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Table 3 Association between malaria infection and small for gestational age, stratified by timing of infection

From: The choice of reference chart affects the strength of the association between malaria in pregnancy and small for gestational age: an individual participant data meta-analysis comparing the Intergrowth-21 with a Tanzanian birthweight chart

 

STOPPAM reference

Intergrowth-21 reference

Timing of infectiona

N

SGASTOPPAM n (%)

uOR

95% CI

P

aORb

95% CI

P

SGAIG21 n (%)

uOR

95% CI

P

aORc

95% CI

P

Never infected

3,371

420 (12.5)

1

–

–

1

–

–

579 (16.9)

1

–

–

1

–

–

1st/2nd trimester

1,214

205 (16.9)

1.60

1.31–1.96

 < 0.001

1.35

1.09–1.66

0.006

250(20.6)

1.52

1.27–1.83

 < 0.001

1.30

1.07–1.58

0.009

1st/2nd/3rd trimesters

258

52 (20.2)

2.37

1.65–3.41

 < 0.001

1.73

1.19–2.52

0.004

56 (21.8)

2.18

1.54–3.10

 < 0.001

1.68

1.16–2.43

0.006

3rd trimester only

646

102 (15.8)

1.47

1.14–1.91

0.003

1.28

0.98–1.67

0.07

108(16.7)

1.19

0.93–1.52

0.17

1.07

0.83–1.38

0.62

  1. The pooled uOR (n = 5,489) and aOR (n = 5,208) were obtained using mixed effect model in the one stage individual participant data meta-analysis excluding a study by Divala et al. because malaria infection was only documented at inclusion and delivery
  2. astratified malaria into 3 groups, whereas in Fig. 4 we pooled together 1st/2nd and 1st/2nd/3rd and excluded 3rd trimester only to allow for the forest plot, 1st trimester: ≤ 13 weeks, 2nd trimester: 14–27 weeks, 3rd trimester: ≥ 28 weeks, SGASTOPPAM: Small for gestational age (SGA) using STOPPAM reference, SGAIG21: SGA using Intergrowth-21 reference, uOR unadjusted odds ratio, aOR: Adjusted odds ratio
  3. badjusted for body mass index, gravidity, gestational age at enrolment, HIV, and haemoglobin at enrolment
  4. cadjusted for gestational age at delivery in addition to the confounders for aORb, CI Confidence interval, malaria was defined as positive slide or malaria rapid test or polymerase chain reaction