Dietetic practitioners who counsel pregnant women should ask questions about pica when they conduct nutrition assessments of their clients. Pica is most commonly seen in pregnant women, 6 small children, and people who may have developmental disabilities such as autism. We conclude that the behavior is more prevalent than commonly believed, shows no sign of further decline, and may have serious effects, particularly anemia, on mother and infant. Pica is common among vulnerable populations, especially pregnant women and children, and has been associated with both positive and negative health effects 3,4. Pica also has been associated with maternal and perinatal mortality. The evidence suggests that pica during pregnancy results in anemia, but it is not definitive. The clinical picture of the disorder during pregnancy is not well described. Eating these items can be dangerous to both the mother and the baby, or. Women at high risk of pica are more likely to be black, to live in rural areas, and to have a positive childhood and family history of pica. Some pregnant women crave unusual food items or non-food items. This topic will provide an overview of pica, focusing on its management in pregnant women. It was first reported by Hippocrates in 400 BC and has been subsequently reported by investigators worldwide 1. This topic will provide an overview of pica, focusing on its diagnosis, consequences, and management in pregnant persons. Pica is the craving and intentional consumption of substances not culturally defined as food. The prevalence of pica among pregnant women in high-risk groups declined between the 1950s and the 1970s but now remains steady, affecting about one fifth of high-risk women. Pica is the craving and intentional consumption of substances not culturally defined as food 1. Data on pica practices by pregnant women are limited and inconclusive but reveal several interesting relationships.
Pica behavior was considered in terms of its prevalence, risk factors, clinical profile, and effect on pregnancy outcome. The exact cause of pica is often unknown.
The prevalence of pica during pregnancy in Zahedan, a city in south east of Iran, is reported to be 25.3 11. Published data reveal a prevalence of pica between 0.02 and 74 8. This report summarizes current knowledge about pica practices during pregnancy through a systematic review of the literature for the period 1950 through 1990. The prevalence of pregnancy pica varied widely depending on the characteristics of the population studied 5.
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