{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,11,24]],"date-time":"2025-11-24T21:44:06Z","timestamp":1764020646286},"reference-count":45,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2023,1,10]],"date-time":"2023-01-10T00:00:00Z","timestamp":1673308800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/501100006368","name":"Universidad de Las Palmas de Gran Canaria","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100006368","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Tropical Med Int Health"],"published-print":{"date-parts":[[2023,2]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Objective<\/jats:title><jats:p>HIV infection and malaria have been associated with different complications during pregnancy and delivery. HIV\u2010positive pregnant women are at increased risk for all adverse outcomes of malaria during pregnancy. The main objective was to analyse the obstetric and perinatal consequences of malaria, HIV infection and HIV\/malaria co\u2010infection in pregnant women and newborns, which has been less well evaluated.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>A cross\u2010sectional study was carried out in the Maternity Service of the Provincial Hospital of Tete Mozambique, involving completion of a structured questionnaire that included demographic data, and information on the current pregnancy, delivery and the newborn. In total, 819 women (13\u201345\u2009years old) in the immediate postpartum period were enrolled between 1 March and 31 October 2016.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>The overall prevalence of HIV and malaria, considered separately, in pregnant women was ~12% (103 women with HIV and 101 with malaria). Only one\u2010fifth of HIV\u2010infected women knew their HIV status before pregnancy. A significantly higher proportion of women with HIV attended four or more antenatal care visits than women without HIV. Caesarean section was less frequent in HIV patients, and peripartum urinary infection was more frequent than in seronegative women (13\/103 [12.6%] vs. 34\/716 [4.7%]). HIV\/malaria co\u2010infection were 17\/819 (2%) and was significantly associated with the development of pre\u2010eclampsia when HIV\u2010infected patients received anti\u2010retroviral treatment, and with an increase in urinary tract infections around delivery. With respect to the newborn, co\u2010infection increased the frequency of early neonatal death, as well as neonatal asphyxia and jaundice.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>In Mozambique, the prevalence of malaria and HIV infection in women of childbearing age continues to be high and contributes additively to complications during pregnancy and childbirth, and in the newborn. Therefore, integrating HIV, malaria and reproductive health services is essential if maternal and foetal outcomes are to improve.<\/jats:p><\/jats:sec>","DOI":"10.1111\/tmi.13848","type":"journal-article","created":{"date-parts":[[2022,12,29]],"date-time":"2022-12-29T10:39:36Z","timestamp":1672310376000},"page":"98-106","update-policy":"http:\/\/dx.doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":3,"title":["Effects of <scp>HIV<\/scp> infection and\/or malaria on maternal and neonatal health in a high\u2010prevalence setting"],"prefix":"10.1111","volume":"28","author":[{"given":"Nieves","family":"Ja\u00e9n\u2010S\u00e1nchez","sequence":"first","affiliation":[{"name":"Infectious Diseases and Tropical Medicine Division Complejo Hospitalario Universitario Insular Materno Infantil  Las Palmas de Gran Canaria Spain"},{"name":"Department of Medical and Surgical Sciences University of Las Palmas de Gran Canaria  Las Palmas de Gran Canaria Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Gloria","family":"Gonz\u00e1lez\u2010Azpeitia","sequence":"additional","affiliation":[{"name":"Department of Medical and Surgical Sciences University of Las Palmas de Gran Canaria  Las Palmas de Gran Canaria Spain"},{"name":"Pediatric Division Complejo Hospitalario Universitario Insular Materno Infantil  Las Palmas de Gran Canaria Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Cristina","family":"Carranza\u2010Rodriguez","sequence":"additional","affiliation":[{"name":"Infectious Diseases and Tropical Medicine Division Complejo Hospitalario Universitario Insular Materno Infantil  Las Palmas de Gran Canaria Spain"},{"name":"Department of Medical and Surgical Sciences University of Las Palmas de Gran Canaria  Las Palmas de Gran Canaria Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Anselmo Joaquim","family":"Muianganisso","sequence":"additional","affiliation":[{"name":"University of Zambeze  Beira Mozambique"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Laura Vallejo","family":"Torres","sequence":"additional","affiliation":[{"name":"Department of Quantitative Methods in Economics and Management University of Las Palmas de Gran Canaria  Las Palmas de Gran Canaria Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jos\u00e9 Luis","family":"P\u00e9rez\u2010Arellano","sequence":"additional","affiliation":[{"name":"Infectious Diseases and Tropical Medicine Division Complejo Hospitalario Universitario Insular Materno Infantil  Las Palmas de Gran Canaria Spain"},{"name":"Department of Medical and Surgical Sciences University of Las Palmas de Gran Canaria  Las Palmas de Gran Canaria Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2023,1,10]]},"reference":[{"key":"e_1_2_8_2_1","volume-title":"Goal 3. 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