![]() This research sought to assess the mineral and microbial contents of kaolin and address the perceptions of pregnant women on geophagy. There have been some attendant problems with the consumption of clay especially by pregnant women. Notwithstanding, most Ghanaians consume this clay out of cravings, taste and smell. Different people use this type of clay for diverse purposes. Introduction: kaolin is a type of clay consumed mostly by women especially pregnant women of which the act of clay eating is termed geophagy. The study of pica in pregnant women and its association with anxiety and depression is very important because the consequences can be serious and even result in maternal or fetal death. This problem is particularly severe when the woman presents an eating disorder like pica. Women who have inadequate nutrient intake are more likely to develop a risky pregnancy. Significance The nutritional status of the pregnant woman represents an important factor for the development of the fetus and for a healthy pregnancy. Moreover, additional efforts need to focus in the improvement of screening for other eating disorders with obstetric consequences associated with pica and be incorporated into the routine of healthcare professionals. Conclusions The absence of validated instruments in the literature for assessing pica reinforces the difficulty of investigating this practice and the need for further studies. The association between pica and signs related to the eating attitudes: ''to be considered too thin by others'' (p \ 0.02), and ''to spend too much time thinking about food'' (p = 0.05) and the association between pica and the risk of both anorexia nervosa and bulimia nervosa (p \ 0.01) were statistically significant. Results Pica was diagnosed in 5.7 % of the pregnant women, and its most commonly practiced type was geophagia (57.7 %). ![]() ![]() Structured interviews were carried out and the Eating Attitudes Test was applied. Methods A cross-sectional and prospective 24-month study was conducted with 913 women with high-risk pregnancies. Objective To describe and determine the association between the occurrence of pica and eating attitudes in women with high-risk pregnancies and to determine the prevalence of pica during pregnancy. ![]()
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