Neurocognitive outcomes in Malawian children exposed to malaria during pregnancy: An observational birth cohort study

马拉维怀孕期间接触疟疾儿童的神经认知结果:一项观察性出生队列研究

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作者:Andrea M Weckman, Andrea L Conroy, Mwayiwawo Madanitsa, Bruno Gnaneswaran, Chloe R McDonald, Linda Kalilani-Phiri, Jaya Chandna, Doreen Ali, Victor Mwapasa, Carole Khairallah, Kyaw Lay Thwai, Steven R Meshnick, Steve M Taylor, Feiko O Ter Kuile, Kevin C Kain, Melissa Gladstone

Background

Annually 125 million pregnancies are at risk of malaria infection. However, the impact of exposure to malaria in pregnancy on neurodevelopment in children is not well understood. We hypothesized that malaria in pregnancy and associated maternal immune activation result in neurodevelopmental delay in exposed offspring.

Conclusions

This mother-baby cohort presents evidence of a relationship between malaria in pregnancy and neurodevelopmental delay in offspring. Malaria in pregnancy may be a modifiable risk factor for neurodevelopmental injury independent of birth weight or prematurity. Successful interventions to prevent malaria during pregnancy may reduce the risk of neurocognitive delay in children.

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