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Table 2 Association between maternal parasitaemia and malaria risk in infancy stratified by outcome measure

From: Impact of Plasmodium falciparum malaria and intermittent preventive treatment of malaria in pregnancy on the risk of malaria in infants: a systematic review

Author, year of publication (refs.)

Timing of measurement of maternal parasitaemia

Method used to detect maternal parasitaemia

Exposure groups (n)

Measure of association (95% CI), p value

Confounders adjusted for

Prevalence of parasitaemia

 Boudova, 2017 [40]

2nd and 3rd trimester

PCR

Unexposed (n = 184)

Reference

Maternal age, gestation age at delivery, IPTp arm

Exposed (n = 28)

OR = 1.5 (0.5–4.4), p = 0.45

 De Beaudrap, 2016 [37]

2nd and 3rd trimester

Microscopy or RDT

Unexposed (n = 626)

Reference

Gravidity, birth season, haemoglobin genotype, residence

Exposed (n = 198)

RR = 2.97 (1.37–6.42), p = NR

 Borgella, 2013 [18]

1st trimester

Microscopy

Unexposed (n = NA)

Reference

Residence near the lake, birth season

Exposed (n = NA)

OR = 1.12 (0.23–5.45), p = 0.89

2nd trimester

Microscopy

Unexposed (n = 142)

Reference

Exposed (n = 52)

OR = 0.87 (0.35–2.09), p = 0.75

3rd trimester

Microscopy

Unexposed (n = 121)

Reference

Exposed (n = 73)

OR = 4.16 (1.64–10.54), p = 0.003

Time to first parasitaemia

 Borgella, 2013 [18]

1st trimester

Microscopy

Unexposed (n = NA)

Reference

Residence near the lake, birth season

Exposed (n = NA)

HR = 1.00 (0.42–2.39), p = 0.99

2nd trimester

Microscopy

Unexposed (n = 142)

Reference

Exposed (n = 52)

HR = 1.14 (0.62–2.12), p = 0.68

3rd trimester

Microscopy

Unexposed (n = 121)

Reference

Exposed (n = 73)

HR = 2.95 (1.58–5.50), p = 0.001

Time to first clinical malaria

 Borgella, 2013 [18]

1st trimester

Microscopy

Unexposed (n = NA)

Reference

Residence near the lake, birth season

Exposed (n = NA)

HR = 0.97 (0.32–2.92), p = 0.95

2nd trimester

Microscopy

Unexposed (n = 142)

Reference

Exposed (n = 52)

HR = 1.15 (0.58–2.28), p = 0.70

3rd trimester

Microscopy

Unexposed (n = 121)

Reference

Exposed (n = 73)

HR = 3.19 (1.59–6.38), p = 0.001

Incidence of clinical malaria

 Ndibazza, 2013 [39]

Baseline and delivery

Microscopy

Unexposed (n = 2053)

Ref

Maternal age, ITN possession, parity, education, social economic status, residence, mother’s HIV status

Exposed (n = 236)

HR = 1.23 (1.01–1.51), p = 0.04

  1. CI confidence interval, HIV human immunodeficiency virus, HR hazard ratio, IPTp intermittent preventive treatment of malaria in pregnancy, ITN insecticide treated net, NA not applicable number was imputed, NR not reported, OR odds ratio, RDT rapid diagnostic test, RR risk ratio, PCR polymerase chain reaction