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01.12.2012 | Review | Ausgabe 1/2012 Open Access

Malaria Journal 1/2012

The epidemiology of postpartum malaria: a systematic review

Zeitschrift:
Malaria Journal > Ausgabe 1/2012
Autoren:
Machteld E Boel, Marcus J Rijken, Bernard J Brabin, François Nosten, Rose McGready
Wichtige Hinweise

Electronic supplementary material

The online version of this article (doi:10.​1186/​1475-2875-11-114) contains supplementary material, which is available to authorized users.

Competing interests

The authors declare that they have no competing interests.

Authors' contributions

MB searched for and identified the included studies, extracted data on an Excel spreadsheet and drafted the manuscript. MR searched for and included the studies and helped to draft the manuscript. BB searched for articles, provided raw data, and helped to draft the manuscript. RM did the eligibility assessment and extracted data on an Excel spreadsheet and helped to draft the manuscript. FN did the eligibility assessment and helped to draft the manuscript. All authors read and approved the final manuscript.

Abstract

Pregnant women are more susceptible to malaria than their non-pregnant counterparts. Less is known about the risk of malaria in the postpartum period. The epidemiology of postpartum malaria was systematically reviewed. Eleven articles fitted the inclusion criteria. Of the 10 studies that compared malaria data from the postpartum period with pregnancy data, nine studies suggested that the risk for malaria infection decreased after delivery. All three studies that compared postpartum data with non-pregnant non-postpartum women concluded that the risk did not return to pre-pregnancy levels immediately after delivery. The results of this review have to be carefully interpreted, as the majority of studies were not designed to study postpartum malaria, and there was large variability in study designs and reported outcomes. Current evidence suggests an effort should be made to detect and radically cure malaria during pregnancy so that women do not enter the postpartum period with residual parasites.
Zusatzmaterial
Additional file 1: Table S1. Characteristics of the studies included in the review on postpartum malaria. (DOC 84 KB)
12936_2011_2102_MOESM1_ESM.DOC
Additional file 2: Table S2. Quality measures of the included studies. (DOC 82 KB)
12936_2011_2102_MOESM2_ESM.DOC
Additional file 3: Summary of the pertinent points relating to postpartum susceptibility from 11 manuscripts in alphabetic order of the first author. (DOC 83 KB)
12936_2011_2102_MOESM3_ESM.DOC
Additional file 4: Recommendations for the design of a postpartum malaria study. (DOC 26 KB)
12936_2011_2102_MOESM4_ESM.DOC
Authors’ original file for figure 1
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Authors’ original file for figure 2
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Authors’ original file for figure 3
12936_2011_2102_MOESM7_ESM.pdf
Authors’ original file for figure 4
12936_2011_2102_MOESM8_ESM.pdf
Literatur
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