Perceptions of soil-eating and anaemia among pregnant women on the Kenyan coast

Geissler, Paul Wenzel; Prince, Ruth J.; Levene, Mark; Poda, C.; Beckerleg, Susan; Mutemi, Wilfred; Shulman, Caroline

doi:10.1016/s0277-9536(98)00409-2

Cited by 84 publications

(71 citation statements)

References 22 publications

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“…This could account for the significantly higher prevalence (p<0.05) of geophagy observed among the married pregnant participants over the single but pregnant women. The observed increase in geophagy prevalence, with increasing gestational age recorded in this study is consistent with results of previous studies elsewhere in sub-Saharan tropical communities 6,11,23 . In the course of the interview, many participants reportedly commenced eating earth early in the first trimester.…”

Section: Discussionsupporting

confidence: 93%

“…The geophagous prevalence recorded is similar to others reported elsewhere in sub-Saharan Africa 10,11,13 . The results further revealed that although geophagy has been widely regarded as an obligatory response to a physiologic demand during pregnancy 9 , the behaviour is accepted culturally and perceived as a symbol of reproduction and fertility in the study area.…”

Section: Discussionsupporting

confidence: 90%

“…Although geophagy is usually regarded as a response to physiologic demand during pregnancy, the behaviour is culturally and widely accepted especially among pregnant women globally 2,9 . In many tropical sub-Saharan countries where this behaviour is regarded as a response to obligatory physiologic demand, the prevalence among pregnant women has ranged from 28, 42, 46 and 65% in Tanzania, Namibia, Ghana and Kenya, respectively 5,6,10,11,12,13 . The health benefits derived from geophagic behaviour continue to be subjects of debate.…”

Section: Introductionmentioning

confidence: 99%

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Geophagy as risk behaviour for gastrointestinal nematode infections among pregnant women attending antenatal clinics in a humid tropical zone of Nigeria

et al. 2017

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Background: Geophagy is wide spread among pregnant women in Ebonyi State, Nigeria. Objective: The aim of this study was to assess intestinal nematode infections among geophagous pregnant women in Southern Ebonyi State, Nigeria. Methods: Pregnant women were aged 17-45 years at gestational ages of ≥ 14 to 24 weeks on hospital enrolment were sampled. Data on geophagy was collected using structured questionnaire. Gastrointestinal nematode status of the participants was determined by stool analyses. Soil types ingested were examined for intestinal nematode ova / larvae. Results: The prevalence of geophagy (46.4%) was associated with socio-demographic characteristics. Ascaris lumbricoides and hookworm were associated with geophagy while Trichuris trichiura and Strongyloides stercoralis had no association. Prevalence of A. lumbricoides, T. trichiura and S. stercoralis differed significantly (p<0.05) between geophagous and non-geophagous women. The soil types consumed had eggs / larvae of A. lumbricoides and T. trichiura. Geophagy is a risk behaviour directly associated with A. lumbricoides, hookworm, T. trichiura, and to a lesser extent S. stercoralis infection among pregnant women. Conclusion: Sensitization and mass education of pregnant women on the dangers of geophagy is needed. Furthermore, deworming of pregnant women should be integrated into the healthcare delivery system of the State.

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Section: Discussionsupporting

confidence: 93%

Section: Discussionsupporting

confidence: 90%

Section: Introductionmentioning

confidence: 99%

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Geophagy as risk behaviour for gastrointestinal nematode infections among pregnant women attending antenatal clinics in a humid tropical zone of Nigeria

et al. 2017

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“…Its consumption is also responsible for other pathologies such as poisoning with heavy metals, pesticides, intestinal occlusions and renal lithiasis [6]. Studies in Africa on geophagia and pregnancy show prevalence of 65%, 28% and 50% respectively in Kenya, Tanzania and Nigeria [6] [7]. A study carried out in Yaoundé gives a prevalence of consumption of kaolin in pregnancy in the percentage of 32.4% [8].…”

Section: Introductionmentioning

confidence: 99%

Kaolin Clay Consumption and Pregnancy: Prevalence, Hematological Consequences and Outcome of Labour in the Douala

Essome¹,

Engbang²,

Ndedi³

et al. 2017

OJOG

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Objective: To determine the prevalence, haematological repercussions and prognosis of childbirth in the event of consumption of kaolin during pregnancy. Materials and Methods: It was a study over a period of 3 months at the Laquintinie Hospital Douala. It compared two groups of women, one of whom had consumed kaolin during pregnancy (exposed group) and the other had not consumed it (non-exposed group). Results: A total of 342 women were included in our study, 121 (35.4%) of whom had consumed kaolin during pregnancy. Women exposed to this consumption (P < 0.05) after univariate analysis were those of pregnant women from the Far North (OR = 3.37, CI: 1.29 -8.79, P = 0.013), single (OR = 1.65, CI = 1.05 -2.59, P = 0.029), those with primary education (OR = 2.25, CI = 1.06 -4.79, P = 0.035) and those with HIV (OR = 2.75, IC = 1.02-7.43, P = 0.045). Consumption was more frequent in the first trimester of pregnancy (37%) and in the third quarter (34%), at a predominantly weekly rate (47.9%). The most frequently cited reasons were envy (82%), and nausea (45%). This consumption was associated with a risk of premature delivery (RR = 2.26, IC = 1.27 -4.05, P = 0.001), yellowish amniotic fluid (RR = 4.66, IC = 1.81 -11, P = 0.001), birth weight < 2500 g in newborns (RR = 1.72, IC = 3.36 -9.56, P = 0.025), but increased the probability of delivery (RR = 1.94, IC = 0.96 -3.90, P = 0.039). For the hematological aspect, the occurrence of anemia (RR = 1.55, IC = 0.97 -2.31, P = 0.003) and a decrease in mean hemoglobin concentration (RR = 1.29, IC = 0.83 -2.03, P = 0.041) were associated with kaolin in pregnancy. After multi- The use of kaolin is a frequent feeding behavior in pregnancy, mainly motivated by envy, which nevertheless presents serious maternal and fetal complications.

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“…1,2 Cultural reasons and gastric disorders are the main explanations of the higher frequencies of this abnormal nutritional behavior in pregnant women. [2][3][4] To date, little is known about the surgical complications commonly occurring in kaolin-consuming women, especially in sub-Saharan Africa. The objective of this study therefore was to assess the effects of kaolin consumption on the outcome of gynecologic and obstetric surgeries.…”

Section: Introductionmentioning

confidence: 99%

Kaolin consumption and outcome of surgery in women: a comparative study of 263 operations at the Yaound and eacute; Gyneco-Obstetric and Pediatric Hospital

Foumane

Esiéné

Dohbit

et al. 2016

Int J Reprod Contracept Obstet Gynecol

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Perceptions of soil-eating and anaemia among pregnant women on the Kenyan coast

Cited by 84 publications

References 22 publications

Geophagy as risk behaviour for gastrointestinal nematode infections among pregnant women attending antenatal clinics in a humid tropical zone of Nigeria

Geophagy as risk behaviour for gastrointestinal nematode infections among pregnant women attending antenatal clinics in a humid tropical zone of Nigeria

Kaolin Clay Consumption and Pregnancy: Prevalence, Hematological Consequences and Outcome of Labour in the Douala

Kaolin consumption and outcome of surgery in women: a comparative study of 263 operations at the Yaound and eacute; Gyneco-Obstetric and Pediatric Hospital

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