[Role of iron deficiency in anemia in pregnant women in Mali].

D Diallo, G Tchernia, J Yvart, H Sidibé, B Kodio, S Diakité
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Abstract

The epidemiological characteristics of iron deficiency anemia after radioimmunoassay of serum and erythrocyte ferritin were evaluated in 209 Malian women at the time of delivery in a maternity unit in Bamako, Mali. The incidence of iron deficiency anemia was high (36.8%). This incidence did not reflect socio-economic status, nor even any particular obstetric history, but was significantly higher in younger mothers (aged under 26). The severity of anemia was such that 2.4% of women would require a blood transfusion post-partum. It looks therefore desirable, in Mali, to screen routinely and to ensure the prevention of iron deficiency in adolescent girls and to include, in the prevention of anemia of pregnant women, routine iron supplements from the beginning of pregnancy.

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[缺铁在马里孕妇贫血中的作用]。
对209名在马里巴马科产科分娩的马里妇女进行了血清和红细胞铁蛋白放射免疫测定,评估了缺铁性贫血的流行病学特征。缺铁性贫血发生率较高(36.8%)。这一发病率并不反映社会经济地位,甚至也不反映任何特定的产科史,但在年轻母亲(26岁以下)中明显更高。贫血的严重程度使得2.4%的妇女在产后需要输血。因此,在马里看来,最好是对少女进行常规筛查,确保预防缺铁,并在预防孕妇贫血的过程中,从怀孕开始就常规补充铁。
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