Tags

Type your tag names separated by a space and hit enter

Pica in pregnancy: does it affect pregnancy outcomes?
MCN Am J Matern Child Nurs 2003 May-Jun; 28(3):183-9; quiz 190-1MA

Abstract

PURPOSE

To discover the prevalence of pica, the documentation of pica on medical records, and any relationship of pica to pregnancy outcomes in rural socioeconomically disadvantaged pregnant women.

STUDY DESIGN AND METHODS

Prospective, descriptive, correlational investigation with 128 women who sought prenatal care from two rural community health agencies. Demographic and sociocultural variables, pica practices, pica substances ingested, and pregnancy outcomes were collected.

RESULTS

Thirty-eight percent of these pregnant women practiced pica. African-American women reported practicing pica more often than other ethnicities. Substances ingested included ice (>1 cup/day), freezer frost, laundry starch, cornstarch, clay dirt, and baked clay dirt. Polypica (ingestion of more than one substance) was practiced by 11 women. Women practicing pica were more likely to have been underweight prior to pregnancy, and smoked fewer cigarettes. Women reporting daily pica practice were significantly more likely to have lower prenatal hematocrits than women who did not practice pica, or who practiced pica less frequently than daily. No specific pregnancy complication was associated with the practice of pica.

CLINICAL IMPLICATIONS

Pica exists, and might be more common than healthcare providers assume. Although this study did not show specific pregnancy complications associated with pica, other studies have shown anemia and lead poisoning among women who practice pica. It is not clear that patients volunteer information about pica, so it would be helpful if nurses queried patients at each prenatal visit regarding pica practice. Discussion of pica practices should be based on a nonjudgmental model, for pica may have strong cultural implications, and may be practiced for cultural reasons unknown to the nurse.

Authors+Show Affiliations

School of Nursing, East Carolina University, Rivers Building, Greenville, NC 27858, USA. corbettr@mail.ecu.eduNo affiliation info availableNo affiliation info available

Pub Type(s)

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

Language

eng

PubMed ID

12771697

Citation

Corbett, Robin Webb, et al. "Pica in Pregnancy: Does It Affect Pregnancy Outcomes?" MCN. the American Journal of Maternal Child Nursing, vol. 28, no. 3, 2003, pp. 183-9; quiz 190-1.
Corbett RW, Ryan C, Weinrich SP. Pica in pregnancy: does it affect pregnancy outcomes? MCN Am J Matern Child Nurs. 2003;28(3):183-9; quiz 190-1.
Corbett, R. W., Ryan, C., & Weinrich, S. P. (2003). Pica in pregnancy: does it affect pregnancy outcomes? MCN. the American Journal of Maternal Child Nursing, 28(3), pp. 183-9; quiz 190-1.
Corbett RW, Ryan C, Weinrich SP. Pica in Pregnancy: Does It Affect Pregnancy Outcomes. MCN Am J Matern Child Nurs. 2003;28(3):183-9; quiz 190-1. PubMed PMID: 12771697.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Pica in pregnancy: does it affect pregnancy outcomes? AU - Corbett,Robin Webb, AU - Ryan,Cass, AU - Weinrich,Sally P, PY - 2003/5/29/pubmed PY - 2003/6/17/medline PY - 2003/5/29/entrez SP - 183-9; quiz 190-1 JF - MCN. The American journal of maternal child nursing JO - MCN Am J Matern Child Nurs VL - 28 IS - 3 N2 - PURPOSE: To discover the prevalence of pica, the documentation of pica on medical records, and any relationship of pica to pregnancy outcomes in rural socioeconomically disadvantaged pregnant women. STUDY DESIGN AND METHODS: Prospective, descriptive, correlational investigation with 128 women who sought prenatal care from two rural community health agencies. Demographic and sociocultural variables, pica practices, pica substances ingested, and pregnancy outcomes were collected. RESULTS: Thirty-eight percent of these pregnant women practiced pica. African-American women reported practicing pica more often than other ethnicities. Substances ingested included ice (>1 cup/day), freezer frost, laundry starch, cornstarch, clay dirt, and baked clay dirt. Polypica (ingestion of more than one substance) was practiced by 11 women. Women practicing pica were more likely to have been underweight prior to pregnancy, and smoked fewer cigarettes. Women reporting daily pica practice were significantly more likely to have lower prenatal hematocrits than women who did not practice pica, or who practiced pica less frequently than daily. No specific pregnancy complication was associated with the practice of pica. CLINICAL IMPLICATIONS: Pica exists, and might be more common than healthcare providers assume. Although this study did not show specific pregnancy complications associated with pica, other studies have shown anemia and lead poisoning among women who practice pica. It is not clear that patients volunteer information about pica, so it would be helpful if nurses queried patients at each prenatal visit regarding pica practice. Discussion of pica practices should be based on a nonjudgmental model, for pica may have strong cultural implications, and may be practiced for cultural reasons unknown to the nurse. SN - 0361-929X UR - https://www.unboundmedicine.com/medline/citation/12771697/Pica_in_pregnancy:_does_it_affect_pregnancy_outcomes L2 - http://Insights.ovid.com/pubmed?pmid=12771697 DB - PRIME DP - Unbound Medicine ER -