{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,5]],"date-time":"2026-06-05T05:17:27Z","timestamp":1780636647923,"version":"3.54.1"},"reference-count":155,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2023,10,19]],"date-time":"2023-10-19T00:00:00Z","timestamp":1697673600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100002222","name":"The World Academy of Sciences","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100002222","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Public Health"],"abstract":"<jats:sec><jats:title>Introduction<\/jats:title><jats:p>In 2021, India contributed for ~79% of malaria cases and\u2009~\u200983% of deaths in the South East Asia region. Here, we systematically and critically analyzed data published on malaria in pregnancy (MiP) in India.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Epidemiological, clinical, parasitological, preventive and therapeutic aspects of MiP and its consequences on both mother and child were reviewed and critically analyzed. Knowledge gaps and solution ways are also presented and discussed. Several electronic databases including Google scholar, Google, PubMed, Scopus, Wiley Online library, the Malaria in Pregnancy Consortium library, the World Malaria Report, The WHO regional websites, and<jats:ext-link>ClinicalTrials.gov<\/jats:ext-link>were used to identify articles dealing with MiP in India. The archives of local scientific associations\/journals and website of national programs were also consulted.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Malaria in pregnancy is mainly due to<jats:italic>Plasmodium falciparum<\/jats:italic>(<jats:italic>Pf<\/jats:italic>) and<jats:italic>P. vivax<\/jats:italic>(<jats:italic>Pv<\/jats:italic>), and on rare occasions to<jats:italic>P. ovale<\/jats:italic>spp. and<jats:italic>P. malariae<\/jats:italic>too. The overall prevalence of MiP is ~0.1\u201357.7% for peripheral malaria and\u2009~\u20090\u201329.3% for placental malaria. Peripheral<jats:italic>Pf<\/jats:italic>infection at antenatal care (ANC) visits decreased from ~13% in 1991 to ~7% in 1995\u20131996 in Madhya Pradesh, while placental<jats:italic>Pf<\/jats:italic>infection at delivery unit slightly decreased from ~1.5% in 2006\u20132007 to ~1% in 2012\u20132015 in Jharkhand. In contrast, the prevalence of peripheral<jats:italic>Pv<\/jats:italic>infection at ANC increased from ~1% in 2006\u20132007 to ~5% in 2015 in Jharkhand, and from ~0.5% in 1984\u20131985 to ~1.5% in 2007\u20132008 in Chhattisgarh. Clinical presentation of MiP is diverse ranging from asymptomatic carriage of parasites to severe malaria, and associated with comorbidities and concurrent infections such as malnutrition, COVID-19, dengue, and cardiovascular disorders. Severe anemia, cerebral malaria, severe thrombocytopenia, and hypoglycemia are commonly seen in severe MiP, and are strongly associated with tragic consequences such as abortion and stillbirth. Congenital malaria is seen at prevalence of ~0\u201312.9%. Infected babies are generally small-for-gestational age, premature with low birthweight, and suffer mainly from anemia, thrombocytopenia, leucopenia and clinical jaundice. Main challenges and knowledge gaps to MiP control included diagnosis, relapsing malaria, mixed<jats:italic>Plasmodium<\/jats:italic>infection treatment, self-medication, low density infections and utility of artemisinin-based combination therapies.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>All taken together, the findings could be immensely helpful to control MiP in malaria endemic areas.<\/jats:p><\/jats:sec>","DOI":"10.3389\/fpubh.2023.1150466","type":"journal-article","created":{"date-parts":[[2023,10,19]],"date-time":"2023-10-19T07:45:08Z","timestamp":1697701508000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":18,"title":["Malaria in pregnancy in India: a 50-year bird\u2019s eye"],"prefix":"10.3389","volume":"11","author":[{"given":"Loick Pradel","family":"Kojom Foko","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Vineeta","family":"Singh","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1965","published-online":{"date-parts":[[2023,10,19]]},"reference":[{"key":"ref1","year":"2022"},{"key":"ref2","year":"2021"},{"key":"ref3","year":"2020"},{"key":"ref4","doi-asserted-by":"publisher","first-page":"623","DOI":"10.1007\/s15010-022-01952-2","article-title":"Plasmodium cynomolgi in humans: current knowledge and future directions of an emerging zoonotic malaria parasite","volume":"51","author":"Kojom Foko","year":"2023","journal-title":"Infection"},{"key":"ref5","doi-asserted-by":"publisher","first-page":"231","DOI":"10.1016\/j.jinf.2021.03.028","article-title":"Epidemiology and clinical outcomes of severe plasmodium vivax malaria in India","volume":"82","author":"Kojom Foko","year":"","journal-title":"J Inf Secur"},{"key":"ref6","volume-title":"Guidelines on Diagnosis and Treatment of Malaria in India, 2014","year":"2014"},{"key":"ref7","doi-asserted-by":"publisher","first-page":"93","DOI":"10.21776\/ub.jitode.2017.005.01.02","article-title":"Epidemiology and burden of malaria in pregancy","volume":"7","author":"Desai","year":"2007","journal-title":"Lancet Infect Dis"},{"key":"ref8","doi-asserted-by":"publisher","first-page":"127","DOI":"10.1016\/j.pt.2019.12.005","article-title":"Malaria in pregnancy and adverse birth outcomes: new mechanisms and therapeutic opportunities","volume":"36","author":"Ngai","year":"2020","journal-title":"Trends Parasitol"},{"key":"ref9","doi-asserted-by":"publisher","first-page":"75","DOI":"10.1016\/S1473-3099(11)70315-2","article-title":"Malaria in pregnancy in the Asia-Pacific region","volume":"12","author":"Rijken","year":"2012","journal-title":"Lancet Infect Dis"},{"key":"ref10","year":"2015"},{"key":"ref11","doi-asserted-by":"publisher","first-page":"7","DOI":"10.1111\/tmi.12313","article-title":"Severe malaria","volume":"19","year":"2014","journal-title":"Tropical Med Int Health"},{"key":"ref12","volume-title":"Management of Severe Malaria","year":"2012"},{"key":"ref13","year":"2010"},{"key":"ref14","year":"2006"},{"key":"ref15","doi-asserted-by":"publisher","first-page":"S1","DOI":"10.1016\/S0035-9203(02)90099-4","article-title":"Severe falciparum malaria","volume":"94","year":"2000","journal-title":"Trans R Soc Trop Med Hyg"},{"key":"ref16","doi-asserted-by":"crossref","first-page":"S1","DOI":"10.1016\/0035-9203(90)90363-J","article-title":"Severe and complicated malaria","volume":"84","year":"1990","journal-title":"Trans R Soc Trop Med Hyg"},{"key":"ref17","first-page":"175","article-title":"Is 30 the magic number? 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