Pica in pregnancy definition9/9/2023 ![]() Diagnostic and Statistical Manual of Mental Disorders. Gestational Iron Deficiency Is Associated with Pica Behaviors in Adolescents. Demographic, clinical, and biochemical predictors of pica in a large cohort of blood donors. Liu H, Burns RT, Spencer BR, Page GP, Mast AE.Introduction to Abnormal Child and Adolescent Psychology. Fifteen-minute consultation: the child with pica. Pica: A Common Condition that is Commonly Missed - An Update Review. Pica in pregnancy and young children is typically self-limited. Referral for behavioral therapy or psychotherapy may be necessary, especially for patients with intellectual disabilities.Help children to distinguish between edible and nonedible substances.Suggest substitutions (e.g., replacing sand and pebbles with Grape Nuts).For patients with refractory symptoms, SSRIs may be considered.Educate patients and caregivers on the condition and potential complications.Treat associated complications of pica (e.g., treatment of malnutrition, lead poisoning, bowel obstruction).Mental health disorders: See “ Treatment of ADHD” and “ Treatment of schizophrenia.”.Micronutrient or electrolyte abnormalities : See “ Iron therapy for iron deficiency anemia ” and “ Electrolyte repletion.Screen for red flags for eating disorders and, if present, admit for inpatient management.Management involves a multidisciplinary team (e.g., physicians, dietitians, social workers, dentists).X-ray long bones to assess for lead lines.X-ray abdomen to assess for paint chips and/or retained foreign bodies in the GI tract.See also “ Diagnostics of bowel obstruction.”.Blood gas if acid-base abnormalities are suspected.Consider the following based on the ingested substance:.Pregnancy test for patients of childbearing age.Basophilic stippling suggests lead toxicity.Hypochromic, microcytic anemia may be caused by iron deficiency or lead toxicity.CBC with differential: May also reveal eosinophilia, suggestive of a parasitic infection (see “ Complications of pica”). ![]() If another medical or psychiatric condition is present, the pica behavior warrants specific clinical management.Not part of culturally or socially normative practice.Persistent ingestion of nonnutritive nonfood substances(e.g., hair, clay, soil, ice, paint chips). ![]()
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