Asymptomatic congenital malaria among neonates of mothers attending antenatal clinic in University of Medical Sciences Teaching Hospital, Akure

Authors

  • Rosena O. Oluwafemi Department of Paediatrics and Child Health, University of Medical Sciences, Ondo, Nigeriay of Medical Sciences
  • Bamidele J. Folarin Department of Obstetrics and Gynaecology, University of Medical Sciences, Ondo, Nigeria
  • Emmanuel O. Bello Department of Paediatrics and Child Health, University of Medical Sciences, Ondo, Nigeria
  • Theresa A. Irinyenikan Department of Obstetrics and Gynaecology, University of Medical Sciences, Ondo, Nigeria

DOI:

https://doi.org/10.18203/2349-3933.ijam20251930

Keywords:

Asymptomatic, Akure, Congenital malaria, University of medical sciences teaching hospital

Abstract

Background: Congenital malaria can be a serious cause of morbidity and mortality in the neonates if not detected. Clinical features of congenital malaria are non-specific and could be confused with other forms of infections in the newborn. The study sets out to document presence of asymptomatic congenital malaria among neonates of mothers attending antenatal clinic in University of Medical Sciences Teaching Hospital, Akure.

Methods: Mother-baby pairs were recruited into the study from the maternity section of the hospital, blood samples were taken from maternal peripheral blood, placental maternal side, cord blood and peripheral blood of the newborn babies and analyzed for presence of malaria parasite by microscopy methods. Data analyses were done using Statistical Package for the Social Sciences (SPSS) version 24.0

Results: Eighty-six (79.6%) of the babies were positive for malaria parasites, 59 (54.6%) of them were male children and 49(45.4%) were female. Fifty mothers (58.1%) had peripheral or placental parasitaemia. Babies of mothers who used long lasting insecticide treated nets (LLIN) and intermittent preventive therapy IPT-SP were significantly less infected while babies of first- and second-time mothers were significantly more infected. Majority of the babies 77/86 (89.5%) however had low intensity parasitaemia.

Conclusions: Congenital malaria is no more a rare disease especially in endemic regions, prevention of mother-to-child transmission should be aggressively pursued.

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References

Olupot Olupot P, Eregu EIE, Naizuli K, Ikiror J, Acom L and Burgoine K. Neonatal and congenital malaria: a case series in malaria endemic eastern Uganda. Malaria J. 2018;17:171-6. DOI: https://doi.org/10.1186/s12936-018-2327-0

Omer SA, Adam I, Noureldien A, Elhaj H, Guerrero-Latorre L, Silgado A, et al. Congenital Malaria in Newborns Delivered to Mothers with Malaria-Infected Placenta in Blue Nile State, Sudan. J Trop Pediat. 2020;66:428–34. DOI: https://doi.org/10.1093/tropej/fmz083

Bauserman M, Conroy AL, North K, Patterson J, Bose C, Meshnick S. An overview of malaria in pregnancy. Semin Perinatol. 2019;43(5):282-290. DOI: https://doi.org/10.1053/j.semperi.2019.03.018

Beeson J, Scoullar M, Boeuf P. Combating low birth weight due to malaria infection in pregnancy. Sci Transl Med. 2018;10:431 DOI: https://doi.org/10.1126/scitranslmed.aat1506

Oduwole OA, Ejezie GC, Odey FA, Oringanje CM, Nwakanma D, Bello S, et al. Congenital malaria in Calabar, Nigeria: the molecular perspective. Am J Trop Med Hyg. 2011;84(3):386-9. DOI: https://doi.org/10.4269/ajtmh.2011.10-0253

Afolabi OJ, Oluwafemi RO and Oniya MO. Pfmdr 1 and kelch 13 genes distribution among children that are 5 years and below in Akure, Nigeria. J Parasit Dis. 2022;1:1-9. DOI: https://doi.org/10.21203/rs.3.rs-1906304/v1

Hyacinth HI, Oguche S, Yil-gwan CS. Summary discription of 24 cases of neonatal malaria seen at Tertiary Health Center in Nigeria. Iran J Pediatr. 2012;22:87–915.

Falade C, Mokuolu O, Okafor H, Orogade A, Falade A, Adedoyin O, et al Epidemiology of congenital malaria in Nigeria: a multi-centre study. Trop Med Int Health. 2007;12(11):1279-87. DOI: https://doi.org/10.1111/j.1365-3156.2007.01931.x

Runsewe-Abiodun IT, Ogunfowora OB, Fetuga BM. Neonatal malaria in Nigeria—a 2 year review. BMC Pediatr. 2006;6:19. DOI: https://doi.org/10.1186/1471-2431-6-19

Obiajunwa PO, Owa JA, Adeodu OO. Prevalence of congenital malaria in Ile-ife, Nigeria. J Trop Pediatr. 2005;51:219–22. DOI: https://doi.org/10.1093/tropej/fmi003

Okechukwu EE, Olateju EK, Olutunde EO. Congenital malaria among newborns admitted for suspected neonatal sepsis in Abuja. Niger J Paediatr. 2011;38:82–9. DOI: https://doi.org/10.4314/njp.v38i2.72250

Diala U, Onyedibe K, Ofakunrin A. Prevalence, Clinical Features and Outcome of Neonatal Malaria in Two Major Hospitals in Jos, North-Central Nigeria. Advances in Infectious Dis. 2017;7:55-69. DOI: https://doi.org/10.4236/aid.2017.73007

Mukhtar MY, Lesi FE, Iroha EU, Egri-Okwaji MT, Mafe AG. Congenital malaria among inborn babies at a tertiary centre in Lagos. Nigeria J Trop Pediatr. 2006;52:19–23. DOI: https://doi.org/10.1093/tropej/fmi044

Oluwafemi RO. Clinical Profile and short-term outcome of malaria in febrile under-five children in a secondary health facility. Annals of Health Res. 2023;9(2):98-107. DOI: https://doi.org/10.30442/ahr.0902-02-195

Onankpa BO, Jiya NM, Achegbulu P, Airede KI. Congenital clinical malaria: incidence, management and outcome as seen in the Usmanu Danfodiyo University Teaching Hospital. Sokoto in Nigeria Sahel Med J. 2007;10:24–8. DOI: https://doi.org/10.4103/1118-8561.147304

Lehner PJ, Andrews CJ. Congenital malaria in Papua New Guinea. Trans R Soc Trop Med Hyg. 1988;82(6):822-6. DOI: https://doi.org/10.1016/0035-9203(88)90006-5

Nagaraj N, Berwal PK, Sharma M, Jevaji P, Swami S, Yadav V, et al. Congenital and neonatal malaria in Asian Indian population. Int J Commun Med Public Health. 2017;2:639–42. DOI: https://doi.org/10.18203/2394-6040.ijcmph20151062

Tao Z, Fang Q, Liu X, Culleton R, Tao L, Xia H, et al. Congenital malaria in China. PLoS Negl Trop Dis. 2014;8:2622. DOI: https://doi.org/10.1371/journal.pntd.0002622

Fried M. Surprising Effects of Maternal Malaria and Gravidity on Infant Malaria Burden. PLoS Med. 2005;2(12):413. DOI: https://doi.org/10.1371/journal.pmed.0020413

Mutabingwa TK, Bolla MC, Li JL, Domingo GJ, Li X. Maternal Malaria and Gravidity Interact to Modify Infant Susceptibility to Malaria. PLOS Med. 2005;2(12):407. DOI: https://doi.org/10.1371/journal.pmed.0020407

Chua CL, Khoo SK, Ong JL, Ramireddi GK, Yeo TW, Teo A. Malaria in pregnancy: from placental infection to its abnormal development and damage. Front Microbiol. 2021;12:777343. DOI: https://doi.org/10.3389/fmicb.2021.777343

Okoro CI, Ihenetu FC, Dunga KE, Ozoude MM, Achigbu KI, Nwaoha CA. Placenta and Cord Blood Malaria in Mothers and Neonates Attending Federal University Teaching Hospital, Owerri, Imo State South East Nigeria. Int J Trop Dis Health. 2023;44(8):13-22. DOI: https://doi.org/10.9734/ijtdh/2023/v44i81422

Omidiji MO, Lesi FEA, Esezobor CI, Fajolu IB, Oyibo WA, Daramola A. Prevalence of congenital malaria in an urban and a semirural area in Lagos: a two-centre cross-sectional study. Sci Rep. 2025;15(1):10709. DOI: https://doi.org/10.1038/s41598-025-94800-w

Oluwafemi RO, Afolabi OJ, Oniya MO. Prevalence of Malaria among Under-5 Children in a Secondary Care Level, Ondo State, Nigeria. European J Clin Med. 2024;5(2):8-13. DOI: https://doi.org/10.24018/clinicmed.2024.5.2.328

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Published

2025-06-26

How to Cite

Oluwafemi, R. O., Folarin, B. J., Bello, E. O., & Irinyenikan, T. A. (2025). Asymptomatic congenital malaria among neonates of mothers attending antenatal clinic in University of Medical Sciences Teaching Hospital, Akure . International Journal of Advances in Medicine, 12(4), 350–355. https://doi.org/10.18203/2349-3933.ijam20251930

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Original Research Articles