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  • Title: The complexity of pregnancy anemia in Dar-es-Salaam.
    Author: Massawe SN, Urassa EN, Mmari M, Ronquist G, Lindmark G, Nystrom L.
    Journal: Gynecol Obstet Invest; 1999; 47(2):76-82. PubMed ID: 9949275.
    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.
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