Screening for severe anaemia in pregnancy in Kenya, using pallor examination and self-reported morbidity

CE Shulman; M Levene; L Morison; E Dorman; N Peshu; K Marsh

doi:10.1016/S0035-9203(01)90227-5

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Journal article

Screening for severe anaemia in pregnancy in Kenya, using pallor examination and self-reported morbidity

CE Shulman, M Levene, L Morison, E Dorman, N Peshu and K Marsh

TRANSACTIONS OF THE ROYAL SOCIETY OF TROPICAL MEDICINE AND HYGIENE, Vol.95(3), pp.250-255

01/05/2001

DOI: https://doi.org/10.1016/S0035-9203(01)90227-5

Abstract

Science & Technology

Life Sciences & Biomedicine

Public

Environmental & Occupational Health

Tropical Medicine

PUBLIC

ENVIRONMENTAL & OCCUPATIONAL HEALTH

SCI

TROPICAL MEDICINE

anaemia

pregnancy

screening

morbidity

symptoms

pallor

Kenya

MATERNAL MORTALITY

CONTROLLED TRIAL

IRON-DEFICIENCY

COASTAL KENYA

ANEMIA

MALARIA

WOMEN

DISTRICT

TANZANIA

AFRICA

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Title: Screening for severe anaemia in pregnancy in Kenya, using pallor examination and self-reported morbidity
Creators: CE Shulman
M Levene
L Morison
E Dorman
N Peshu
K Marsh
Publication Details: TRANSACTIONS OF THE ROYAL SOCIETY OF TROPICAL MEDICINE AND HYGIENE, Vol.95(3), pp.250-255
Publisher: ROYAL SOC TROPICAL MEDICINE
Date published: 01/05/2001
Date submitted: 17/05/2017
Identifiers: 99516302002346
Copyright: Severe anaemia in pregnancy is an important preventable cause of maternal and perinatal morbidity and mortality. Different methods of screening for severe anaemia in pregnancy were evaluated in a 2-phased study conducted in Kilifi, Kenya. In phase 1 (in 1994/95), pallor testing was evaluated alone and in addition to raised respiratory/pulse rates: 1787 pregnant women were examined by one of 2 midwives. Sensitivities for detecting severe anaemia (haemoglobin <7 g/dL) were 62% and 69% and specificities 87% and 77%, respectively for each of the midwives. Addition of high pulse rate increased sensitivity to 77% and 81%, but specificity reduced to 60% and 51%, respectively. In phase 2, following qualitative in-depth work, a screening questionnaire was developed. An algorithm based on screening questions had 80% sensitivity and 40% specificity. Midwife pallor-assessment was conducted following the screening questionnaire. In this phase (conducted in 1997), the midwife performed very highly in detecting severe anaemia, achieving sensitivity of 84% and specificity of 92%. Spending a few minutes asking women questions may have improved the ability to interpret pallor findings. This study demonstrates the value of pallor testing and raises alternative approaches to improving it.
Academic Unit: School of Psychology
Language: English
Resource Type: Journal article

Screening for severe anaemia in pregnancy in Kenya, using pallor examination and self-reported morbidity

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