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Vol. 47, No. 2, 1999
Issue release date: February 1999
Gynecol Obstet Invest 1999;47:76–82

The Complexity of Pregnancy Anemia in Dar-es-Salaam

Massawe S.N. · Urassa E.N.J. · Mmari M. · Ronquist G. · Lindmark G. · Nystrom L.
Departments of aObstetrics and Gynaecology, and bHaematology, Muhimbili Medical Centre, Dar-es-Salaam, Tanzania; Departments of cClinical Chemistry, and dObstetric and Gynaecology, University Hospital, Uppsala, and eDepartment of Epidemiology and Public Health, Umeå University, Umeå, Sweden

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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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