Page 48 - April Issue
P. 48

on the way | food & diet

mother, baby & child April 2011  that was found for many years        and ice and cigarette ashes.                    “Exposure to
                                 in gasoline and house paint,”        “Other common strange cravings               high levels if lead
                                 she says and although lead is        among women with this disorder               during pregnancy
                                 still present in the environment,    include coffee grounds, plaster,
                                 the amounts have decreased           toothpaste, paint chips or other               contributes to
                                 greatly. Lead poses health           unusual substances.” Symptoms                    miscarriage,
                                 risks for everyone, but young        of pica usually appear in the first         preterm birth, low
                                 children and unborn babies           or second trimester of pregnancy,            birth weight and
                                 are at greatest risk, she says.      and persist for more than one             developmental delays
                                 “Exposure to high levels of lead     month. Though symptoms tend                     in the infant.”
                                 during pregnancy contributes to      to disappear after pregnancy,
                                 miscarriage, preterm birth, low      Dr Phadke says that there is a        “Fortunately protein is very good
                                 birth weight and developmental       chance that your pica cravings        for pregnant women and in most
                                 delays in the infant,” she says      could continue after labour and       cases there is nothing wrong with
                                 and in fact children exposed to      delivery. “Common problems            indulging your cravings,” she tells,
                                 high levels of lead after birth may  associated with pica include          “Many women find it simpler to
                                 develop behavioural and learning     bowel obstruction,” she asserts       give in to their pregnancy related
                                 problems, slowed growth and          and this in turn, can lead to severe  cravings.” This doesn’t suggest
                                 hearing loss. Also high levels of    constipation, bowel inflammation,     you have to overindulge. The best
                                 exposure to pesticides, admits       and infection. Another problem        way to deal with cravings is to eat
                                 Dr Phadke, may contribute to         is parasite infection. “Items from    in small amounts, she suggests. “A
                                 miscarriage, preterm birth, low      the earth, including clay, soil, and  preference for sweet and sour helps
                                 birth weight, birth defects and      grass, can be home to parasites,”     women get a more varied diet later
                                 learning problems. “Solvents         she notes and when you ingest         in pregnancy so they can get enough
                                 are chemicals that dissolve other    these items, parasites can then       calories, for instance found in fruit.
                                 substances and include alcohols,     infect your gastrointestinal tract    “Also an increased preference for
                                 degreasers, paint thinners and       causing pain, weight loss, and        salty tastes -- which would include
                                 stain and varnish removers,”         other side effects. Also dental       foods like potato chips and pickles
                                 notes Dr Phadke, adding, “A          injury, notes Dr Phadke, as your      may indicate a woman’s greater need
                                 number of studies suggest that       teeth were not made to process        for sodium as during pregnancy, a
                                 workplace exposure to solvents       non-food items. Hard substances       woman’s blood volume increases, so
                                 may increase the risk of birth       like rocks, clay, and ice can         this taste change may be tied to her
                                 defects.”                            cause serious damage to your          increased salt requirement,” she says,
                                                                      teeth, and you may experience         while an aversion to bitter tastes is an
                                 Pica                                 broken and fractured teeth.           evolutionary protection, because many
                                                                      “Common treatments for pica           toxic plants and fruits taste bitter.
                                 Vary rarely women have strange       include nutritional supplements,      Cigarettes, she explains, contain
                                 cravings for substances that are     medications to control                over 4,000 chemicals, around 50 of
                                 bad, says Dr Phadke, including       cravings, stress, or depression,      which are known carcinogens (cancer
                                 dirt or other undesirable            psychological counselling, and        causing). “The main components of
                                 substances. “This condition is       behaviour therapy,” suggests Dr       tobacco smoke are nicotine, carbon
                                 often referred to in the medical     Phadke.                               monoxide and tar, along with many
                                 community as pica which                                                    other toxic chemicals,” she says
                                 technically means persistent         Facts                                 and all the more reason to give up
                                 cravings for non-food items,”                                              completely.
                                 she says and commonly occurs         Crunching ice may seem harmless
                                 in pregnant women who are:           but Dr Phadke says if the craving is  CREDITS:
                                 experiencing their first pregnancy,  substantial; it may be an indicator   Dr Maneesha Sanjeev Phadke
                                 under the age of 20, and/or          of an iron deficiency. “Chocolate     General Practitioner of Nutrition/Lifestyle
                                 have suffered from pica as a         cravings may be normal or a sign      Belhoul Speciality Hospital
                                 child. Common cravings, says         that women need more B vitamins,”     04-2733333
                                 Dr Phadke, include dirt, clay,       she asserts while other patients
                                 laundry detergent, soap, hair,       desire large quantities of protein.

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