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Problem: Pica involves persistent eating of substances that lack nutritonal value. If you're thinking "fast food," you may be correct in your thinking that those types of foods aren't as nutritious as we would like, but fast food is not classified as non-nutritive. Instead, these types of items can include rocks, string, hair, paper, chalk, and more. While this type of condition is mostly present in children, according to the DSM-5-TR, roughly one-third of pregnant women also enagage in pica behavior (especially those with vitamin deficiency and food insecurity (i.e., without reliable access to affordable and nutritious food)). While "cravings" are normal in pregnancy, when would pica be considered as a diagnosis for a pregnant or postpartum person? What type of functional impairments or risks might be pregant in a pregnant or postpartum person, beyond the inherent risk this behavior places on a fetus?
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