The impact of endemic and epidemic malaria on the risk of stillbirth in two areas of Tanzania with different malaria transmission patterns
2006

Malaria's Impact on Stillbirth Risk in Tanzania

Sample size: 15675 publication 10 minutes Evidence: moderate

Author Information

Author(s): Ulrika Uddenfeldt Wort, Ian Hastings, TK Mutabingwa, Bernard J Brabin

Primary Institution: Karolinska Institutet

Hypothesis

How does malaria exposure during pregnancy affect stillbirth rates in different malaria transmission areas of Tanzania?

Conclusion

Malaria exposure during pregnancy has a delayed effect on birthweight outcomes, but a more acute effect on stillbirth risk.

Supporting Evidence

  • Stillbirth prevalence was significantly higher in Kilosa compared to Ndolage.
  • Low birthweight prevalence was also significantly higher in Kilosa.
  • Malaria exposure during pregnancy increased stillbirth risk, especially during peak malaria seasons.

Takeaway

Malaria can make babies born to pregnant women sick, and it can cause more babies to be stillborn, especially in areas where malaria is common.

Methodology

A retrospective analysis of stillbirth and low birthweight prevalence was conducted using data from two hospitals in Tanzania over a six-year period.

Potential Biases

Potential confounding factors include other health issues like HIV and syphilis that could affect stillbirth rates.

Limitations

The study is retrospective and based on hospital data, which may not represent the entire population.

Participant Demographics

Participants included pregnant women from two regions in Tanzania with different malaria transmission patterns.

Statistical Information

P-Value

p<0.001

Confidence Interval

95% CI; 32.1–48.0

Statistical Significance

p<0.001

Digital Object Identifier (DOI)

10.1186/1475-2875-5-89

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