The complexity of pregnancy anemia in Dar-es-Salaam. NLM AIDSLINE Important note: Information in this article was accurate in 1999. The state of the art may have changed since the publication date.

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The complexity of pregnancy anemia in Dar-es-Salaam.

Gynecol Obstet Invest. 1999;47(2):76-82. Unique Identifier : AIDSLINE MED/99135965
Massawe SN; Urassa EN; Mmari M; Ronquist G; Lindmark G; Nystrom L; Department of Obstetrics and Gynaecology, Muhimbili Medical; Centre, Dar-es-Salaam, Tanzania.

Abstract: OBJECTIVES: To investigate the main causes of anemia in pregnancy in Dar-es-Salaam and identify appropriate investigations at all levels of care. MATERIALS: All pregnant women booking for antenatal care at 2 clinics (n = 2,235) were screened for anemia. Investigations for etiology of anemia were done in all anemic women (Hb <10.5 g/dl) (n = 361). METHODS: Blood cell counts, microscopy of blood films, S-ferritin, C-reactive protein, HIV, stool parasite and bone marrow analysis were performed. RESULTS: Iron deficiency dominated in 86% and malaria in 1/3 of anemia cases. Since 42% had indication of ongoing inflammation, S-ferritin was less useful as indicator of iron deficiency but blood film microscopy identified most cases.
Keywords: JOURNAL ARTICLE Acquired Immunodeficiency Syndrome/COMPLICATIONS/DIAGNOSIS Anemia/DIAGNOSIS/*ETIOLOGY Anemia, Iron-Deficiency/DIAGNOSIS Anemia, Macrocytic/DIAGNOSIS C-Reactive Protein/ANALYSIS Erythrocyte Count Erythrocyte Indices Female Ferritin/BLOOD Hemoglobins/ANALYSIS Hookworm Infections/COMPLICATIONS/DIAGNOSIS Human Malaria/COMPLICATIONS/DIAGNOSIS Pregnancy Pregnancy Complications, Hematologic/*ETIOLOGY Pregnancy Complications, Parasitic TanzaniaKWDjournalarticleacquiredimmunodeficiencysyndrome/complications/diagnosisanemia/diagnosis/
990630
A9960933

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