Mashako L, Preziosi P, Nsibu C, Galán P, Kapongo C, Potier de Courcy G, Nsaka T, Hercberg S
Département de Pédiatrie, Cliniques Universitaires de Kinshasa, Zaïre.
Ann Nutr Metab. 1991;35(6):309-14. doi: 10.1159/000177663.
An evaluation of iron and folate status was carried out on 166 Zairian pregnant women from Kinshasa at delivery and in cord blood from their newborns. Anemia, defined as a low hematocrit value (less than 33%), was observed in 38% of pregnant women. Iron deficiency, recognized by a combination of abnormal values for serum ferritin level (less than or equal to 12 micrograms/l) and transferrin saturation (less than 16%) was present in 54% of pregnant women. Folate deficiency, defined by a red blood cell folate of less than 100 micrograms/l, was observed in 6% of cases. In anemic mothers, anemia was associated with iron deficiency in 57% of cases and with folate deficiency in 5%. Correlations between maternal and newborn iron and folate indicators were found. This study points out the necessity for developing strategies in African countries to combat nutritional anemias during pregnancy by specific measures combined with general strategies.
对来自金沙萨的166名扎伊尔孕妇及其新生儿脐带血进行了铁和叶酸状况评估。贫血定义为血细胞比容值低（低于33%），38%的孕妇存在贫血。血清铁蛋白水平异常值（小于或等于12微克/升）和转铁蛋白饱和度（小于16%）相结合可识别铁缺乏，54%的孕妇存在铁缺乏。红细胞叶酸低于100微克/升定义为叶酸缺乏，6%的病例存在叶酸缺乏。在贫血母亲中，57%的病例贫血与铁缺乏有关，5%与叶酸缺乏有关。发现母亲和新生儿的铁和叶酸指标之间存在相关性。本研究指出，非洲国家有必要通过具体措施与一般策略相结合来制定防治孕期营养性贫血的策略。
