Kaolin consumption in pregnant women: what impact on the weight of newborns?


Journal

The journal of maternal-fetal & neonatal medicine : the official journal of the European Association of Perinatal Medicine, the Federation of Asia and Oceania Perinatal Societies, the International Society of Perinatal Obstetricians
ISSN: 1476-4954
Titre abrégé: J Matern Fetal Neonatal Med
Pays: England
ID NLM: 101136916

Informations de publication

Date de publication:
Dec 2022
Historique:
pubmed: 29 9 2021
medline: 24 11 2022
entrez: 28 9 2021
Statut: ppublish

Résumé

Geophagy is an ancestral practice particularly found among African women who describe beneficial effects on the sympathetic signs of pregnancy. Studies have reported a significant prevalence of consumption of kaolin, known as geophagy, within migrant population. However, this behavior, like other environmental factors, could lead to obstetrical and neonatal risks. The objective of our study was to evaluate the obstetrical and neonatal impact of kaolin consumption, especially on Z-SCORE for weight-for-gestational age in the newborn. This mono-centric historical cohort study was carried out on the basis of questionnaires and patients' obstetrical records. It was conducted between January 1 and July 1, 2017. Patients were divided into two groups: 1) women who consumed kaolin (at least once during their pregnancy), and 2) women who did not consume kaolin. Morphometric characteristics of the newborn were retrieved in obstetrical records. Results: 105 pregnant women were included: 26 exposed and 79 non exposed. Women who consumed kaolin were more frequently without social protection at their first consultation ( Geophagy is not to be neglected in socially advantaged countries due to increased immigration. This study found no association between kaolin consumption and birth weight. However, there was a correlation between precariousness and low birth weight which reinforces the importance of tightening the follow-up during pregnancies in the most precarious women.

Sections du résumé

BACKGROUND UNASSIGNED
Geophagy is an ancestral practice particularly found among African women who describe beneficial effects on the sympathetic signs of pregnancy. Studies have reported a significant prevalence of consumption of kaolin, known as geophagy, within migrant population. However, this behavior, like other environmental factors, could lead to obstetrical and neonatal risks.
OBJECTIVE UNASSIGNED
The objective of our study was to evaluate the obstetrical and neonatal impact of kaolin consumption, especially on Z-SCORE for weight-for-gestational age in the newborn.
METHODS UNASSIGNED
This mono-centric historical cohort study was carried out on the basis of questionnaires and patients' obstetrical records. It was conducted between January 1 and July 1, 2017. Patients were divided into two groups: 1) women who consumed kaolin (at least once during their pregnancy), and 2) women who did not consume kaolin. Morphometric characteristics of the newborn were retrieved in obstetrical records.
RESULTS UNASSIGNED
Results: 105 pregnant women were included: 26 exposed and 79 non exposed. Women who consumed kaolin were more frequently without social protection at their first consultation (
CONCLUSION UNASSIGNED
Geophagy is not to be neglected in socially advantaged countries due to increased immigration. This study found no association between kaolin consumption and birth weight. However, there was a correlation between precariousness and low birth weight which reinforces the importance of tightening the follow-up during pregnancies in the most precarious women.

Identifiants

pubmed: 34579617
doi: 10.1080/14767058.2021.1937980
doi:

Substances chimiques

Kaolin 24H4NWX5CO

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

7812-7818

Auteurs

Maud Poirier (M)

Department of Obstetric and Gynecology, University Hospital of Nantes, Nantes, France.

Clémence Dizier (C)

Department of Obstetric and Gynecology, University Hospital of Nantes, Nantes, France.

Pascal Caillet (P)

Department of Public Health, University Hospital of Nantes, Nantes, France.

Catherine Pintas (C)

Department of Obstetric and Gynecology, University Hospital of Nantes, Nantes, France.

Norbert Winer (N)

Department of Obstetric and Gynecology, University Hospital of Nantes, Nantes, France.
Faculty of Medicine, University of Nantes, Nantes, France.

Tiphaine Lefebvre (T)

Department of Obstetric and Gynecology, University Hospital of Nantes, Nantes, France.
Faculty of Medicine, University of Nantes, Nantes, France.
Biology and Reproductive Medicine, University Hospital of Nantes, Nantes, France.

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