Study the Prevalence, Characteristics of Mothers and Associated Risk Factors of Pica Eating among Pregnant Women

A Cross Sectional study

  • Yaseen M. Galali Food Technology Department, College of Agricultural Engineering Sciences, Salahaddin University‐Erbil, Erbil, KRG‐Iraq
Keywords: Pica Eating, Eating Disorder, Pagophagia, Risk Factors, pregnancy


Eating disorder is a common phenomenon accompanying pregnancy including ingestioning non-nutrtitve substances. Causes of pica are uncertain. The purpose of this study therofre is to assesse prevalnce, characteretics and risk factos of pica among Kurdish pregnant women. A cross sectioal study was conducted in Iraqi Kurdistan and the information regarding sociodemographic infromation, prevalence and characterestics of and risk facros were collected. Four hundred woment were registered  and interviewed for this study. The resuslts: data showed that prevalence of pica was 60.5% (242), and the most frequenct  forms of pica eaten were pagophagia and geaphagia and amylophagia by 29.7% (119), 25.3% (101) and 12.5% (50) respectively. Data showed that pica is related to mother education (P=0.011), mother occupation (P=0.002), living place( P=0.011), health complication duering pregnancy ( P=0.018) and affects bread feeding (P=0.040). Baby gender, mother age, Iron suppelemtation, hisotry of child abortion and economic satisfacton weren not signicantly associated to pica eating.  The results also showed that psychlogical factors  for pica eating was reduce nausia, amilearate stress and axiety and very fewer pregnant used to control hunger. Conclusion: Mother should check for any health complication before pregnancy and receive enough and regualr check as well as edcuate themselves regarding consequence of pica. Also psychological consultation is important throughout pregnancy period.


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N. Ezzeddin, R. Zavoshy, M. Noroozi, H. Jahanihashemi and S. H. Riseh. Prevalence and risk factors for pica during pregnancy in Tehran, Iran. Eating and Weight Disorders, vol. 20, no. 4, pp. 457-463, 2015.

K. D. Konlan, J. A. Abdulai, K. D. Konlan, R. M. Amoah and A. Doat. Practices of pica among pregnant women in a tertiary healthcare facility in Ghana. Nursing Open, vol. 7, no. 3, pp. 783-792, 2020.

D. F. Moore and D. A. Sears. Pica, iron deficiency and the medical history. The American Journal of Medicine, vol. 97, no. 4, pp. 390-393, 1994.

A. Boatin, B. Wylie, M. P. Singh, N. Singh, K. Yeboah-Antwi and D. Hamer. Prevalence of and risk factors for pica among pregnant women in Chhattisgarh, India. American Journal of Obstetrics and Gynecology, vol. 206, no. 1, p. S299, 2012.

S. L. Young, M. J. Wilson, D. Miller and S. Hillier. Toward a comprehensive approach to the collection and analysis of pica substances, with emphasis on geophagic materials. PLoS One, vol. 3, no. 9, p. e3147, 2008.

S. L. Young, S. S. Khalfan, T. H. Farag, J. A. Kavle, S. M. Ali, H. Hajji, K. M. Rasmussen, G. H. Pelto, J. M. Tielsch and R. J. Stoltzfus. Association of pica with anemia and gastrointestinal distress among pregnant women in Zanzibar, Tanzania. The American Journal of Tropical Medicine and Hygiene, vol. 83, no. 1, pp. 144-151, 2010.

C. N. Nyaruhucha. Food cravings, aversions and pica among pregnant women in Dar es Salaam, Tanzania. Tanzania Journal of Health Research. vol. 11, no. 1, pp. 29-34, 2009.

L. Torgersen, E. Ystrom, M. Haugen, H. M. Meltzer, A. von Holle, C. K. Berg, T. Reichborn-Kjennerud andC. M. Bulik. Breastfeeding practice in mothers with eating disorders. Maternal and Child Nutrition, vol. 6, no. 3, pp. 243-252, 2010.

T. Yamane. Statistics, An Introductory Analysis. 2nd ed. New York: Harper and Row, 1967.

L. B. López, M. Marigual, N. Martín, M. Mallorga, E. Villagrán, M. E. Zadorozne, M. L. P. de Portela and C. R. O. Soler. Characteristics of pica practice during pregnancy in a sample of Argentine women. Journal of Obstetrics and Gynaecology, vol. 32, no. 2. pp. 150-153, 2012.

S. Ahmed, H. Abdullahi and I. Adam. Practice of pica among pregnant women in Khartoum, Sudan. International Journal of Gynecology and Obstetrics, vol. 118, no. 1, pp. 71-72, 2012.

P. W. Abrahams, T. C. Davies, A. O. Solomon, A. J. Trow and J. Wragg. Human geophagia, calabash chalk and undongo: Mineral element nutritional implications. PLoS One, vol. 8, no. 1, p. e53304, 2013.

N. Ezzeddin, R. Zavoshy, M. Noroozi, M. E. Sarichloo, H. Jahanihashemi and M. Notroozi. The association between postpartum depression and pica during pregnancy. Global Journalof Health Science, vol. 8, no. 4, pp. 120-126, 2016.

A. C. B. da Cunha, S. F. Patricio, L. P. F. Akerman, P. S. Maynarde and C. Saunders. Pica in the pregnancy and related psychological aspects. Temas em Psicologia, vol. 25, no. 2, pp. 631-646, 2017.

A. M. Santos, G. R. G. Benute, R. M. Y. Nomura, N. O. Santos, M. C. S. de Lucia and R. P. V. Francisco. Pica and eating attitudes: A study of high-risk pregnancies. Maternal and Child Health Journal, vol. 20, no. 3, pp. 577-582, 2016.

L. Kariuki, C. Lambert, R. Purwestri and H. K. Biesalski. Trends and consequences of consumption of food and non-food items (pica) by pregnant women in Western Kenya. NFS Journal, vol. 5, pp. 1-4, 2016

How to Cite
Galali Y. Study the Prevalence, Characteristics of Mothers and Associated Risk Factors of Pica Eating among Pregnant Women. cuesj [Internet]. 30Dec.2020 [cited 8May2021];4(2):19-4. Available from:
Research Article