In areas of endemic transmission, malaria in pregnancy is associated with severe maternal anaemia and low birthweight babies. The prevalence of infection is highest in primigravidae (PG), and hence control efforts are usually geared towards this high risk group. Using a sensitive measure of placental infection, the authors investigated the relationship between active-acute, active-chronic and past placental infection with maternal anaemia and low birthweight in women of all gravidities.
Shulman, C.E.; Marshall, T.; Dorman, E.K.; Bulmer, J.N.; Cutts, F.; Peshu, N.; Marsh, K. Malaria in pregnancy: adverse effects on haemoglobin levels and birthweight in primigravidae and multigravidae. Tropical Medicine and International Health (2001) 6 (10) 770-778. [DOI: 10.1046/j.1365-3156.2001.00786.x]