Food Risk to Babies

Bondarianzadeh, Dolly

doi:10.1097/01.nt.0000303297.78352.d9

Cited by 7 publications

(8 citation statements)

References 20 publications

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“…There is a wealth of food safety advice for pregnant women because of the increased risk of foodborne illness [12][13][14][15]. Food safety recommendations are therefore particularly complex and comprehensive [5].…”

Section: Introductionmentioning

confidence: 99%

“…Food safety recommendations are therefore particularly complex and comprehensive [5]. Women have an increased susceptibility to listeriosis, toxoplasmosis, salmonella, botulism, influenza, varicella, and methyl mercury toxicity during pregnancy [12][13][14][15]. They also have an increased risk of infection severity, miscarriage, premature birth, still-birth, and fetal and maternal mortality [12,14,16,17].…”

Section: Introductionmentioning

confidence: 99%

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Dietary Choices of New Zealand Women during Pregnancy and Lactation

et al. 2020

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Dietary recommendations during pregnancy and lactation have become increasingly complex, and sources of information more numerous but not always reliable, potentially causing confusion and unsafe choices. Women were recruited during pregnancy or within six months postpartum and completed questionnaires on dietary choices, food safety, and sources of nutrition information. Women (n = 458) from around New Zealand participated in the study. They consumed a wide range of foods and beverages and reported various dietary changes. In pregnancy, women commonly avoided alcohol (92%), raw milk products (86%), and raw, smoked, or pre-cooked seafood and fish (84%), and made changes due to food safety concerns. Influential advice was acquired from a range of sources including midwives (37%) and the New Zealand pregnancy and breastfeeding guidelines (25%) during pregnancy. Food avoidance was less common in lactation. However, fewer women consumed milk products during lactation (64%) than pregnancy (93%). Potentially unreliable sources were used more frequently in lactation including alternative health practitioners (26%) and family or friends (12%), and dietary changes were often made in response to infant symptoms without supporting evidence. This study highlighted a need for good communication of evidence-based recommendations to women, especially during lactation.

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Dietary Choices of New Zealand Women during Pregnancy and Lactation

et al. 2020

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“…2 Physiologically, pregnant women are more at risk for active infection with Listeria due to downregulation of the cellular immune system during pregnancy, especially in the third trimester, as well as the bacterium's affinity for placental cell receptors. 6,7 Downregulation of the immune system includes changes in T-helper and cytotoxic T-cell function in the recognition of foreign antigens, as well as a natural decrease in the amount of natural killer cells found during pregnancy. 8,9 Listeria is a bacterium found in soil, wood, and decaying matter in the environment, but it is most commonly transmitted to humans by ingesting contaminated foods.…”

Section: Listeriosis Epidemiologymentioning

confidence: 99%

Listeriosis and Toxoplasmosis in Pregnancy

Pfaff¹,

Tillett

2016

Journal of Perinatal &Amp; Neonatal Nursing

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Listeriosis and toxoplasmosis are foodborne illnesses that can have long-term consequences when contracted during pregnancy. Listeriosis is implicated in stillbirth, preterm labor, newborn sepsis, and meningitis, among other complications. Toxoplasmosis is associated with blindness, cognitive delays, seizures, and hearing loss, among other significant disabilities. Healthcare providers who understand the fundamentals of Listeria and Toxoplasma infection will have the tools to identify symptoms and high-risk behaviors, educate women to make safer decisions, and provide anticipatory guidance if a pregnant woman would become infected with either of these foodborne illnesses.

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“…Listeriosis is rare, with approximately sixtyfive cases reported in Australia during 2008; twelve (18 %) of which were in pregnancy (10) and one was fatal (10) . Although the incidence in pregnancy is reportedly low, listeriosis is still considered an important public health issue due to the potentially serious impact on the fetus, including miscarriage, stillbirth, premature birth and/or neonatal infection (9,11,12) . International nutrition and maternal health authorities have developed recommendations specifically to alert women to this issue in order to reduce risks during pregnancy (8,13) .…”

mentioning

confidence: 99%

“…Pregnant women require additional energy and specific nutrients including protein, folate, Fe, Ca, Zn and other vitamins and minerals to ensure that their requirements and those of the developing fetus are met (5)(6)(7) . Simultaneously, they have an increased susceptibility to food-borne illness, particularly due to Listeria monocytogenes commonly found in ready-to-eat foods (8) , secondary to hormonal changes that suppress the immune response and make them more vulnerable to infections (9) . Listeriosis is rare, with approximately sixtyfive cases reported in Australia during 2008; twelve (18 %) of which were in pregnancy (10) and one was fatal (10) .…”

mentioning

confidence: 99%

Listeria monocytogenes and diet during pregnancy; balancing nutrient intake adequacy v. adverse pregnancy outcomes

Pezdirc

Hure

Blumfield

et al. 2012

Public Health Nutr.

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Objective: To evaluate the impact of adherence to public health recommendations on Listeria monocytogenes food safety to limit exposure to potential food sources on micronutrient intakes of pregnant women and whether more frequent consumption of 'high-risk' foods increases risk for adverse pregnancy outcomes. Design: A cohort study in women assessing Listeria exposure from an FFQ based on consumption of potential Listeria-containing food sources, the Listeria Food Exposure Score (LFES). Pregnancy status was defined as pregnant, trying to conceive, had a baby within the previous 12 months, or other. Nutrient intakes were compared with Nutrient Reference Values and self-reported pregnancy outcome history three years later. Setting: Australia. Subjects: Women aged 25-30 years (n 7486) participating in the Australian Longitudinal Study on Women's Health. Results: There were weak positive correlations (r 5 0?13-0?37, P , 0?001) between LFES and all nutrients, with fibre, folate, Fe and vitamin E intakes consistently below the Nutrient Reference Values in every quintile of LFES. Women in the highest quintile of LFES reported 19 % more miscarriages (rate ratio 5 1?19; 95 % CI 1?02, 1?38) than those in the lowest quintile, after adjusting for important confounding factors. Conclusions: More frequent consumption of foods potentially containing L. monocytogenes is associated with higher nutrient intakes, but an increased risk of miscarriage. L. monocytogenes pregnancy recommendations require review and should include the list of 'risky' food items in addition to low-risk alternatives that would adequately replace nutrient intakes which may be reduced through avoidance strategies.

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Food Risk to Babies

Cited by 7 publications

References 20 publications

Dietary Choices of New Zealand Women during Pregnancy and Lactation

Dietary Choices of New Zealand Women during Pregnancy and Lactation

Listeriosis and Toxoplasmosis in Pregnancy

Listeria monocytogenes and diet during pregnancy; balancing nutrient intake adequacy v. adverse pregnancy outcomes

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