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pica in pregnancy

Katharine E Epler, Arand Pierce, Valerie J Rappaport
BACKGROUND: Pica is common in pregnancy and is often felt to be benign. The following case of severe pica presenting without anemia is unusual in its presentation, laboratory findings, and treatment. CASE: A 31-year-old multiparous woman at 37 0/7 weeks of gestation presented with esophagitis and gastritis secondary to laundry detergent consumption. She had borderline anemia (hemoglobin of 11 g/dL and hematocrit of 37%, mean corpuscular volume 80%) but was severely iron-deficient (serum ferritin 7 micrograms/dL)...
December 2017: Obstetrics and Gynecology
Aditi Roy, Elena Fuentes-Afflick, Lia C H Fernald, Sera L Young
INTRODUCTION: Anecdotal evidence suggests that pica occurs among Hispanic women in the United States, especially during pregnancy. However, the prevalence and socio-demographic and biological factors associated with pica in this population have not been adequately identified. METHODS: Trained, bilingual study personnel conducted structured interviews at public health clinics in Salinas Valley, California with 187 pregnant Hispanic women in their 2nd or 3rd trimesters of pregnancy...
January 1, 2018: Appetite
Amanda Maihara Dos Santos, Gláucia Rosana Guerra Benute, Niraldo Oliveira Dos Santos, Roseli Mieko Yamamoto Nomura, Mara Cristina Souza de Lucia, Rossana Pulcineli Vieira Francisco
BACKGROUND: women who have inadequate nutrient intake are more likely to develop a risky pregnancy. The purpose of this study was to determine the presence of eating disorders and its association with anxiety and depression symptomatology in high-risk pregnancies. METHODS: this is a cross-sectional and prospective study conducted at the tertiary university hospital in the city of São Paulo, Brazil. 913 pregnant women waiting for the Obstetrics' outpatient appointment were invited to participate in the study on their 2nd and 3rd trimester of pregnancy...
August 2017: Midwifery
Ben McNaughten, Thomas Bourke, Andrew Thompson
Pica is defined as the persistent ingestion of non-nutritive substances for more than 1 month at an age at which this behaviour is deemed inappropriate. It occurs most commonly in children, in patients with learning disabilities and in pregnancy. The aetiology of pica is poorly understood and is probably multifactorial. Clinical assessment can be difficult. History and examination should be tailored to address potential complications of the substance being ingested. Complications can be life threatening. Pica often self-remits in younger children...
October 2017: Archives of Disease in Childhood. Education and Practice Edition
B A Z Abu, V L van den Berg, J E Raubenheimer, V J Louw
BACKGROUND: Pica is an increased appetite/craving for food or non-food substances like clay, and chalk, and is strongly associated with iron deficiency (ID) anemia. This study assessed pica practices among non-pregnant mothers and their children, 12-to-59 months, in an anaemia endemic population in Ghana. SUBJECTS AND METHODS: A cross-sectional quantitative survey was conducted in two randomly selected districts in Northern Ghana. The researchers developed semi-structured questionnaires with components on pica practice, history and experiences and administered via structured face-to-face interviews with mothers (N=161) and all their children 6-59 months...
April 22, 2017: Physiology & Behavior
Caitlyn D Placek
Pica, the intentional ingestion of culturally determined "nonfood" substances, occurs cross-culturally and most commonly during pregnancy. The current study describes women's perceptions of ethnomedical and sociocultural aspects of pica along with familial acquisition and transmission of knowledge and behaviors in a South Indian population. Findings showed that in contrast to Western models of pica, nonfood consumption is not entirely taboo; consumers rely on local remedies to cure overconsumption; and perceptions of prevalence extend beyond pregnancy...
May 2017: Ecology of Food and Nutrition
Freda Dzifa Intiful, Edwin Kwame Wiredu, George Awuku Asare, Matilda Asante, David Nana Adjei
INTRODUCTION: Pregnancy during the adolescent period is challenging mainly because of the nutritional demands of both the adolescent and pregnancy period. The risk for anaemia increases especially in developing countries such as Ghana where malaria is endemic and the practice of pica is common. In this study, we sought to determine the prevalence of anaemia, pica practice and malaria infection among pregnant adolescent girls and assess the extent to which these factors are associated...
2016: Pan African Medical Journal
Abdulai Abubakari, Albrecht Jahn
BACKGROUND: Adequate maternal nutrition is a key factor for achieving good pregnancy outcomes. Moreover, inadequate dietary intake during pregnancy is considered an important contributor to maternal malnutrition in developing countries. Although some studies have examined the effect of the entire diet on birth outcome, most studies have been very narrow because they considered the effect of single nutrient. The single nutrient approach is a major setback because usually several nutrient deficiencies are more likely to occur than single deficiencies especially in low-income settings...
2016: PloS One
E A Ugwa
BACKGROUND: Food taboos among rural women have been identified as one of the factors contributing to maternal undernutrition in pregnancy. AIM: The aim of this study was to explore some of the taboos and nutritional practices among pregnant women attending antenatal care at a General Hospital in Dawakin Kudu LGA, Kano, Nigeria. SUBJECTS AND METHODS: This was a cross-sectional study involving 220 pregnant women. Interviewer-administered structured questionnaire was used to interview the respondents, which showed various sociodemographic information, cultural nutritional processes, taboos of the community, and a 24 h food recall...
March 2016: Annals of Medical and Health Sciences Research
Emily J Fawcett, Jonathan M Fawcett, Dwight Mazmanian
BACKGROUND: Although pica has long been associated with pregnancy, the exact prevalence in this population remains unknown. OBJECTIVES: To estimate the prevalence of pica during pregnancy and the postpartum period, and to explain variations in prevalence estimates by examining potential moderating variables. SEARCH STRATEGY: PsycARTICLES, PsycINFO, PubMed, and Google Scholar were searched from inception to February 2014 using the keywords pica, prevalence, and epidemiology...
June 2016: International Journal of Gynaecology and Obstetrics
James C Barton, J Clayborn Barton, Luigi F Bertoli
Reports of pica for uncooked rice (ryzophagia) in adults who reside in European and derivative countries are uncommon. We evaluated and treated two nonpregnant women with pica for uncooked basmati rice. Both women reported fatigue, abdominal discomfort after consuming large quantities of uncooked basmati rice, and hair loss. One woman was from India and the other was from Pakistan. Both women were vegetarians. Basmati was the local rice in their native countries and their usual rice in the USA. Both women had tooth damage due to eating uncooked rice and iron deficiency with microcytic anemia attributed to menorrhagia and multiparity...
2016: Case Reports in Medicine
Ana Carolina Ayeta, Ana Cristina Barros da Cunha, Sonaly Petronilho Heidelmann, Cláudia Saunders
PURPOSE: To evaluate the nutritional and psychological factors associated with the occurrence of the practice of pica in pregnant women attending a public hospital in Rio de Janeiro, Brazil. METHODS: The study was based on a descriptive design with exploratory features, and conducted on 13 adult and adolescent pregnant women aged 16 to 40 years with a diagnosis of pica in the current pregnancy. Pica was diagnosed by a nutritionist in a standardized interview situation, when questions about the occurrence and frequency of pica, and types of substance ingestion were investigated...
December 2015: Revista Brasileira de Ginecologia e Obstetrícia
Neda Ezzeddin, Roza Zavoshy, Mostafa Noroozi, Mohammad Ebrahim Sarichloo, Hassan Jahanihashemi
INTRODUCTION & OBJECTIVES: Postpartum depression (PPD) is a common disorder and social debilitating that has adverse effects on the mother, child and family. Pica is an eating disorder characterized by persistent ingestion of substances that the consumer does not define as food. The aim of this study was to investigate the association of postpartum depression with pica during pregnancy. METHOD: This is case-control study was carried out in health centers in west Tehran...
2016: Global Journal of Health Science
Amanda M Santos, Gláucia R G Benute, Roseli M Y Nomura, Niraldo O Santos, Mara C S De Lucia, Rossana P V Francisco
OBJECTIVE: To describe and determine the association between the occurrence of pica and eating attitudes in women with high-risk pregnancies and to determine the prevalence of pica during pregnancy. METHODS: A cross-sectional and prospective 24-month study was conducted with 913 women with high-risk pregnancies. Structured interviews were carried out and the Eating Attitudes Test was applied. RESULTS: Pica was diagnosed in 5.7 % of the pregnant women, and its most commonly practiced type was geophagia (57...
March 2016: Maternal and Child Health Journal
Michael Auerbach, John W Adamson
It is estimated that one-third of the world's population is anemic, the majority being due to iron deficiency (ID). In adults, ID is associated with fatigue in the absence of anemia, restless legs syndrome, pica and, in neonates, delayed growth and development. In adolescents, ID is associated with decrements in learning and behavioral abnormalities. In the absence of a clear cause, search for a source of bleeding is indicated. No single test is diagnostic of ID unless the serum ferritin is low or the percent transferrin saturation is low with an elevated total iron binding capacity...
January 2016: American Journal of Hematology
Neda Ezzeddin, Rosa Zavoshy, Mostafa Noroozi, Hassan Jahanihashemi, Shaghayegh Hadizadeh Riseh
INTRODUCTION AND OBJECTIVES: Pica is an eating disorder characterized by the persistent ingestion of substances that the consumer does not define as food. The exact cause of pica is often unknown. The purpose of this study was to determine the prevalence of pica during pregnancy and its related risk factors. METHOD: This cross-sectional study was carried out in health care centers in west of Tehran. Three hundred women were selected by stratified sampling method from the population...
December 2015: Eating and Weight Disorders: EWD
Burton J Tabaac, Vanessa Tabaac
The causes and origins of pica remain unknown and are the source of speculation and heated debate. Bariatric surgery patients are increasingly being observed in eating disorders treatment programs. Often associated with pregnancy, iron deficiency anemia, early development and mental retardation, pica has only recently been noted in post bariatric surgery patients, all of whom presented with pagophagia (eating of ice). Although there is literature detailing the presence of bezoars in gastric bypass patients, the association of pica, bezoars and abnormal eating behavior after bariatric surgery is still not understood completely...
February 2015: Therapeutic Advances in Psychopharmacology
Ruth Zielinski, Kimberly Searing, Megan Deibel
Gastrointestinal discomforts are a very common complaint in pregnancy. In fact, most pregnant women will experience at least one discomfort. This article focuses on 5 common conditions that occur in pregnancy: gastroesophageal reflux disease, diarrhea, constipation, hemorrhoids, and pica. While these conditions do occur in men and nonpregnant women, they occur more frequently in pregnancy because of the anatomic and physiologic changes associated with gestation. The type and severity of symptoms can vary from individual to individual, making treatment a challenge for healthcare providers, particularly when caring for pregnant women because the effects of medications and other treatments on the developing fetus are often not extensively studied...
January 2015: Journal of Perinatal & Neonatal Nursing
Angela Mathee, Nisha Naicker, Tahira Kootbodien, Tshepo Mahuma, Palesa Nkomo, Inakshi Naik, Thea de Wet
BACKGROUND: Geophagia, a form of pica, has been shown to be widely practised in sub-Saharan Africa, especially among pregnant women. OBJECTIVE: To assess the prevalence of geophagia and examine exposure to selected metals and associated risk factors in women attending an antenatal clinic at Rahima Moosa Mother and Child Hospital, Johannesburg, South Africa, during June and July 2010. METHODS: We conducted a cross-sectional study on a convenience sample of 307 pregnant women, ranging in age from 18 to 46 years...
August 2014: South African Medical Journal, Suid-Afrikaanse Tydskrif Vir Geneeskunde
Ki Dae Kim, Chul Hoon Chang, Byung Yon Choi, Young Jin Jung
Aneurysmal subarachnoid hemorrhage (SAH) during pregnancy is quite rare, however it has a high maternal mortality rate. A pregnant woman in the 16th gestational week was admitted to our hospital with a drowsy level of consciousness. A brain magnetic resonance (MR) image showed hemorrhage on the prepontine cistern, and both sylvian fissures, and MR angiography and cerebral digital subtraction angiography demonstrated an aneurysm at the left posterior inferior cerebellar artery (PICA). We performed endovascular coil embolization attempting to minimize radiation exposure...
May 2014: Journal of Korean Neurosurgical Society
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