Anemia and pregnancy: A link to maternal chronic diseases

Gangopadhyay, Raja; Karoshi, Mahantesh; Keith, Louis

doi:10.1016/s0020-7292(11)60005-2

Cited by 54 publications

(44 citation statements)

References 42 publications

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“…Destaca-se ainda que 61,5% das gestantes estudadas que praticavam picamalácia também tinham DM, sugerindo uma possível associação entre o DMG e o transtorno 28 . Essa possível associação é descrita em outro estudo 18 , no qual se sugere que gestantes com DM (prévio ou gestacional) teriam maior probabilidade de desenvolver a picamalácia e, com isso, maior chance de resultado perinatal indesejável.…”

Section: Discussionunclassified

Fatores nutricionais e psicológicos associados com a ocorrência de picamalácia em gestantes

Ayeta¹,

Cunha²,

Heidelmann³

et al. 2015

Rev. Bras. Ginecol. Obstet.

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sonAly Petronilho heidelmAnn 3 CláudiA sAunders 4 Resumo OBJETIVO: Avaliar fatores nutricionais e psicológicos associados com a ocorrência da prática da picamalácia em gestantes atendidas em maternidade pública do Rio de Janeiro, Brasil. MÉTODOS: Estudo descritivo, de caráter exploratório, realizado com 13 gestantes (idades entre 16 e 40 anos) com diagnóstico de picamalácia na gestação atual identificada em entrevista padronizada na consulta com nutricionista que abordava questões sobre ocorrência e frequência do transtorno, além dos tipos de substâncias ingeridas. Após assinarem o Termo de Consentimento Livre e Esclarecido (TCLE), todas as gestantes passaram por avaliação nutricional e, posteriormente, sete foram submetidas à avaliação psicológica com instrumentos padronizados para medida de ansiedade e estresse, além da avaliação de estratégias de enfrentamento (coping) diante de estressores. RESULTADOS: As práticas de picamalácia mais referidas foram pagofagia (30,8%) e fruta com sal (30,8%). Observou-se ocorrência de algum grau de estresse e ansiedade em todas as gestantes com picamalácia, assim como alguma comorbidade (69,2%) e sintomatologia digestiva (84,6%). As estratégias de coping mais prevalentes foram "focada em práticas religiosas/pensamento fantasioso" e "busca de suporte social", ambas com 42%. CONCLUSÃO: Considerando que a picamalácia pode associar-se com maior risco perinatal, é fundamental que essa prática seja investigada durante o atendimento pré-natal e que ocorra a adoção de práticas preventivas obstétricas, psicológicas e nutricionais para reduzir complicações para a mãe e o concepto. Abstract 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. After signing the Informed Consent Form (ICF), all participants were evaluated by a nutritionist and seven of them were submitted to psychological assessment with standardized instruments to evaluate stress and anxiety, and to assess coping strategies. RESULTS: The type of pica most frequently reported was pagophagia (30.8%) and the consumption of fruit with salt (30.8%). The most prevalent coping strategies were "religious practice-focused" and "seeking social support", both presented by 42% of the pregnant women. We observed the occurrence of some degree of stress and anxiety in all pregnant women, as well as comorbidities (69.2%) and gastrointestinal symptoms (84.6%). CONCLUSION: Considering that pica may be associated with increased perinatal risk, it is very important to investigate this disorder during prenatal care, and ...

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Section: Discussionunclassified

Fatores nutricionais e psicológicos associados com a ocorrência de picamalácia em gestantes

Ayeta¹,

Cunha²,

Heidelmann³

et al. 2015

Rev. Bras. Ginecol. Obstet.

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“…23 All pregnant women are offered anaemia screening in the form of hemoglobin estimation at the start of pregnancy. All women who are anemic in the first trimester are screened for other contributory causes for anaemia and treated for the same.…”

Section: Discussionmentioning

confidence: 99%

Anaemia in pregnant mothers attending antenatal clinic at primary health centre, Devarayasamudra, Kolar, Karnataka, India

Latha

Shruthi²,

Mahesh

2016

Int J Community Med Public Health

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“…Few studies have investigated associations between pregnancy with GDM and pica practice. Some of them confi rms that the diabetes in pregnancy increases a high chance of developing this disorder (Ayeta et al, 2015;Ezzeddin, Zavoshy, Noroozi, Jahanihashemi, & Riseh, 2015;Gangopadhyay, Karoshi, & Keith, 2011). Nevertheless, only one of these studies discussed psychological aspects related to pica in Brazilian pregnant women (Ayeta et al, 2015).…”

Section: Pica En El Embarazo Y Aspectos Psicologicos Relacionados Resmentioning

confidence: 99%

Pica in the Pregnancy and Related Psychological Aspects

Cunha¹,

Patricio²,

Akerman³

et al. 2017

Temas Psicol.

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Based on a descriptive and exploratory research design, this study aimed to evaluate emotional (sings of stress, anxiety and depression) and coping indicators in seven pregnant women with diabetes and pica reporting practices. The pica reporting practices in their current pregnancies were identifi ed before they answered the following instruments for psychological evaluation: (a) Inventory of signs and symptoms of stress of Lipp (ISSL), to evaluate stress; (b) BECK Scales, BAI and BDI Inventory, to evaluate anxiety and depression; (c) Scales of Ways of Coping (EMEP), to identify coping strategies to deal with stress; (d) an Interview Guide created for this study. The pregnant women were interviewed individually and their reports were analyzed into macro-categories by the Bardin´s methodology. Indicators of stress, anxiety and depression were found in all pregnant women, whose most reported practice was pagofagia (30.8%) and fruit with salt (30.8%). The verbal report revealed that all women had a feeling of satisfaction after the practice of pica. Given that the associations between this eating disorder and unfavorable outcomes, it is important to investigate the pica in order to propose a more effective prenatal care in improving the health of the mother-child dyad.

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Anemia and pregnancy: A link to maternal chronic diseases

Cited by 54 publications

References 42 publications

Fatores nutricionais e psicológicos associados com a ocorrência de picamalácia em gestantes

Fatores nutricionais e psicológicos associados com a ocorrência de picamalácia em gestantes

Anaemia in pregnant mothers attending antenatal clinic at primary health centre, Devarayasamudra, Kolar, Karnataka, India

Pica in the Pregnancy and Related Psychological Aspects

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