A meta‐analysis of the worldwide prevalence of pica during pregnancy and the postpartum period

@article{Fawcett2016AMO,
  title={A meta‐analysis of the worldwide prevalence of pica during pregnancy and the postpartum period},
  author={Emily J. Fawcett and Jonathan M. Fawcett and Dwight Mazmanian},
  journal={International Journal of Gynecology \& Obstetrics},
  year={2016},
  volume={133}
}
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ncbi.nlm.nih.gov
26 Citations
Background Citations
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26 Citations

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The implications of early pregnancy with a focus on ectopic pregnancy, rhesus incompatibility, miscarriage and hyperemesis gravidarum are discussed.
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Geophagy among a Cohort of Kenyan Women with Mixed HIV Status: A Longitudinal Analysis.
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A cohort of 371 women with mixed HIV status from Nyanza region, Kenya, were recruited in late pregnancy and interviewed about pica at nine time points, through 21 months postpartum, lending greatest plausibility to the protection hypothesis.
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There was a correlation between precariousness and low birth weight which reinforces the importance of tightening the follow-up during pregnancies in the most precarious women and is not to be neglected in socially advantaged countries due to increased immigration.
A Fatal Outcome of Pica Syndrome: An Unusual Case of Delayed Mortality.
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The histological analysis of the hypopharynx showed severe nonspecific inflammation and necrosis of epithelium, and the cause of death was a complication of subacute laryngeal obstruction caused by a foreign body.
What risks do herbal products pose to the Australian community?
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    The Medical journal of Australia
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Refugee and migrant women represent a group with potentially high rates of use of herbal products as well as other traditional practices, particularly during pregnancy, and may be complicated by hypokalaemic paralysis, iron and zinc deficiency, lead poisoning, intestinal obstruction and parasitic infestation.
Talcum Powder Toxicosis in Pregnancy
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A nulliparous woman presented to a facility complaining of numerous, vague symptoms that are common in pregnancy, and was diagnosed with talcum powder toxicosis secondary to talc ingestion as a coping mechanism for her anxiety, which was heightened in pregnancy.
Prevalence of geophagy and knowledge about its health effects among native Sub-Saharan Africa, Caribbean and South America healthy adults living in France
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Despite a long period of residence in France, geophagy was still a current practice among 10.9% of Sub-Saharan, South American and Caribbean travellers, who are poorly informed of its harmful effects.
Assessment of Pica
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Information on clinical interviews, behavioral assessment, and a number of screening measures exist to assist a clinician in an accurate diagnosis of pica are presented in this chapter.
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References

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This study found that pica exists, and might be more common than healthcare providers assume, and that women practicing pica were more likely to have been underweight prior to pregnancy, and smoked fewer cigarettes.
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Current available data, although limited, best support the protection hypothesis as a cause of most types of pica, although some evidence suggests that pagophagy (ice consumption) may occur during iron deficiency.
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Pica is a frequent finding in IDA, and patients with and without pica have similar characteristics, apart from a borderline difference in mean platelet volume.
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The authors report 3 cases of severe iron deficiency anemia with a serum ferritin level of 2–3 ng/mL, in which the patients were consuming 2 trays and many bags of ice per day, and following treatment with iron therapy, pagophagia spontaneously resolved within 2 weeks.
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TLDR
Evaluating the association between pica behavior and the risk of being anemic or having low hemoglobin, hematocrit, or plasma zinc concentrations aims to evaluate the strength of this relationship.
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Thirty Negro children with pica were compared nutritionally with 28 control children from the same socioeconomic background. The following findings were statistically significant: lower hemoglobin…
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Pregnant and postpartum women are more likely to experience OCD compared to the general population, with an aggregate risk ratio of 1.79.
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The severity of anaemia was significantly associated with lower socioeconomic status and odd eating habits and low haemoglobin was commonly seen in the population among pregnant women irrespective of their socioeconomic status.
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Pica is observed most commonly in areas of low socioeconomic status and is more common in women (especially pregnant women) and in children, and some recent evidence supports including pica with the obsessive-compulsive spectrum of disorders.
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