternally-Acquired; D007230:Infant, Low Birth Weight; D007231:Infant, Newborn; D018445:Infectious Disease Transmission, Vertical; D016778:Malaria, Falciparum / Q000150:complications / Q000517:prevention & control* / Q000635:transmission; D011247:Pregnancy; D015597:Pregnancy Complications, Parasitic / Q000517:prevention & control*; D011256:Pregnancy Outcome; D012106:Research
chemical_list: D000962:Antimalarials