{"id":"https://openalex.org/W2136293929","doi":"https://doi.org/10.1093/clinids/16.1.127","title":"Malaria During Pregnancy: Neonatal Morbidity and Mortality and the Efficacy of Chloroquine Chemoprophylaxis","display_name":"Malaria During Pregnancy: Neonatal Morbidity and Mortality and the Efficacy of Chloroquine Chemoprophylaxis","publication_year":1993,"publication_date":"1993-01-01","ids":{"openalex":"https://openalex.org/W2136293929","doi":"https://doi.org/10.1093/clinids/16.1.127","mag":"2136293929","pmid":"https://pubmed.ncbi.nlm.nih.gov/8448288"},"language":"en","primary_location":{"id":"doi:10.1093/clinids/16.1.127","doi":"https://doi.org/10.1093/clinids/16.1.127","is_oa":false,"landing_page_url":"https://doi.org/10.1093/clinids/16.1.127","pdf_url":null,"source":{"id":"https://openalex.org/S72350973","display_name":"Clinical Infectious Diseases","issn_l":"1058-4838","issn":["1058-4838","1537-6591"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["anvur-scientific","cwts-core","dongbi-a","doyens","jufo-3","ki-jl-3","medline","norway-2","poland-200","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310311648","host_organization_name":"Oxford University Press","host_organization_lineage":["https://openalex.org/P4310311648","https://openalex.org/P4310311647"],"host_organization_lineage_names":["Oxford University Press","University of Oxford"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Clinical Infectious Diseases","raw_type":"journal-article"},"volume":null,"type":"article","is_traditional":true,"indexed_in":["crossref","pubmed"],"open_access":{"is_oa":false,"oa_status":"closed","oa_url":null,"any_repository_has_fulltext":false},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5022890391","display_name":"Paul Nyirjesy","orcid":"https://orcid.org/0000-0001-5309-2971","observed_orcids":["https://orcid.org/0000-0001-5309-2971"]},"institutions":[{"id":"https://openalex.org/I2928865620","display_name":"Mubende Hospital","ror":"https://ror.org/01xt6pa06","country_code":"UG","type":"healthcare","lineage":["https://openalex.org/I2928865620"]}],"countries":["UG"],"is_corresponding":true,"raw_author_name":"P. Nyirjesy","raw_affiliation_strings":["Centre M\u00e9dical Evang\u00e9lique, Nyankunde, Zaire"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Centre M\u00e9dical Evang\u00e9lique, Nyankunde, Zaire","institution_ids":["https://openalex.org/I2928865620"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5098257998","display_name":"T. Kavasya","orcid":null,"observed_orcids":[]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"T. Kavasya","raw_affiliation_strings":[],"raw_orcid":null,"affiliations":[]},{"author_position":"middle","author":{"id":"https://openalex.org/A5008796264","display_name":"Peter I. Axelrod","orcid":null,"observed_orcids":[]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"P. Axelrod","raw_affiliation_strings":[],"raw_orcid":null,"affiliations":[]},{"author_position":"last","author":{"id":"https://openalex.org/A5035024612","display_name":"Philip R. Fischer","orcid":"https://orcid.org/0000-0003-0876-8789","observed_orcids":["https://orcid.org/0000-0003-0876-8789"]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"P. R. Fischer","raw_affiliation_strings":[],"raw_orcid":null,"affiliations":[]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":1,"corresponding_author_ids":["https://openalex.org/A5022890391"],"corresponding_institution_ids":["https://openalex.org/I2928865620"],"apc_list":{"value":4763,"currency":"USD","value_usd":4763},"apc_paid":null,"fwci":3.9711,"has_fulltext":false,"cited_by_count":77,"citation_normalized_percentile":{"value":0.93388461,"is_in_top_1_percent":false,"is_in_top_10_percent":true},"cited_by_percentile_year":{"min":87,"max":97},"biblio":{"volume":"16","issue":"1","first_page":"127","last_page":"132"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10091","display_name":"Malaria Research and Control","score":1.0,"subfield":{"id":"https://openalex.org/subfields/2739","display_name":"Public Health, Environmental and Occupational Health"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T10091","display_name":"Malaria Research and Control","score":1.0,"subfield":{"id":"https://openalex.org/subfields/2739","display_name":"Public Health, Environmental and Occupational Health"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10209","display_name":"Global Maternal and Child Health","score":0.0,"subfield":{"id":"https://openalex.org/subfields/2735","display_name":"Pediatrics, Perinatology and Child Health"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10554","display_name":"Hemoglobinopathies and Related Disorders","score":0.0,"subfield":{"id":"https://openalex.org/subfields/2716","display_name":"Genetics (clinical)"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/malaria-in-pregnancy","display_name":"malaria in pregnancy","score":0.9369999766349792},{"id":"https://openalex.org/keywords/neonatal-malaria","display_name":"neonatal malaria","score":0.7950000166893005},{"id":"https://openalex.org/keywords/perinatal-mortality","display_name":"perinatal mortality","score":0.9430000185966492},{"id":"https://openalex.org/keywords/low-birth-weight","display_name":"low birth weight","score":0.9670000076293945},{"id":"https://openalex.org/keywords/chloroquine-prophylaxis","display_name":"chloroquine prophylaxis","score":0.9509999752044678},{"id":"https://openalex.org/keywords/plasmodium-falciparum","display_name":"Plasmodium falciparum","score":0.9919999837875366},{"id":"https://openalex.org/keywords/maternal-malaria","display_name":"maternal malaria","score":0.7680000066757202},{"id":"https://openalex.org/keywords/placental-malaria","display_name":"placental malaria","score":0.9010000228881836},{"id":"https://openalex.org/keywords/malaria-chemoprophylaxis","display_name":"malaria chemoprophylaxis","score":0.6859999895095825},{"id":"https://openalex.org/keywords/chloroquine-resistance","display_name":"chloroquine resistance","score":0.8429999947547913}],"concepts":[{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.8863881230354309},{"id":"https://openalex.org/C2776688490","wikidata":"https://www.wikidata.org/wiki/Q1069606","display_name":"Chemoprophylaxis","level":2,"score":0.7686648368835449},{"id":"https://openalex.org/C2778048844","wikidata":"https://www.wikidata.org/wiki/Q12156","display_name":"Malaria","level":2,"score":0.7564109563827515},{"id":"https://openalex.org/C2777425658","wikidata":"https://www.wikidata.org/wiki/Q422438","display_name":"Chloroquine","level":3,"score":0.7464280724525452},{"id":"https://openalex.org/C2779234561","wikidata":"https://www.wikidata.org/wiki/Q11995","display_name":"Pregnancy","level":2,"score":0.6343960165977478},{"id":"https://openalex.org/C131872663","wikidata":"https://www.wikidata.org/wiki/Q5284418","display_name":"Obstetrics","level":1,"score":0.6328189969062805},{"id":"https://openalex.org/C2779083892","wikidata":"https://www.wikidata.org/wiki/Q6692979","display_name":"Low birth weight","level":3,"score":0.5626104474067688},{"id":"https://openalex.org/C2778371730","wikidata":"https://www.wikidata.org/wiki/Q311383","display_name":"Plasmodium falciparum","level":3,"score":0.4825693666934967},{"id":"https://openalex.org/C61511704","wikidata":"https://www.wikidata.org/wiki/Q1671857","display_name":"Incidence (geometry)","level":2,"score":0.46337857842445374},{"id":"https://openalex.org/C82789193","wikidata":"https://www.wikidata.org/wiki/Q2142611","display_name":"Relative risk","level":3,"score":0.4394715428352356},{"id":"https://openalex.org/C112299071","wikidata":"https://www.wikidata.org/wiki/Q835884","display_name":"Infant mortality","level":3,"score":0.4140339493751526},{"id":"https://openalex.org/C66322754","wikidata":"https://www.wikidata.org/wiki/Q4128476","display_name":"Birth weight","level":3,"score":0.41222167015075684},{"id":"https://openalex.org/C187212893","wikidata":"https://www.wikidata.org/wiki/Q123028","display_name":"Pediatrics","level":1,"score":0.4002898037433624},{"id":"https://openalex.org/C203014093","wikidata":"https://www.wikidata.org/wiki/Q101929","display_name":"Immunology","level":1,"score":0.2229125201702118},{"id":"https://openalex.org/C141071460","wikidata":"https://www.wikidata.org/wiki/Q40821","display_name":"Surgery","level":1,"score":0.192689448595047},{"id":"https://openalex.org/C126322002","wikidata":"https://www.wikidata.org/wiki/Q11180","display_name":"Internal medicine","level":1,"score":0.19066649675369263},{"id":"https://openalex.org/C2908647359","wikidata":"https://www.wikidata.org/wiki/Q2625603","display_name":"Population","level":2,"score":0.16815635561943054},{"id":"https://openalex.org/C99454951","wikidata":"https://www.wikidata.org/wiki/Q932068","display_name":"Environmental health","level":1,"score":0.06605201959609985},{"id":"https://openalex.org/C121332964","wikidata":"https://www.wikidata.org/wiki/Q413","display_name":"Physics","level":0,"score":0.0},{"id":"https://openalex.org/C120665830","wikidata":"https://www.wikidata.org/wiki/Q14620","display_name":"Optics","level":1,"score":0.0},{"id":"https://openalex.org/C54355233","wikidata":"https://www.wikidata.org/wiki/Q7162","display_name":"Genetics","level":1,"score":0.0},{"id":"https://openalex.org/C44249647","wikidata":"https://www.wikidata.org/wiki/Q208498","display_name":"Confidence interval","level":2,"score":0.0},{"id":"https://openalex.org/C86803240","wikidata":"https://www.wikidata.org/wiki/Q420","display_name":"Biology","level":0,"score":0.0}],"mesh":[{"descriptor_ui":"D001724","descriptor_name":"Birth Weight","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D002738","descriptor_name":"Chloroquine","qualifier_ui":"Q000627","qualifier_name":"therapeutic use","is_major_topic":true},{"descriptor_ui":"D004351","descriptor_name":"Drug Resistance","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D005260","descriptor_name":"Female","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D005313","descriptor_name":"Fetal Death","qualifier_ui":"Q000209","qualifier_name":"etiology","is_major_topic":true},{"descriptor_ui":"D005313","descriptor_name":"Fetal Death","qualifier_ui":"Q000517","qualifier_name":"prevention & control","is_major_topic":false},{"descriptor_ui":"D006801","descriptor_name":"Humans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D007231","descriptor_name":"Infant, Newborn","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D011247","descriptor_name":"Pregnancy","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D015597","descriptor_name":"Pregnancy Complications, Parasitic","qualifier_ui":"Q000517","qualifier_name":"prevention & control","is_major_topic":true},{"descriptor_ui":"D016778","descriptor_name":"Malaria, Falciparum","qualifier_ui":"Q000150","qualifier_name":"complications","is_major_topic":false},{"descriptor_ui":"D016778","descriptor_name":"Malaria, Falciparum","qualifier_ui":"Q000151","qualifier_name":"congenital","is_major_topic":false},{"descriptor_ui":"D016778","descriptor_name":"Malaria, Falciparum","qualifier_ui":"Q000517","qualifier_name":"prevention & control","is_major_topic":true}],"locations_count":2,"locations":[{"id":"doi:10.1093/clinids/16.1.127","doi":"https://doi.org/10.1093/clinids/16.1.127","is_oa":false,"landing_page_url":"https://doi.org/10.1093/clinids/16.1.127","pdf_url":null,"source":{"id":"https://openalex.org/S72350973","display_name":"Clinical Infectious Diseases","issn_l":"1058-4838","issn":["1058-4838","1537-6591"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["anvur-scientific","cwts-core","dongbi-a","doyens","jufo-3","ki-jl-3","medline","norway-2","poland-200","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310311648","host_organization_name":"Oxford University Press","host_organization_lineage":["https://openalex.org/P4310311648","https://openalex.org/P4310311647"],"host_organization_lineage_names":["Oxford University Press","University of Oxford"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Clinical Infectious Diseases","raw_type":"journal-article"},{"id":"pmid:8448288","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/8448288","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Clinical infectious diseases : an official publication of the Infectious Diseases Society of America","raw_type":"Journal Article"}],"best_oa_location":null,"sustainable_development_goals":[{"display_name":"Good health and well-being","score":1.0,"id":"https://metadata.un.org/sdg/3"}],"study_designs":[{"display_name":"Observational Study","id":"https://openalex.org/study-designs/observational-study"}],"awards":[],"funders":[],"has_content":{"pdf":false,"grobid_xml":false},"content_urls":null,"referenced_works_count":13,"referenced_works":["https://openalex.org/W70890866","https://openalex.org/W123416458","https://openalex.org/W1994920789","https://openalex.org/W1995461626","https://openalex.org/W2012988572","https://openalex.org/W2033852306","https://openalex.org/W2079878657","https://openalex.org/W2089875279","https://openalex.org/W2111155778","https://openalex.org/W2168159122","https://openalex.org/W2275360127","https://openalex.org/W2281291231","https://openalex.org/W4285719527"],"related_works":["https://openalex.org/W7099556839","https://openalex.org/W2135481460","https://openalex.org/W2111580380","https://openalex.org/W2084968623","https://openalex.org/W1519226268","https://openalex.org/W148104492","https://openalex.org/W2143784127","https://openalex.org/W2103369466","https://openalex.org/W2044596085","https://openalex.org/W2078543685"],"abstract_inverted_index":{"In":[0],"malaria-endemic":[1],"regions,":[2],"the":[3,10,39,51,63,103,123,160],"impact":[4],"of":[5,12,41,53,65,82,105,125,162],"malaria":[6,15,101,121,141,158],"upon":[7],"pregnancy":[8,66,173],"and":[9,47,49,58,76,91,113,139,151,165],"value":[11],"chemoprophylaxis":[13],"for":[14,16,74,97],"pregnant":[17,25],"women":[18,26],"remain":[19],"controversial.":[20],"We":[21,37,61],"prospectively":[22],"studied":[23],"302":[24],"who":[27],"presented":[28],"in":[29,44,67,180],"labor":[30],"to":[31,69],"Centre":[32],"M\u00e9dical":[33],"Evang\u00e9lique,":[34],"Nyankunde,":[35],"Zaire.":[36],"evaluated":[38],"incidence":[40],"malarial":[42],"infection":[43,54],"mothers,":[45],"placentas,":[46],"neonates":[48],"examined":[50],"effect":[52],"on":[55],"birth":[56,115,146,167],"weight":[57,116,147],"perinatal":[59,106,126,152,163],"mortality.":[60],"analyzed":[62],"outcome":[64],"relation":[68],"prophylaxis":[70,132],"with":[71,170],"chloroquine,":[72],"controlling":[73],"parity":[75],"prenatal":[77],"clinic":[78],"attendance.":[79],"Peripartum":[80,157],"smears":[81],"maternal":[83,135],"blood":[84,89,93],"(21%),":[85],"placentas":[86],"(33%),":[87],"cord":[88],"(9%),":[90],"neonatal":[92],"(7%)":[94],"were":[95],"positive":[96],"Plasmodium":[98],"falciparum.":[99],"Maternal":[100],"increased":[102,122],"risk":[104,109,124,161],"death":[107,127,153,164],"(relative":[108],"[RR]":[110],"=":[111,118,129,137,143,149,155],"12.4)":[112],"low":[114,145,166],"(RR":[117,128,136,142,148,154],"3.7).":[119],"Neonatal":[120],"7.2).":[130],"Chloroquine":[131],"protected":[133],"against":[134],"0.4)":[138],"fetal":[140],"0.2),":[144],"0.39),":[150],"0.38).":[156],"increases":[159],"weight.":[168],"Chemoprophylaxis":[169],"chloroquine":[171],"during":[172],"may":[174],"have":[175],"a":[176],"protective":[177],"effect,":[178],"even":[179],"certain":[181],"areas":[182],"where":[183],"chloroquine-resistant":[184],"P.":[185],"falciparum":[186],"is":[187],"endemic.":[188]},"counts_by_year":[{"year":2026,"cited_by_count":2},{"year":2025,"cited_by_count":1},{"year":2024,"cited_by_count":2},{"year":2023,"cited_by_count":2},{"year":2022,"cited_by_count":1},{"year":2021,"cited_by_count":1},{"year":2019,"cited_by_count":1},{"year":2018,"cited_by_count":3},{"year":2017,"cited_by_count":1},{"year":2016,"cited_by_count":2},{"year":2014,"cited_by_count":3},{"year":2013,"cited_by_count":2},{"year":2012,"cited_by_count":2}],"updated_date":"2026-11-07T11:25:07.637180","created_date":"2016-06-24T00:00:00"}
