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Diagnosing anaemia in pregnancy in rural clinics: assessing the potential of the Haemoglobin Colour Scale.
Bull World Health Organ. 1999; 77(1):15-21.BW

Abstract

Anaemia in pregnancy is a common and severe problem in many developing countries. Because of lack of resources and staff motivation, screening for anaemia is often solely by clinical examination of the conjunctiva or is not carried out at all. A new colour scale for the estimation of haemoglobin concentration has been developed by WHO. The present study compares the results obtained using the new colour scale on 729 women visiting rural antenatal clinics in Malawi with those obtained by HemoCue haemoglobinometer and electronic Coulter Counter and with the assessment of anaemia by clinical examination of the conjunctiva. Sensitivity using the colour scale was consistently better than for conjunctival inspection alone and interobserver agreement and agreement with Coulter Counter measurements was good. The Haemoglobin Colour Scale is simple to use, well accepted, cheap and gives immediate results. It shows considerable potential for use in screening for anaemia in antenatal clinics in settings where resources are limited.

Authors+Show Affiliations

Wellcome Trust Centre for Research, Department of Obstetrics and Gynaecology, College of Medicine, Blantyre, Malawi.No affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Comparative Study
Journal Article
Research Support, Non-U.S. Gov't

Language

eng

PubMed ID

10063656

Citation

van den Broek, N R., et al. "Diagnosing Anaemia in Pregnancy in Rural Clinics: Assessing the Potential of the Haemoglobin Colour Scale." Bulletin of the World Health Organization, vol. 77, no. 1, 1999, pp. 15-21.
van den Broek NR, Ntonya C, Mhango E, et al. Diagnosing anaemia in pregnancy in rural clinics: assessing the potential of the Haemoglobin Colour Scale. Bull World Health Organ. 1999;77(1):15-21.
van den Broek, N. R., Ntonya, C., Mhango, E., & White, S. A. (1999). Diagnosing anaemia in pregnancy in rural clinics: assessing the potential of the Haemoglobin Colour Scale. Bulletin of the World Health Organization, 77(1), 15-21.
van den Broek NR, et al. Diagnosing Anaemia in Pregnancy in Rural Clinics: Assessing the Potential of the Haemoglobin Colour Scale. Bull World Health Organ. 1999;77(1):15-21. PubMed PMID: 10063656.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Diagnosing anaemia in pregnancy in rural clinics: assessing the potential of the Haemoglobin Colour Scale. AU - van den Broek,N R, AU - Ntonya,C, AU - Mhango,E, AU - White,S A, PY - 1999/3/4/pubmed PY - 1999/3/4/medline PY - 1999/3/4/entrez KW - Africa KW - Africa South Of The Sahara KW - Anemia--prevention and control KW - Anemia--women KW - Biology KW - Comparative Studies KW - Delivery Of Health Care KW - Demographic Factors KW - Developing Countries KW - Diseases KW - Eastern Africa KW - English Speaking Africa KW - Examinations And Diagnoses--women KW - Health KW - Health Services KW - Hemic System KW - Hemoglobin Level--women KW - Malawi KW - Maternal Health Services KW - Maternal-child Health Services KW - Physiology KW - Population KW - Population Characteristics KW - Pregnancy KW - Pregnant Women KW - Prenatal Care KW - Primary Health Care KW - Reproduction KW - Research Methodology KW - Research Report KW - Screening--women KW - Studies KW - Women SP - 15 EP - 21 JF - Bulletin of the World Health Organization JO - Bull. World Health Organ. VL - 77 IS - 1 N2 - Anaemia in pregnancy is a common and severe problem in many developing countries. Because of lack of resources and staff motivation, screening for anaemia is often solely by clinical examination of the conjunctiva or is not carried out at all. A new colour scale for the estimation of haemoglobin concentration has been developed by WHO. The present study compares the results obtained using the new colour scale on 729 women visiting rural antenatal clinics in Malawi with those obtained by HemoCue haemoglobinometer and electronic Coulter Counter and with the assessment of anaemia by clinical examination of the conjunctiva. Sensitivity using the colour scale was consistently better than for conjunctival inspection alone and interobserver agreement and agreement with Coulter Counter measurements was good. The Haemoglobin Colour Scale is simple to use, well accepted, cheap and gives immediate results. It shows considerable potential for use in screening for anaemia in antenatal clinics in settings where resources are limited. SN - 0042-9686 UR - https://www.unboundmedicine.com/medline/citation/10063656/Diagnosing_anaemia_in_pregnancy_in_rural_clinics:_assessing_the_potential_of_the_Haemoglobin_Colour_Scale_ L2 - https://www.ncbi.nlm.nih.gov/pmc/articles/pmid/10063656/ DB - PRIME DP - Unbound Medicine ER -