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Publication Details
AFRICAN RESEARCH NEXUS
SHINING A SPOTLIGHT ON AFRICAN RESEARCH
medicine
Placental malaria. II. A semi‐quantitative investigation of the pathological features
Histopathology, Volume 22, No. 3, Year 1993
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Description
Malaria in pregnancy is associated with reduced birth weight. Most pathological studies of placental malaria infection have focused on severe Plasmodium falciparum infection. In the present study of 121 placentas delivered in a rural area of The Gambia, malaria infection was diagnosed in tissue sections using a simple classification system and severity of pathology was ranked semiquantitively. Deposition of malaria pigment in circulating cells was associated with active infections whereas pigment in fibrin was a feature of active‐chronic infections. Primigravidae had higher levels of pigment at all sites, although these observations were not always significant. Thickening of the trophoblast basement membrane occurred in all infection categories but fibrinoid necrosis of chorionic villi was a feature of active and active‐chronic infection. Both birth weight and placental weight were increased in infected placentas but widespread trophoblast basement membrane thickening was associated with decreased birth weight. Both birth weight and placental weight decreased with increased fibrinoid necrosis and cytotrophoblast prominence but the results were not sigaificant. By this approach it has been possible to correlate placental pathology with different infection categories and to analyse the pathological features associated with decreased birth weight. Copyright © 1993, Wiley Blackwell. All rights reserved
Authors & Co-Authors
Bulmer, Judith Nicola
United Kingdom, Newcastle
Newcastle University
Rasheed, Fawzia N.
United Kingdom, Newcastle
Newcastle University
Bangladesh, Dhaka
Icddrb, Community Health Division
United Kingdom, Leeds
University of Leeds
Morrison, Lynn
United Kingdom, Leeds
University of Leeds
Francis, Nicholas D.
United Kingdom, London
Imperial College London School of Medicine
Greenwood, Brian M.
Gambia, Banjul
Medical Research Council Laboratories Gambia
Statistics
Citations: 120
Authors: 5
Affiliations: 5
Identifiers
Doi:
10.1111/j.1365-2559.1993.tb00111.x
ISSN:
03090167
e-ISSN:
13652559
Research Areas
Infectious Diseases
Maternal And Child Health
Sexual And Reproductive Health
Study Approach
Quantitative
Study Locations
Gambia