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.
Dr. Siriel Massawe
Department of Obstetrics and Gynaecology
Muhimbili Medical Center, PO Box 65117
Tel. +255 51 151343, ext. 1179, Fax +255 51 151471
Received: Received: November 18, 1997
Accepted after revision: May 5, 1998
Number of Print Pages : 7
Number of Figures : 3, Number of Tables : 5, Number of References : 19
Gynecologic and Obstetric Investigation
Founded 1895 as ‘Monatsschrift für Geburtshilfe und Gynäkologie’, continued 1946–1969 as ‘Gynaecologia’ and 1970 –1977 as ‘Gynecologic Investigation’
Vol. 47, No. 2, Year 1999 (Cover Date: Released February 1999)
Journal Editor: G. Zador, Södertälje
ISSN: 0378–7346 (print), 1423–002X (Online)
For additional information: http://www.karger.com/journals/goi
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