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Pregnancy-associated malaria

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time generally lack antibodies to VAR2CSA on erythrocytes that have been infected by the parasite. Women are most susceptible to malaria infection early on in the first trimester but the risk of infection decreases in the second trimester due to the development of antibodies to the infectious agent over time following the initial exposure. The infection risk also decreases after successive pregnancies.
398:(WHO), although there was a decline in numbers from 2010 to 2018. Particularly, in Central and West Africa, the number of pregnancies with malarial infection reached around 35% of all pregnancies in those regions in 2018. The regions that follow Africa in terms of malaria cases are Southeast Asia and the Mediterranean, although it is important to note that Africa has the largest number of cases 2921: 164:
maternal and fetal outcomes. There is also an increased risk of an HIV-positive woman developing pregnancy-associated malaria in subsequent pregnancies. Although the exact biological mechanism around how HIV and malaria disease states affect each other, it is thought that each condition affects how the immune system reacts to the other condition.
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mosquito before symptoms start to arise. It is believed that pregnant women are more susceptible to malaria infection due to being immunocompromised and because infected erythrocytes tend to congregate around the placenta. As a result, the WHO recommends that pregnant women avoid traveling to high endemic regions.
378:, the WHO recommends Chloroquine or Quinine during the first trimester. Quinine is used as an alternative if chloroquine-resistance is detected. During the second and third trimester, the WHO recommends either ACT or Chloroquine. If chloroquine-resistance is detected, ACT is the treatment of choice. The 473:
A second vaccine candidate against pregnancy-associated malaria called PRIMVAC is also currently undergoing clinical trials in healthy adult women as a 3 dose course. This vaccine is based on the DBL1x-2x domain of VAR2CSA which is able to bind to CSA in the placenta. In preclinical studies, PRIMVAC
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A vaccine to prevent a pregnancy-associated malaria called PAMVAC is currently undergoing clinical trials. PAMVAC is based on a recombinant form of the VAR2CSA domain and has been shown to be well-tolerated when injected in malaria-naive volunteers while also successfully inducing the production of
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can be used since these antimalarial drugs are more likely to cause red blood cell hemolysis in women with a G6PD deficiency and worsen any anemia that comes from the malaria infection. Although these drugs would most likely be used after delivery for treatment of pregnancy-associated malaria, this
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Lower birthweight of infants born from mothers with PAM can be attributed to placental infection, as well as other complications such as anemia and malnutrition, since the malarial parasite can be passed vertically from mother to the infant via infected red blood cells. Children who are born with a
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Resende M, Ditlev SB, Nielsen MA, Bodevin S, Bruun S, Pinto VV, Clausen H, Turner L, Theander TG, Salanti A, Dahlbäck M (September 2009). "Chondroitin sulphate A (CSA)-binding of single recombinant Duffy-binding-like domains is not restricted to Plasmodium falciparum Erythrocyte Membrane Protein 1
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relating to pregnancy-associated malaria is currently being researched which involves looking at glucose-6-phosphate dehydrogenase (G6PD) which is an enzyme that is responsible for keeping red blood cells protected from being destroyed too soon by things such as foods and medications. The gene for
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Anemia is a great concern as an adverse effect of pregnancy-associated malaria, since it can be life-threatening to the mother. Its cause is often compounded with other factors, such as nutrition and genetics. Some studies have suggested that iron supplementation can help with maternal anemia, but
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In areas of high malaria transmission such as Africa, women experiencing their first pregnancies have the highest risk of infection compared to in lower transmission areas where the number of pregnancies has less of an effect on infection rates. This is because women who are pregnant for the first
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In regions of high transmission, such as Africa, women experiencing PAM may exhibit normal symptoms of malaria, but may also be asymptomatic or present with more mild symptoms, including a lack of the characteristic fever. This is due to the fact that these women most likely have partial immunity,
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recommends starting IPTp as soon as possible during the 2nd trimester. These treatments are with doses of Sulfadoxine/pyrimethamine and are given at each antenatal visit, as long as the visits are one month apart. One concern with the use of Sulfadoxine/pyrimethamine along with other antimalarial
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Women that are infected with human immunodeficiency virus (HIV) are also at a high risk of having a higher parasite burden within the placenta during pregnancy. This increased parasite burden can show up as increased reporting of symptoms associated with PAM and an increased likelihood of adverse
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Due to the nature of disease transmission (i.e. via mosquitoes) and life cycle of the parasite, malaria is prevalent in warm, humid climates, such as tropical and subtropical regions. Consistent with previous years, the incidence of malaria in general is greatest in African regions, specifically
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located upstream from the ORF that codes for the VAR2CSA protein. The expression of a protein named PTEF (after Plasmodium falciparum translation-enhancing factor) has been described to be necessary for the translation machinery to overcome the uORF and produce VAR2CSA protein, but the mechanism
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developing resistance. In areas that have higher rates of resistance to the antimalarial Sulfadoxine/pyrimethamine, two doses of the drug is effective in reducing maternal parasitemia in women that do not have HIV while more doses are needed to reduce maternal parasitemia in HIV positive women.
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antibodies (specifically CSA adhesion inhibitory antibodies or IgG antibodies) may decrease the likelihood of low birthweight in the infants of women who have had pregnancy-associated malaria, but these findings do not specifically correlate to malarial immunity during pregnancy. However, the
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into the blood as sporozoites which then travel to the liver where they are converted to the merozite form and further replicated. After undergoing these changes in the liver, the parasite is then able to infect erythrocytes in the bloodstream. It can take 7 to 30 days after being bitten by a
293:(ITNs) and intermittent preventive treatment in pregnancy (IPTp). ITNs act as two layers of protection, one from the physical net and another from the chemical nature and effects of the insecticide. Because IPTp plays a role in altering the immune response that the infant can display, the 405:
In the realm of pregnancy, individual immunity and level of transmission within the area play an important role in the malarial complications that manifest. For example, areas with high level of transmission are also associated with higher incidence of immunity. Therefore, infection from
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this enzyme is found on the X chromosome which means that women in particular can have G6PD function that is normal, intermediate (which often shows up on lab tests as normal), and deficient. This gene is important in determining if certain antimalarial drugs such as
80:, or dangerously low birth weight. The tragedy of malaria in developing countries, particularly sub-Saharan Africa, receives abundant attention from the international health community, but until recently PAM and its unique complications were not adequately addressed. 97:
which may prevent a woman from seeking treatment despite the danger to herself and her unborn child. Conversely, in regions of low malaria transmission, PAM is associated with a higher likelihood of symptoms as these women most likely did not acquire immunity.
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injected in rats led to the production of antibodies against VAR2CSA on infected erythrocytes and also resulted in reduction of their binding to CSA. The vaccine was also shown to be well-tolerated in rats without any notable adverse reactions.
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antibodies against VAR2CSA. Although the vaccine was injected in healthy participants who did not have malaria, the study provided insight into the vaccine's safety before administration into the target population – women with PAM.
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Some initial symptoms of malaria include feeling unwell, experiencing headaches and fatigue, and having muscle aches and abdominal pain. This can eventually progress to a fever. Other common symptoms consist of nausea, vomiting, and
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parasites was the var2csa gene. Parasite clones where the var2csa gene was disrupted lost the ability to adhere to CSA by blocking the binding of IE. Its protein, VAR2CSA (Variant Surface antigen 2-CSA), belongs to the
156:(PfEMP1) which allows them to bind to CSA on the placenta. The accumulation of infected erythrocytes in the placenta inhibit the exchange of nutrients between the mother and fetus and also causes local inflammation. 276:
Prevention of pregnancy-associated malaria can be done with the use of various antimalarial drugs that are given before or during pregnancy to susceptible populations. Some of the antimalarial drugs used include
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ter Kuile FO, van Eijk AM, Filler SJ (June 2007). "Effect of sulfadoxine-pyrimethamine resistance on the efficacy of intermittent preventive therapy for malaria control during pregnancy: a systematic review".
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In general, women with PAM have a higher likelihood of premature birth and their infants having a low birthweight. In examination of possible malarial immunity, some studies have shown that the presence of
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in areas where the parasite is endemic – tropical and subtropical geographic areas. Placental malaria has also been demonstrated to occur in animal models, including in rodent and non-human primate models.
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Globally, an estimated 125 million or more pregnant women per year risk contracting PAM. Pregnancy-related malaria causes around 100,000 infant deaths each year, due in large part to low birth weight.
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is completely benign, as it has been associated with maternal anaemia. Specifically, in these settings, women in their first pregnancy are at greatest risk of complications that arise from
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Maternal death is one of the biggest complications of malaria in some areas during epidemics. Furthermore, its cause is compounded with other malarial complications, such as anemia.
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to the parasite, pregnancy causes complications that leave the woman and fetus extremely vulnerable. The parasite interferes with transmission of vital substances through the fetal
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Chan S, Frasch A, Mandava CS, Ch'ng JH, Quintana MD, Vesterlund M, et al. (May 2017). "Regulation of PfEMP1-VAR2CSA translation by a Plasmodium translation-enhancing factor".
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family. It is also only expressed as protein in pregnant women, even though the transcript is present in children, men and non-pregnant women. It has a unique regulatory region, a
150: 2297: 2988: 208:. The regions that mediate binding to CSA have not been defined, but DBL2, DBL3, and DBL6 have shown the highest affinity for CSA binding when testing with recombinant 1517:"Selective upregulation of a single distinctly structured var gene in chondroitin sulphate A-adhering Plasmodium falciparum involved in pregnancy-associated malaria" 2362: 4060: 4029: 1180:
Gamain B, Smith JD, Viebig NK, Gysin J, Scherf A (March 2007). "Pregnancy-associated malaria: parasite binding, natural immunity and vaccine development".
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Treatment of PAM is highly dependent on the mother's current pregnancy stage (i.e. trimester) and the species responsible for the disease transmission.
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as there are no standardization guidelines for plant harvest and preparation. Additionally, its clinical safety and efficacy have not yet been proven.
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for a duration of 7 days. During the second and third trimester, the WHO recommendations of ACT, are the same as ones for non-pregnant individuals.
187:. By this process, the parasite avoids being filtered through the spleen where it would be cleared from the bloodstream and killed. When selected 903:
Desai M, ter Kuile FO, Nosten F, McGready R, Asamoa K, Brabin B, Newman RD (February 2007). "Epidemiology and burden of malaria in pregnancy".
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Each VAR2CSA domain has a potential affinity to CSA, but there are large areas not exposed to the immune system and appear to be buried in the
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Moreover, studies have shown that women acquire immunity to PAM through antibody recognition of the VAR2CSA domain, also known as VSA
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of the placenta, blocking the crucial flow of nutrients from mother to embryo. Infected erythrocytes express the VAR2CSA variant of
1417:"Parasite sequestration in Plasmodium falciparum malaria: spleen and antibody modulation of cytoadherence of infected erythrocytes" 1368:"Induction of adhesion-inhibitory antibodies against placental Plasmodium falciparum parasites by using single domains of VAR2CSA" 4334: 4034: 3559: 3430: 3425: 2843: 2660:"Var2CSA DBL6-epsilon domain expressed in HEK293 induces limited cross-reactive and blocking antibodies to CSA binding parasites" 1615:"Identification of multiple chondroitin sulfate A (CSA)-binding domains in the var2CSA gene transcribed in CSA-binding parasites" 4386: 4100: 3283: 4150: 3367: 4175: 4082: 3584: 3445: 3420: 3218: 503:"Full-length extracellular region of the var2CSA variant of PfEMP1 is required for specific, high-affinity binding to CSA" 289:
since they are safe for use during pregnancy. For regions of moderate or high malaria risk, preventative measures include
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Fried M, Duffy PE (June 1996). "Adherence of Plasmodium falciparum to chondroitin sulfate A in the human placenta".
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One systematic review showed that children of women with PAM are also more likely to contract clinical malaria and
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is usually associated with no symptoms in pregnant women. However, it is not to conclude that the presence of
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is a presentation of the common illness that is particularly life-threatening to both mother and developing
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more research on malaria-endemic regions is required to make a better recommendation for mothers with PAM.
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Transmission of malaria occurs when humans get bitten by infected mosquitos carrying the parasite known as
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below-average birthweight are at risk for other health problems, including increased risk of mortality.
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48:, the most dangerous of the four species of malaria-causing parasites that infect humans. During 2930: 2658:
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antibodies during pregnancy and maternal and birth outcomes remains variable.
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plant as an herbal remedy. The basis for this reasoning is because
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erythrocyte membrane protein 1 (PfEMP1) family and contains six
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Non-pharmacological treatment of PAM consists of utilizing the
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European and Developing Countries Clinical Trials Partnership
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parasitaemia, although the reasoning for this is uncertain.
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For infection caused by the other species, which include
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expresses proteins on the surface of parasite-infected
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PAM is caused primarily by infection with 1944:The Cochrane Database of Systematic Reviews 4294: 3966: 3720: 3498: 3484: 3476: 3042: 3028: 3020: 2361:: CS1 maint: location missing publisher ( 380:Centers for Disease Control and Prevention 2963: 2952:Bulletin of the World Health Organization 2892: 2818: 2766: 2756: 2685: 2675: 2634: 2593: 2583: 2469:Worldwide Antimalarial Resistance Network 2414: 2404: 2237: 2227: 2135: 2125: 2056: 2012: 1963: 1863: 1853: 1812: 1728: 1679: 1630: 1589: 1532: 1450: 1440: 1391: 1286: 1245: 1235: 1224:Research and Reports in Tropical Medicine 1156: 1028: 987: 977: 794: 745: 695:"Roll Back Malaria: Malaria in Pregnancy" 536: 526: 1654:Bancells C, Deitsch KW (November 2013). 1269:Frischknecht F, Fackler OT (July 2016). 898: 896: 894: 892: 2997:"Malaria in Pregnancy Resource Package" 2331:Guidelines for the treatment of malaria 482: 2354: 1901: 1899: 1897: 1895: 1893: 1891: 1889: 1887: 1885: 1883: 1482:International Journal for Parasitology 1182:International Journal for Parasitology 1137:Obstetrical & Gynecological Survey 1017:Reviews in Obstetrics & Gynecology 496: 494: 492: 490: 488: 486: 394:sub-Saharan Africa, as defined by the 2788: 2786: 2734: 2732: 2707: 2705: 2511: 2509: 2381:"An overview of malaria in pregnancy" 2374: 2372: 2324: 2322: 2103: 2101: 2034: 2032: 1480:expressed by CSA-binding parasites". 1213: 1211: 1079: 1077: 689: 687: 617:"Lives at Risk: Malaria in Pregnancy" 328:Artemisinin-based combination therapy 7: 3346:National Malaria Eradication Program 1131:Zakama AK, Gaw SL (September 2019). 960:Kumar H, Tolia NH (September 2019). 232:behind it remains to be elucidated. 4330:Psychiatric disorders of childbirth 3401:Bill & Melinda Gates Foundation 1909:. World Health Organization. 2019. 137:which have been shown to adhere to 1993:The Journal of Infectious Diseases 1619:The Journal of Infectious Diseases 1053:"WHO | Information for travellers" 145:causing them to accumulate in the 25: 2465:"Malaria in Pregnancy Consortium" 4335:Postpartum physiological changes 4035:Postpartum physiological changes 3560:Assisted reproductive technology 3462: 3461: 3431:African Leaders Malaria Alliance 3426:South African Malaria Initiative 2919: 2161:West African Journal of Medicine 1534:10.1046/j.1365-2958.2003.03570.x 1318:(5267). New York, N.Y.: 1502–4. 1011:Schantz-Dunn J, Nour NM (2009). 562:(Press release). March 12, 2010. 206:Duffy binding-like (DBL) domains 4387:Adaptation to extrauterine life 3284:Malaria antigen detection tests 2041:"Malaria prevention strategies" 905:The Lancet. Infectious Diseases 781:(1): 13–36, Table of Contents. 644:"Malaria in the Pregnant Woman" 576:"CDC-Malaria-Malaria Parasites" 4030:Maternal physiological changes 3368:Malaria in Mandatory Palestine 1956:10.1002/14651858.CD004736.pub5 1801:Journal of Tropical Pediatrics 771:"Acquired immunity to malaria" 154:erythrocyte membrane protein 1 1: 3585:partner-assisted reproduction 3446:Medicines for Malaria Venture 3421:African Malaria Network Trust 2932:pregnancy-associated malaria 2397:10.1053/j.semperi.2019.03.018 1332:10.1126/science.272.5267.1502 917:10.1016/S1473-3099(07)70021-X 867:10.1016/s0140-6736(13)60024-0 775:Clinical Microbiology Reviews 326:acts as the plant source for 312:Non-pharmacological treatment 3331:Millennium Development Goals 2799:Clinical Infectious Diseases 2636:10.1016/j.micinf.2006.09.005 2585:10.1371/journal.ppat.0040042 1494:10.1016/j.ijpara.2009.02.022 1194:10.1016/j.ijpara.2006.11.011 1149:10.1097/OGX.0000000000000704 979:10.1371/journal.ppat.1007943 28:Pregnancy-associated malaria 3821:Traditional birth attendant 2885:10.1016/j.ebiom.2019.03.010 2518:"Malaria in pregnant women" 2516:World Health Organization. 1084:Hviid L, Salanti A (2007). 424:Plasmodium vivax (P. vivax) 236:Maternal and fetal outcomes 4464: 4448:Health issues in pregnancy 4053:Brain health and pollution 3396:Against Malaria Foundation 2333:(Third ed.). Geneva. 2187:"Fact sheet about Malaria" 1766:10.1038/nmicrobiol.2017.68 642:Duffy PE, Fried M (2005). 246:relationship between many 191:for CSA-binding, the only 4266:Chorionic villus sampling 3618:Obstetric ultrasonography 3542:Pre-conception counseling 3459: 3436:Amazon Malaria Initiative 2758:10.1186/s12936-020-3123-1 2229:10.1186/s12936-016-1664-0 2039:Cot M, Deloron P (2003). 1907:World Malaria Report 2019 1855:10.1186/s12916-019-1467-6 1102:10.1017/S0031182007000121 396:World Health Organization 338:Pharmacological treatment 295:World Health Organization 287:Sulfadoxine/pyrimethamine 183:A (CSA) in the placental 4156:Intrahepatic cholestasis 3363:Malaria in the Caribbean 3212:Sterile insect technique 2385:Seminars in Perinatology 2276:10.1001/jama.297.23.2603 2127:10.1186/1475-2875-13-271 2045:British Medical Bulletin 1582:10.1038/sj.embor.7400466 345:For infection caused by 291:insecticide-treated nets 91:orthostatic hypertension 4226:Motor vehicle emissions 4087:Concomitant conditions 4061:environmental toxicants 3804:Auxiliary nurse midwife 3565:artificial insemination 3532:Natural family planning 3416:Africa Fighting Malaria 3262:Diagnosis and treatment 2717:Genetics Home Reference 2677:10.1186/1475-2875-7-170 1442:10.1073/pnas.80.16.5075 1288:10.1002/1873-3468.12151 660:10.1007/3-540-29088-5_7 528:10.1073/pnas.1000951107 4320:Postpartum confinement 3580:in vitro fertilisation 3180:Control and prevention 2623:Microbes and Infection 2005:10.1093/infdis/jiaa139 1709:Infection and Immunity 1660:Molecular Microbiology 1521:Molecular Microbiology 1372:Infection and Immunity 832:10.1080/00034989760563 195:gene expressed in the 4315:Postpartum depression 4196:Pruritic folliculitis 3940:Unassisted childbirth 3373:Malaria Atlas Project 1814:10.1093/tropej/fmz068 697:. WHO. Archived from 619:. WHO. Archived from 202:Plasmodium falciparum 141:A (CSA) on placental 135:Plasmodium falciparum 113:Plasmodium falciparum 72:, often resulting in 45:Plasmodium falciparum 4422:Gravidity and parity 4402:Congenital disorders 4361:Lactation consultant 4231:Pre-existing disease 3910:Childbirth positions 3900:Rupture of membranes 3597:Unintended pregnancy 3575:fertility medication 3269:Diagnosis of malaria 3085:Pregnancy-associated 1721:10.1128/IAI.01978-05 1384:10.1128/IAI.00159-09 1237:10.2147/rrtm.s154501 1063:on December 25, 2009 787:10.1128/CMR.00025-08 436:quaternary structure 78:spontaneous abortion 4325:Sex after pregnancy 4132:Endocrine diseases 4078:Prenatal depression 3950:Placental expulsion 3868:Uterine contraction 3851:cervical effacement 3592:Fertility awareness 3326:Diseases of poverty 3319:Society and malaria 3229:Sickle-cell anaemia 3202:Malaria prophylaxis 2811:10.1093/cid/ciy1140 1754:Nature Microbiology 1433:1983PNAS...80.5075D 1324:1996Sci...272.1502F 519:2010PNAS..107.4884S 430:Research directions 363:Plasmodium malariae 181:chondroitin sulfate 147:intervillous spaces 139:chondroitin sulfate 4101:Hypercoagulability 3930:Natural childbirth 3779:Postterm pregnancy 3537:Male contraceptive 3406:Imagine No Malaria 3391:Malaria Consortium 3336:History of malaria 3219:Genetic resistance 3144:Anopheles mosquito 2946:Brabin BJ (1983). 2929:has a profile for 2842:GEN (2019-01-10). 2629:(14–15): 2863–71. 2543:"Malaria - Causes" 2058:10.1093/bmb/ldg003 1218:Kwenti TE (2018). 738:10.1038/laban.1349 219:gene (PFL0030c or 185:intervillous space 84:Signs and symptoms 4430: 4429: 4415:Obstetric history 4410: 4409: 4371:Confinement nanny 4284: 4283: 4151:Acute fatty liver 3958: 3957: 3846:cervical dilation 3473: 3472: 3353:World Malaria Day 2935: 2340:978-92-4-154912-7 1916:978-92-4-156572-1 1672:10.1111/mmi.12379 1096:(Pt 13): 1871–6. 861:(9918): 723–735. 669:978-3-540-25363-1 36:placental malaria 18:Placental malaria 16:(Redirected from 4455: 4295: 4261:Cardiotocography 3967: 3873:Vaginal delivery 3746:Nesting instinct 3721: 3706:Rudimentary horn 3635:Prenatal testing 3500: 3493: 3486: 3477: 3465: 3464: 3239:G6PDH deficiency 3207:Mosquito control 3080:Blackwater fever 3044: 3037: 3030: 3021: 3015: 3013: 3012: 3003:. Archived from 2992: 2991:. February 2007. 2986: 2977: 2967: 2933: 2923: 2922: 2907: 2906: 2896: 2864: 2858: 2857: 2855: 2854: 2839: 2833: 2832: 2822: 2805:(9): 1509–1516. 2790: 2781: 2780: 2770: 2760: 2736: 2727: 2726: 2724: 2723: 2709: 2700: 2699: 2689: 2679: 2655: 2649: 2648: 2638: 2614: 2608: 2607: 2597: 2587: 2563: 2557: 2556: 2554: 2553: 2538: 2532: 2531: 2529: 2528: 2513: 2504: 2503: 2501: 2500: 2485: 2479: 2478: 2476: 2475: 2460: 2454: 2453: 2451: 2450: 2435: 2429: 2428: 2418: 2408: 2376: 2367: 2366: 2360: 2352: 2326: 2317: 2316: 2314: 2313: 2304:. Archived from 2294: 2288: 2287: 2258: 2252: 2251: 2241: 2231: 2207: 2201: 2200: 2198: 2197: 2183: 2177: 2176: 2156: 2150: 2149: 2139: 2129: 2105: 2096: 2095: 2093: 2092: 2077: 2071: 2070: 2060: 2036: 2027: 2026: 2016: 1984: 1978: 1977: 1967: 1935: 1929: 1928: 1903: 1878: 1877: 1867: 1857: 1833: 1827: 1826: 1816: 1792: 1786: 1785: 1749: 1743: 1742: 1732: 1700: 1694: 1693: 1683: 1651: 1645: 1644: 1634: 1610: 1604: 1603: 1593: 1561: 1555: 1554: 1536: 1512: 1506: 1505: 1488:(11): 1195–204. 1476: 1465: 1464: 1454: 1444: 1412: 1406: 1405: 1395: 1363: 1352: 1351: 1307: 1301: 1300: 1290: 1266: 1260: 1259: 1249: 1239: 1215: 1206: 1205: 1177: 1171: 1170: 1160: 1128: 1122: 1121: 1081: 1072: 1071: 1069: 1068: 1059:. Archived from 1049: 1043: 1042: 1032: 1008: 1002: 1001: 991: 981: 957: 951: 950: 948: 946: 935: 929: 928: 900: 887: 886: 850: 844: 843: 815: 809: 808: 798: 766: 760: 759: 749: 717: 711: 710: 708: 706: 701:on 6 August 2006 691: 682: 681: 639: 633: 632: 630: 628: 613: 607: 606: 586: 580: 579: 572: 566: 563: 553:Lay summary in: 550: 540: 530: 498: 375:Plasmodium ovale 369:Plasmodium vivax 21: 4463: 4462: 4458: 4457: 4456: 4454: 4453: 4452: 4433: 4432: 4431: 4426: 4406: 4375: 4339: 4310:Postpartum care 4280: 4244: 4147:Liver diseases 4141:Thyroid disease 4039: 4025:Gestational age 3996: 3954: 3920:Labor induction 3825: 3816:Perinatal nurse 3789:Birth attendant 3750: 3710: 3644: 3640:Medical imaging 3601: 3570:fertility fraud 3546: 3513: 3504: 3474: 3469: 3455: 3411:Malaria No More 3379: 3314: 3274:Malaria culture 3257: 3246:Malaria vaccine 3175: 3053: 3048: 3018: 3010: 3008: 2995: 2984: 2980: 2945: 2941: 2940: 2939: 2924: 2920: 2915: 2913:Further reading 2910: 2866: 2865: 2861: 2852: 2850: 2841: 2840: 2836: 2792: 2791: 2784: 2745:Malaria Journal 2738: 2737: 2730: 2721: 2719: 2711: 2710: 2703: 2664:Malaria Journal 2657: 2656: 2652: 2616: 2615: 2611: 2565: 2564: 2560: 2551: 2549: 2540: 2539: 2535: 2526: 2524: 2515: 2514: 2507: 2498: 2496: 2487: 2486: 2482: 2473: 2471: 2462: 2461: 2457: 2448: 2446: 2437: 2436: 2432: 2378: 2377: 2370: 2353: 2341: 2328: 2327: 2320: 2311: 2309: 2308:on June 7, 2020 2296: 2295: 2291: 2270:(23): 2603–16. 2260: 2259: 2255: 2216:Malaria Journal 2209: 2208: 2204: 2195: 2193: 2185: 2184: 2180: 2158: 2157: 2153: 2114:Malaria Journal 2107: 2106: 2099: 2090: 2088: 2079: 2078: 2074: 2038: 2037: 2030: 1986: 1985: 1981: 1950:(7): CD004736. 1937: 1936: 1932: 1917: 1905: 1904: 1881: 1835: 1834: 1830: 1794: 1793: 1789: 1751: 1750: 1746: 1702: 1701: 1697: 1653: 1652: 1648: 1612: 1611: 1607: 1563: 1562: 1558: 1514: 1513: 1509: 1478: 1477: 1468: 1414: 1413: 1409: 1365: 1364: 1355: 1309: 1308: 1304: 1281:(13): 2000–13. 1268: 1267: 1263: 1217: 1216: 1209: 1188:(3–4): 273–83. 1179: 1178: 1174: 1130: 1129: 1125: 1083: 1082: 1075: 1066: 1064: 1051: 1050: 1046: 1010: 1009: 1005: 972:(9): e1007943. 959: 958: 954: 944: 942: 937: 936: 932: 902: 901: 890: 852: 851: 847: 817: 816: 812: 768: 767: 763: 732:(10): 388–398. 719: 718: 714: 704: 702: 693: 692: 685: 670: 641: 640: 636: 626: 624: 615: 614: 610: 591:Folia Biologica 588: 587: 583: 574: 573: 569: 554: 500: 499: 484: 480: 454:genetic testing 448: 432: 388: 340: 319:Artemisia annua 314: 309: 274: 238: 170: 127: 108: 103: 86: 23: 22: 15: 12: 11: 5: 4461: 4459: 4451: 4450: 4445: 4435: 4434: 4428: 4427: 4425: 4424: 4418: 4416: 4412: 4411: 4408: 4407: 4405: 4404: 4399: 4394: 4389: 4383: 4381: 4377: 4376: 4374: 4373: 4368: 4363: 4358: 4356:Health visitor 4353: 4347: 4345: 4341: 4340: 4338: 4337: 4332: 4327: 4322: 4317: 4312: 4307: 4301: 4299: 4292: 4286: 4285: 4282: 4281: 4279: 4278: 4273: 4271:Nonstress test 4268: 4263: 4258: 4252: 4250: 4246: 4245: 4243: 4242: 4241: 4240: 4239: 4238: 4233: 4228: 4223: 4218: 4213: 4205: 4204: 4203: 4198: 4193: 4187:Skin diseases 4185: 4184: 4183: 4178: 4173: 4168: 4160: 4159: 4158: 4153: 4145: 4144: 4143: 4138: 4130: 4129: 4128: 4123: 4118: 4113: 4103: 4098: 4093: 4085: 4080: 4075: 4074: 4073: 4068: 4063: 4055: 4049: 4047: 4041: 4040: 4038: 4037: 4032: 4027: 4022: 4017: 4012: 4006: 4004: 3998: 3997: 3995: 3994: 3989: 3984: 3979: 3977:Amniotic fluid 3973: 3971: 3964: 3960: 3959: 3956: 3955: 3953: 3952: 3947: 3942: 3937: 3932: 3927: 3925:Multiple birth 3922: 3917: 3912: 3907: 3902: 3897: 3896: 3895: 3890: 3885: 3875: 3870: 3865: 3860: 3859: 3858: 3853: 3848: 3833: 3831: 3827: 3826: 3824: 3823: 3818: 3813: 3808: 3807: 3806: 3796: 3791: 3786: 3781: 3776: 3775: 3774: 3764: 3758: 3756: 3752: 3751: 3749: 3748: 3743: 3738: 3733: 3731:Bradley method 3727: 3725: 3718: 3712: 3711: 3709: 3708: 3703: 3698: 3693: 3688: 3683: 3678: 3673: 3668: 3663: 3658: 3652: 3650: 3646: 3645: 3643: 3642: 3637: 3632: 3631: 3630: 3623:Pregnancy test 3620: 3615: 3609: 3607: 3603: 3602: 3600: 3599: 3594: 3589: 3588: 3587: 3582: 3577: 3572: 3567: 3556: 3554: 3548: 3547: 3545: 3544: 3539: 3534: 3529: 3523: 3521: 3515: 3514: 3505: 3503: 3502: 3495: 3488: 3480: 3471: 3470: 3460: 3457: 3456: 3454: 3453: 3448: 3443: 3438: 3433: 3428: 3423: 3418: 3413: 3408: 3403: 3398: 3393: 3387: 3385: 3381: 3380: 3378: 3377: 3376: 3375: 3370: 3365: 3355: 3350: 3349: 3348: 3343: 3333: 3328: 3322: 3320: 3316: 3315: 3313: 3312: 3311: 3310: 3305: 3300: 3289: 3288: 3287: 3286: 3281: 3276: 3265: 3263: 3259: 3258: 3256: 3255: 3254: 3253: 3243: 3242: 3241: 3236: 3231: 3226: 3216: 3215: 3214: 3209: 3204: 3199: 3194: 3183: 3181: 3177: 3176: 3174: 3173: 3172: 3171: 3166: 3161: 3156: 3146: 3141: 3140: 3139: 3132: 3125: 3118: 3111: 3104: 3099: 3089: 3088: 3087: 3082: 3077: 3072: 3061: 3059: 3055: 3054: 3049: 3047: 3046: 3039: 3032: 3024: 3017: 3016: 2993: 2978: 2958:(6): 1005–16. 2942: 2925: 2918: 2917: 2916: 2914: 2911: 2909: 2908: 2859: 2834: 2782: 2728: 2701: 2650: 2609: 2572:PLOS Pathogens 2558: 2533: 2505: 2480: 2455: 2430: 2391:(5): 282–290. 2368: 2339: 2318: 2289: 2253: 2202: 2178: 2151: 2097: 2072: 2028: 1999:(4): 538–550. 1979: 1930: 1915: 1879: 1828: 1807:(3): 327–338. 1787: 1744: 1715:(8): 4875–83. 1695: 1646: 1632:10.1086/428137 1605: 1556: 1507: 1466: 1427:(16): 5075–9. 1407: 1353: 1302: 1261: 1207: 1172: 1143:(9): 546–556. 1123: 1073: 1044: 1003: 966:PLOS Pathogens 952: 930: 888: 845: 810: 761: 712: 683: 668: 634: 623:on May 7, 2003 608: 581: 567: 565: 564: 513:(11): 4884–9. 481: 479: 476: 446: 431: 428: 416:P. falciparum. 387: 384: 339: 336: 313: 310: 308: 305: 273: 270: 237: 234: 210:single-domains 169: 166: 126: 123: 107: 104: 102: 99: 85: 82: 24: 14: 13: 10: 9: 6: 4: 3: 2: 4460: 4449: 4446: 4444: 4441: 4440: 4438: 4423: 4420: 4419: 4417: 4413: 4403: 4400: 4398: 4395: 4393: 4390: 4388: 4385: 4384: 4382: 4378: 4372: 4369: 4367: 4366:Monthly nurse 4364: 4362: 4359: 4357: 4354: 4352: 4349: 4348: 4346: 4342: 4336: 4333: 4331: 4328: 4326: 4323: 4321: 4318: 4316: 4313: 4311: 4308: 4306: 4303: 4302: 4300: 4296: 4293: 4291: 4287: 4277: 4274: 4272: 4269: 4267: 4264: 4262: 4259: 4257: 4256:Amniocentesis 4254: 4253: 4251: 4247: 4237: 4234: 4232: 4229: 4227: 4224: 4222: 4219: 4217: 4216:Vaginal flora 4214: 4212: 4209: 4208: 4206: 4202: 4199: 4197: 4194: 4192: 4189: 4188: 4186: 4182: 4179: 4177: 4174: 4172: 4169: 4167: 4164: 4163: 4161: 4157: 4154: 4152: 4149: 4148: 4146: 4142: 4139: 4137: 4134: 4133: 4131: 4127: 4124: 4122: 4119: 4117: 4114: 4112: 4109: 4108: 4107: 4106:Substance use 4104: 4102: 4099: 4097: 4094: 4092: 4089: 4088: 4086: 4084: 4081: 4079: 4076: 4072: 4069: 4067: 4064: 4062: 4059: 4058: 4056: 4054: 4051: 4050: 4048: 4046: 4042: 4036: 4033: 4031: 4028: 4026: 4023: 4021: 4020:Fundal height 4018: 4016: 4013: 4011: 4008: 4007: 4005: 4003: 3999: 3993: 3990: 3988: 3985: 3983: 3980: 3978: 3975: 3974: 3972: 3968: 3965: 3961: 3951: 3948: 3946: 3943: 3941: 3938: 3936: 3933: 3931: 3928: 3926: 3923: 3921: 3918: 3916: 3913: 3911: 3908: 3906: 3903: 3901: 3898: 3894: 3891: 3889: 3886: 3884: 3881: 3880: 3879: 3876: 3874: 3871: 3869: 3866: 3864: 3861: 3857: 3854: 3852: 3849: 3847: 3844: 3843: 3842: 3838: 3835: 3834: 3832: 3828: 3822: 3819: 3817: 3814: 3812: 3809: 3805: 3802: 3801: 3800: 3797: 3795: 3792: 3790: 3787: 3785: 3782: 3780: 3777: 3773: 3772:Preterm birth 3770: 3769: 3768: 3765: 3763: 3760: 3759: 3757: 3753: 3747: 3744: 3742: 3739: 3737: 3736:Hypnobirthing 3734: 3732: 3729: 3728: 3726: 3722: 3719: 3717: 3713: 3707: 3704: 3702: 3699: 3697: 3694: 3692: 3689: 3687: 3684: 3682: 3679: 3677: 3674: 3672: 3669: 3667: 3664: 3662: 3659: 3657: 3654: 3653: 3651: 3647: 3641: 3638: 3636: 3633: 3629: 3626: 3625: 3624: 3621: 3619: 3616: 3614: 3613:3D ultrasound 3611: 3610: 3608: 3604: 3598: 3595: 3593: 3590: 3586: 3583: 3581: 3578: 3576: 3573: 3571: 3568: 3566: 3563: 3562: 3561: 3558: 3557: 3555: 3553: 3549: 3543: 3540: 3538: 3535: 3533: 3530: 3528: 3527:Birth control 3525: 3524: 3522: 3520: 3516: 3512: 3508: 3501: 3496: 3494: 3489: 3487: 3482: 3481: 3478: 3468: 3458: 3452: 3449: 3447: 3444: 3442: 3439: 3437: 3434: 3432: 3429: 3427: 3424: 3422: 3419: 3417: 3414: 3412: 3409: 3407: 3404: 3402: 3399: 3397: 3394: 3392: 3389: 3388: 3386: 3384:Organisations 3382: 3374: 3371: 3369: 3366: 3364: 3361: 3360: 3359: 3356: 3354: 3351: 3347: 3344: 3342: 3339: 3338: 3337: 3334: 3332: 3329: 3327: 3324: 3323: 3321: 3317: 3309: 3306: 3304: 3301: 3299: 3296: 3295: 3294: 3293:Antimalarials 3291: 3290: 3285: 3282: 3280: 3277: 3275: 3272: 3271: 3270: 3267: 3266: 3264: 3260: 3252: 3249: 3248: 3247: 3244: 3240: 3237: 3235: 3232: 3230: 3227: 3225: 3224:Duffy antigen 3222: 3221: 3220: 3217: 3213: 3210: 3208: 3205: 3203: 3200: 3198: 3195: 3193: 3190: 3189: 3188: 3187:Public health 3185: 3184: 3182: 3178: 3170: 3167: 3165: 3162: 3160: 3157: 3155: 3152: 3151: 3150: 3147: 3145: 3142: 3138: 3137: 3133: 3131: 3130: 3126: 3124: 3123: 3119: 3117: 3116: 3112: 3110: 3109: 3105: 3103: 3100: 3098: 3095: 3094: 3093: 3090: 3086: 3083: 3081: 3078: 3076: 3075:Quartan fever 3073: 3071: 3068: 3067: 3066: 3063: 3062: 3060: 3056: 3052: 3045: 3040: 3038: 3033: 3031: 3026: 3025: 3022: 3007:on 2010-12-16 3006: 3002: 2998: 2994: 2990: 2983: 2979: 2975: 2971: 2966: 2961: 2957: 2953: 2949: 2944: 2943: 2937: 2936: 2928: 2912: 2904: 2900: 2895: 2890: 2886: 2882: 2878: 2874: 2870: 2863: 2860: 2849: 2845: 2838: 2835: 2830: 2826: 2821: 2816: 2812: 2808: 2804: 2800: 2796: 2789: 2787: 2783: 2778: 2774: 2769: 2764: 2759: 2754: 2750: 2746: 2742: 2735: 2733: 2729: 2718: 2714: 2708: 2706: 2702: 2697: 2693: 2688: 2683: 2678: 2673: 2669: 2665: 2661: 2654: 2651: 2646: 2642: 2637: 2632: 2628: 2624: 2620: 2613: 2610: 2605: 2601: 2596: 2591: 2586: 2581: 2577: 2573: 2569: 2562: 2559: 2548: 2544: 2537: 2534: 2523: 2519: 2512: 2510: 2506: 2494: 2490: 2484: 2481: 2470: 2466: 2459: 2456: 2444: 2440: 2434: 2431: 2426: 2422: 2417: 2412: 2407: 2402: 2398: 2394: 2390: 2386: 2382: 2375: 2373: 2369: 2364: 2358: 2350: 2346: 2342: 2336: 2332: 2325: 2323: 2319: 2307: 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Index

Placental malaria
fetus
Plasmodium falciparum
pregnancy
malaria
prenatal care
immunity
placenta
stillbirth
spontaneous abortion
orthostatic hypertension
Plasmodium falciparum
erythrocytes
chondroitin sulfate
proteoglycans
intervillous spaces
P. falciparum erythrocyte membrane protein 1
erythrocytes
chondroitin sulfate
intervillous space
in vitro
upregulated
Duffy binding-like (DBL) domains
single-domains
uORF
Chloroquine
Mefloquine
Sulfadoxine/pyrimethamine
insecticide-treated nets
World Health Organization

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