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Morais PEDO, Nassif MS, Costa ACB, Freitas PS, Sampaio RS, Costa ICP. Online scientific research on placentophagy: a bibliometric analysis. REVISTA BRASILEIRA DE GINECOLOGIA E OBSTETRÍCIA 2024; 46:e-rbgo4. [PMID: 38765532 PMCID: PMC11075423 DOI: 10.61622/rbgo/2024ar04] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/30/2022] [Accepted: 08/21/2023] [Indexed: 05/22/2024] Open
Abstract
Objective To classify the bibliometric indicators of online scientific research on placentophagy. Methods A bibliometric study was conducted to quantify the scientific production of authors and institutions with the aim of highlighting the growth and impact of these publications nationally and internationally. The Bradford Law, network maps, and textual statistics were used, with searches conducted in libraries and databases in October 2021. Results The sample consisted of 64 articles, whose primary authors were associated with 49 institutions, and mostly with degrees in anthropology. The United States of America was the country that published the most papers on the theme, and most studies were reviews with individual production. Through the term analysis, it was found that the predominant themes regarding placentophagy were the following: Alternative therapy for women's health, methodologies used for research in this area, period of placenta ingestion (postpartum period), and its benefits. Conclusion The bibliometric indicators found are essential for the development of future research.
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Affiliation(s)
| | - Melissa Santos Nassif
- Universidade Federal de AlfenasAlfenasMGBrazilUniversidade Federal de Alfenas, Alfenas, MG, Brazil.
| | | | - Patrícia Scotini Freitas
- Universidade Federal de AlfenasAlfenasMGBrazilUniversidade Federal de Alfenas, Alfenas, MG, Brazil.
| | - Rômulo Severo Sampaio
- Universidade Federal da ParaíbaJoão PessoaPBBrazilUniversidade Federal da Paraíba, João Pessoa, PB, Brazil.
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Moeti C, Mulaudzi FM, Rasweswe MM. The Disposal of Placenta among Indigenous Groups Globally: An Integrative Literature Review. Int J Reprod Med 2023; 2023:6676809. [PMID: 37927303 PMCID: PMC10622600 DOI: 10.1155/2023/6676809] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/12/2023] [Revised: 10/01/2023] [Accepted: 10/10/2023] [Indexed: 11/07/2023] Open
Abstract
Introduction The placenta, or afterbirth, plays a vital role in supplying nutrients and oxygen via the umbilical cord. Western medicine sees the placenta as a medical waste and discards it after delivery. Meanwhile, indigenous groups observe rituals or ceremonies prior to their disposal since it bears sacred importance. Aim The aim of the literature review is to review the current literature on indigenous methods of disposing placenta. Methods Through the EBSCOhost search engine, the authors had access to the following databases: CINAHL; MEDLINE; E-Journals; Health Sources: Nursing/Academic Edition; Scopus; and African Journals Online. A manual search of the grey literature through Google Scholar and Google Search engines, as well as citation searching using reference lists, was also used. The following keyword searches came up: placental disposal, placental waste, placental release, indigenous placental disposal, traditional placental disposal, cultural placenta, and placental rituals. The authors followed the inclusion criteria of qualitative, quantitative, or mixed research articles or reports from experts and different organisations published between 2013 and 2022 in English. Findings. The following three themes with subthemes emerged in the context of this review paper: (1) placental consumption (increases milk production, prevents postpartum depression, and prevents postpartum bleeding); (2) placental burial (burial site determines the child's fate, protection of the child, and fertility); and 3). artifacts (memorabilia). Conclusion Indigenous placental disposal methods have a significant value to Indigenous women globally. The rituals performed have a special meaning attached to them. It is important for Western medicine to respect and support indigenous placental disposal methods and ensure safe handling from the healthcare facilities to their homes.
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Affiliation(s)
- Cecilia Moeti
- Faculty of Healthcare Sciences, Department of Nursing, University of Pretoria, South Africa
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Benyshek DC, Bovbjerg ML, Cheyney M. Comparison of placenta consumers' and non-consumers' postpartum depression screening results using EPDS in US community birth settings (n=6038): a propensity score analysis. BMC Pregnancy Childbirth 2023; 23:534. [PMID: 37481527 PMCID: PMC10362633 DOI: 10.1186/s12884-023-05852-7] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/26/2022] [Accepted: 07/12/2023] [Indexed: 07/24/2023] Open
Abstract
BACKGROUND Preventing postpartum depression (PPD) is the most common self-reported motivation for human maternal placentophagy, yet very little systematic research has assessed mental health following placenta consumption. Our aim was to compare PPD screening scores of placenta consumers and non-consumers in a community birth setting, using propensity score matching to address anticipated extensive confounding. METHODS We used a medical records-based data set (n = 6038) containing pregnancy, birth, and postpartum information for US women who planned and completed community births. We first compared PPD screening scores as measured by the Edinburgh Postpartum Depression Scale (EPDS) of individuals who consumed their placenta to those who did not, with regard to demographics, pregnancy characteristics, and history of mental health challenges. Matching placentophagic (n = 1876) and non-placentophagic (n = 1876) groups were then created using propensity scores. The propensity score model included more than 90 variables describing medical and obstetric history, demographics, pregnancy characteristics, and intrapartum and postpartum complications, thus addressing confounding by all of these variables. We then used logistic regression to compare placentophagic to non-placentophagic groups based on commonly-cited EPDS cutoff values (≥ 11; ≥ 13) for likely PPD. RESULTS In the unmatched and unadjusted analysis, placentophagy was associated with an increased risk of PPD. In the matched sample, 9.9% of women who ate their placentas reported EPDS ≥ 11, compared to 8.4% of women who did not (5.5% and 4.8%, respectively, EPDS ≥ 13 or greater). After controlling for over 90 variables (including prior mental health challenges) in the matched and adjusted analysis, placentophagy was associated with an increased risk of PPD between 15 and 20%, depending on the published EPDS cutoff point used. Numerous sensitivity analyses did not alter this general finding. CONCLUSIONS Placentophagic individuals in our study scored higher on an EPDS screening than carefully matched non-placentophagic controls. Why placentophagic women score higher on the EPDS remains unclear, but we suspect reverse causality plays an important role. Future research could assess psychosocial factors that may motivate some individuals to engage in placentophagy, and that may also indicate greater risk of PPD.
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Affiliation(s)
- Daniel C Benyshek
- Department of Anthropology, Nutrition and Reproduction Laboratory, University of Nevada, Las Vegas, NV, USA.
- Kirk Kerkorian School of Medicine at University of Nevada, NV, Las Vegas, USA.
| | - Marit L Bovbjerg
- Epidemiology Program, College of Public Health and Human Sciences, Oregon State University, Corvallis, OR, USA
| | - Melissa Cheyney
- Department of Anthropology, Oregon State University, Corvallis, OR, USA
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Gwam C, Ohanele C, Hamby J, Chughtai N, Mufti Z, Ma X. Human placental extract: a potential therapeutic in treating osteoarthritis. ANNALS OF TRANSLATIONAL MEDICINE 2023; 11:322. [PMID: 37404996 PMCID: PMC10316113 DOI: 10.21037/atm.2019.10.20] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 09/11/2019] [Accepted: 09/29/2019] [Indexed: 09/19/2023]
Abstract
Osteoarthritis (OA) is a degenerative joint disease marked by cartilage degradation and loss of function. Recently, there have been increased efforts to attenuate and reverse OA by stimulating cartilage regeneration and preventing cartilage degradation. Human placental extract (HPE) may be an option due to its anti-inflammatory, antioxidant, and growth stimulatory properties. These properties are useful in preventing cell death and senescence, which may optimize in-situ cartilage regeneration. In this review, we discuss the anatomy and physiology of the placenta, as well as explore in vivo and in vitro studies assessing its effects on tissue regeneration. Finally, we assess the potential role of HPE in cartilage regenerative medicine and OA. The Medline database was utilized for all studies that involved the use of HPE or human placenta hydrolysate. Exclusion criteria included articles not written in English, conference reviews, editorials, letters to the editor, surveys, case reports, and case series. HPE had significant anti-inflammatory and regenerative properties in vitro and in vivo. Furthermore, HPE had a role in attenuating cellular senescence and cell apoptosis via reduction of reactive oxidative species both in vitro and in vivo. One study explored the effects of HPE in OA and demonstrated reduction in cartilage catabolic gene expression, indicating HPE's effect in attenuating OA. HPE houses favorable properties that can attenuate and reverse tissue damage. This may be a beneficial therapeutic in OA as it creates a more favorable environment for in-situ cartilage regeneration. More well designed in-vitro and in-vivo studies are needed to define the role of HPE in treating OA.
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Affiliation(s)
- Chukwuweike Gwam
- Department of Orthopedic Surgery, Wake Forest School of Medicine, Winston-Salem, NC, USA
| | | | - Jacob Hamby
- Department of Orthopedic Surgery, Wake Forest School of Medicine, Winston-Salem, NC, USA
| | | | | | - Xue Ma
- Department of Orthopedic Surgery, Wake Forest School of Medicine, Winston-Salem, NC, USA
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Kristal MB, DiPirro JM, Thompson AC, Wood TD. Placentophagia and the Tao of POEF. Neurosci Biobehav Rev 2023; 145:104992. [PMID: 36509207 DOI: 10.1016/j.neubiorev.2022.104992] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/19/2022] [Revised: 11/21/2022] [Accepted: 12/03/2022] [Indexed: 12/13/2022]
Abstract
Placentophagia, ingestion of placenta and amniotic fluid, usually during parturition, is a behavioral feature of nearly all nonaquatic, placental mammals, and is a nexus for several interlocking behavioral phenomena. Placentophagia has not been typical of human cultures, but in recent years, some women in affluent societies have engaged in it, thereby bringing publicity to the behavior. First, we summarized benefits of placentophagia for nonhuman mammals, which include increased attractiveness of neonates, enhanced onset of maternal behavior, suppression of pseudopregnancy, and enhancement of opioid hypoalgesia by Placental Opioid-Enhancing Factor (POEF), a benefit that may extend well outside the context of parturition. The research on POEF in animals was discussed in detail. Then we discussed placentophagia (placentophagy) in humans, and whether there is validity to the claims of various benefits reported primarily in the pro-placentophagy literature, and, although human afterbirth shows POEF activity, the POEF effect has not yet been tested in humans. Finally, we discussed the general possible implications, for the management of pain and addiction, of isolating and characterizing POEF.
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Affiliation(s)
- Mark B Kristal
- Department of Psychology, University at Buffalo, Park Hall, Buffalo, NY 14260-4110, USA; Research and Clinical Institute on Addictions, University at Buffalo, 1022 Main St., Buffalo, NY 14203, USA.
| | - Jean M DiPirro
- Department of Psychology, Buffalo State College, Buffalo, NY 14222 USA; Research and Clinical Institute on Addictions, University at Buffalo, 1022 Main St., Buffalo, NY 14203, USA
| | - Alexis C Thompson
- Department of Psychology, University at Buffalo, Park Hall, Buffalo, NY 14260-4110, USA; Research and Clinical Institute on Addictions, University at Buffalo, 1022 Main St., Buffalo, NY 14203, USA
| | - Troy D Wood
- Department of Chemistry, University at Buffalo, Natural Science Complex, Buffalo, NY 14260, USA
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Impact of tissue processing on microbiological colonization in the context of placentophagy. Sci Rep 2022; 12:5307. [PMID: 35351937 PMCID: PMC8964728 DOI: 10.1038/s41598-022-09243-4] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/26/2021] [Accepted: 03/14/2022] [Indexed: 11/08/2022] Open
Abstract
A mother’s postpartum ingestion of raw or processed placental tissue—referred to as human maternal placentophagy—is an emerging health trend observed in industrialized nations. Placenta is commonly consumed as small pieces of raw tissue, or as raw or steamed dehydrated pulverized and encapsulated tissue. To investigate the potential neonatal health risks of this behavior, the present study focused on microbial colonization of processed placenta preparations with potentially pathogenic bacteria Streptococcus agalactiae (Group-B-Streptococci; GBS) and Escherichia coli (E. coli). In the clinical approach placentas from 24 mothers were analyzed. Two placentas, from 13 mothers with confirmed positive maternal GBS status, showed GBS-growth on their surface (2/13; 15.4%) independent from delivery mode or antibiotic treatment. All processed samples (n = 24) were free from GBS. In the experimental approach, a standardized inoculation protocol was introduced to resemble ascending vaginal and hematogenous colonization. Six placentas from elective term C-sections of GBS negative mothers were collected and artificially inoculated with highly concentrated suspensions of GBS and E. coli. Heat processing significantly reduced the number of colony forming units (CFU) for GBS and E. coli. Our results suggest placentophagy of processed tissue is an unlikely source of clinical infection.
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7
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Choi HS, Ha KY, Xu XY, Kang HC, Kim H, Kim YJ. Off-Flavor Removal from Sheep Placenta via Fermentation with Novel Yeast Strain Brettanomyces deamine kh3 Isolated from Traditional Apple Vinegar. Molecules 2021; 26:molecules26195835. [PMID: 34641377 PMCID: PMC8510316 DOI: 10.3390/molecules26195835] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/16/2021] [Revised: 09/18/2021] [Accepted: 09/22/2021] [Indexed: 11/24/2022] Open
Abstract
Animal placentae can be used as health-promoting food ingredients with various therapeutic efficacies, but their use is limited by their unpleasant odor and taste. This study aimed to investigate the possibility of deodorization of sheep placenta via yeast fermentation. A yeast strain was successfully isolated and identified as a novel Brettanomyces strain (Brettanomyces deamine kh3). The deodorizing efficacy of fermentation of the sheep placenta with B. deamine kh3 was evaluated by 42 panels, based on evaluation of preference, ranking, and aroma profiles, and compared with normal placenta and placenta fermented with B. bruxellensis. The results of the sensory evaluation indicated that fermentation of the sheep placenta with B. deamine kh3 may improve its palatability by increasing flavors such as that of grass (tree), rubber, and burnt, and by decreasing the odor and soy sauce flavor. Solid-phase microextraction-gas chromatography (SPME-GC) showed that major off-flavors in sheep placenta, such as ammonia, dimethyl disulfide, and 1,3-dioxolane, were completely diminished in the sheep placenta fermented with B. deamine kh3. This study presents those major volatile compounds, including 2-isobutyl\-4,4-dimethyl-1,3-dioxane, and 3-methyl-1-butanol, could be crucial in improving the palatability of the sheep placentae fermented with B. deamine kh3. This study provides a good starting point for the industrial application of a new deodorization method.
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Affiliation(s)
- Han-Sol Choi
- Graduate School of Biotechnology, College of Life Science, Kyung Hee University, Yongin 17104, Korea; (H.-S.C.); (K.-Y.H.); (X.-Y.X.)
| | - Keum-Yun Ha
- Graduate School of Biotechnology, College of Life Science, Kyung Hee University, Yongin 17104, Korea; (H.-S.C.); (K.-Y.H.); (X.-Y.X.)
| | - Xing-Yue Xu
- Graduate School of Biotechnology, College of Life Science, Kyung Hee University, Yongin 17104, Korea; (H.-S.C.); (K.-Y.H.); (X.-Y.X.)
| | - Hee-Cheol Kang
- GFC Life Science Co. Ltd., F17, Apexcity, 823, Dongtansunhwan-daero, Hwasung 18471, Korea;
| | - Hoon Kim
- College of Biotechnology and Natural Resources, Chung-Ang University, Anseong 17546, Korea
- Correspondence: or (H.K.); (Y.-J.K.); Tel.: +82-31-670-3188 (H.K.); +82-31-5634 (Y.-J.K.)
| | - Yeon-Ju Kim
- Graduate School of Biotechnology, College of Life Science, Kyung Hee University, Yongin 17104, Korea; (H.-S.C.); (K.-Y.H.); (X.-Y.X.)
- Correspondence: or (H.K.); (Y.-J.K.); Tel.: +82-31-670-3188 (H.K.); +82-31-5634 (Y.-J.K.)
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8
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Mainstream psychiatry reinstates therapeutic ventures of the remote past. Drug Discov Today 2021; 26:845-851. [DOI: 10.1016/j.drudis.2021.01.011] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/06/2020] [Revised: 08/02/2020] [Accepted: 01/14/2021] [Indexed: 02/06/2023]
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Mota-Rojas D, Orihuela A, Strappini A, Villanueva-García D, Napolitano F, Mora-Medina P, Barrios-García HB, Herrera Y, Lavalle E, Martínez-Burnes J. Consumption of Maternal Placenta in Humans and Nonhuman Mammals: Beneficial and Adverse Effects. Animals (Basel) 2020; 10:E2398. [PMID: 33333890 PMCID: PMC7765311 DOI: 10.3390/ani10122398] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/12/2020] [Revised: 12/08/2020] [Accepted: 12/09/2020] [Indexed: 11/16/2022] Open
Abstract
Placentophagia is a common mammalian behavior, and the first scientific study of the potential effects of human maternal placentophagia on lactation was in 1917. More recently, in the 1970s, human placentophagia was reported in North America with a trend toward increased consumption. There are different hypotheses about the women and nonhuman mammals' motivation towards placentophagia, but few have been subject to hypotheses testing. In women, the controversy continues; on the one hand, researchers attribute benefits like increased breast milk, weight gain in newborns, decreased postpartum depression and fatigue, and improved mothers' mood. In contrast, bacterial or viral infections, hormonal, or trace elements that could become toxic for both the mother and baby are reported as possible health risks. Other reports argue a lack of scientific rigor to support the self-reported benefits of placentophagia. Also, the way the placenta is prepared (raw, cooked, dehydrated, processed, or encapsulated) alters its components, and thus the desired effects. This review provides relevant information and the different hypotheses and points of view around placentophagia. However, there are still questions to be resolved, and more studies are needed to confirm or reject the data generated so far about placentophagia in humans and nonhuman mammals.
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Affiliation(s)
- Daniel Mota-Rojas
- Neurophysiology, Behavior and Animal Welfare Assessment, DPAA, Universidad Autónoma Metropolitana (UAM), 04960 Mexico City, Mexico; (D.M.-R.); (Y.H.); (E.L.)
| | - Agustín Orihuela
- Facultad de Ciencias Agropecuarias, Universidad Autónoma del Estado de Morelos, Cuernavaca, 62209 Morelos, Mexico;
| | - Ana Strappini
- Animal Science Institute, Faculty of Veterinary Sciences, Universidad Austral de Chile, 5110566 Valdivia, Chile;
| | - Dina Villanueva-García
- Division of Neonatology, National Institute of Health Hospital Infantil de México Federico Gómez, 06720 Mexico City, Mexico;
| | - Fabio Napolitano
- Scuola di Scienze Agrarie, Forestali, Alimentari ed Ambientali, Università degli Studi della Basilicata, 85100 Potenza, Italy;
| | - Patricia Mora-Medina
- Livestock Science Department, Facultad de Estudios Superiores Cuautitlán, Universidad Nacional Autónoma de México (UNAM), 54714 Mexico City, Mexico;
| | - Hugo B. Barrios-García
- Graduate and Research Department, Faculty of Veterinary Medicine, Universidad Autónoma de Tamaulipas, Ciudad Victoria, 87000 Tamaulipas, Mexico;
| | - Yuridia Herrera
- Neurophysiology, Behavior and Animal Welfare Assessment, DPAA, Universidad Autónoma Metropolitana (UAM), 04960 Mexico City, Mexico; (D.M.-R.); (Y.H.); (E.L.)
| | - Eunice Lavalle
- Neurophysiology, Behavior and Animal Welfare Assessment, DPAA, Universidad Autónoma Metropolitana (UAM), 04960 Mexico City, Mexico; (D.M.-R.); (Y.H.); (E.L.)
| | - Julio Martínez-Burnes
- Graduate and Research Department, Faculty of Veterinary Medicine, Universidad Autónoma de Tamaulipas, Ciudad Victoria, 87000 Tamaulipas, Mexico;
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Elwood C, Money D, van Schalkwyk J, Pakzad Z, Bos H, Giesbrecht E. No. 378-Placentophagy. JOURNAL OF OBSTETRICS AND GYNAECOLOGY CANADA 2020; 41:679-682. [PMID: 31000150 DOI: 10.1016/j.jogc.2018.10.006] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Abstract
Consumption of human placenta has recently been highlighted; however, there is no evidence of benefit from its consumption. In addition, there is potential for harm. Therefore the SOGC does not recommend the practice of placentophagy.
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Botelle R, Willott C. Birth, attitudes and placentophagy: a thematic discourse analysis of discussions on UK parenting forums. BMC Pregnancy Childbirth 2020; 20:134. [PMID: 32138706 PMCID: PMC7059278 DOI: 10.1186/s12884-020-2824-3] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/17/2018] [Accepted: 02/19/2020] [Indexed: 11/10/2022] Open
Abstract
BACKGROUND The post-partum consumption of the placenta by the mother (placentophagy) has been practiced since the 1970s in the global North and is seemingly increasing in popularity. Maternal placentophagy is not known to have been practiced in any other time period or culture, despite being near-ubiquitous in other placental mammals. An in-depth qualitative exploration as to the reasons for the practice, its increasing popularity and how it is narratively incorporated into discourses surrounding "ideal" natural and medical births are given in this paper. METHODS 1752 posts from 956 users across 85 threads from the parenting forums Mumsnet and Netmums were identified for inclusion. A thematic discourse analysis was performed using NVivo. RESULTS Three main themes were identified: women recounted predominantly positive attitudes towards their own experiences of placentophagy, and they were respectful of others' views and experiences; some had negative views, particularly around the concept of disgust, but again, they were respectful of others' experiences. By far the most common method of consumption of the placenta was encapsulation. CONCLUSIONS This paper identifies the motivation for placentophagy to almost universally be for medical benefits, most commonly the prevention or treatment of post-natal depression (PND). Whilst disgust is a common reaction, discussion of risks is rare, and positive experiences outweigh negative ones. The increasing popularity of the practice is ascribed in part to the comparative palatability of encapsulation and the use of the internet to share resources and remove barriers. Parenting forums are important spaces to negotiate normative birth practices, including placentophagy, and act to build communities of women who value personal experience over medical evidence and highly value personal choice and bodily autonomy. Placentophagy is discussed in terms of its relation to natural and medical births with arguments being made using both discourses for and against the practice. This paper argues that placentophagy is practiced as a resistance to medicalisation as an assertion of control by the mother, whilst simultaneously being a medicalised phenomenon itself.
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Morris E, Slomp C, Hippman C, Inglis A, Carrion P, Batallones R, Andrighetti H, Austin J. A Matched Cohort Study of Postpartum Placentophagy in Women With a History of Mood Disorders: No Evidence for Impact on Mood, Energy, Vitamin B12 Levels, or Lactation. JOURNAL OF OBSTETRICS AND GYNAECOLOGY CANADA 2019; 41:1330-1337. [DOI: 10.1016/j.jogc.2019.02.004] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/28/2018] [Revised: 02/01/2019] [Accepted: 02/06/2019] [Indexed: 10/26/2022]
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No 378 – Placentophagie. JOURNAL OF OBSTETRICS AND GYNAECOLOGY CANADA 2019; 41:683-687. [DOI: 10.1016/j.jogc.2019.01.007] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
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Reed R, Gabriel L, Kearney L. Birthing the placenta: women's decisions and experiences. BMC Pregnancy Childbirth 2019; 19:140. [PMID: 31029115 PMCID: PMC6487060 DOI: 10.1186/s12884-019-2288-5] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/27/2018] [Accepted: 04/12/2019] [Indexed: 11/10/2022] Open
Abstract
BACKGROUND Previous research examining the birth of the placenta has focussed on quantitative outcomes comparing active and expectant (physiological) management. However, it is also important to understand women's experiences of birthing the placenta. METHODS The participant group consisted of 11 women who had expectant management, eight who had active management and one who was unsure. Participants were interviewed in-depth and the data analysed using thematic analysis. RESULTS Seven themes were identified in the data relating to before, during and after the birth of the placenta. Before birth themes focused on making decisions and included 'doing the research' and 'natural birth'. During the birth of the placenta themes were 'boundaries of time', 'focusing on baby' and 'sensations'. After the birth themes consisted of 'looking' and 'keeping'. CONCLUSION Most of the women considered a physiological birth of the placenta to be an intrinsic element of natural birth. Active management was considered to be an intervention used if complications occurred. In contrast, women who chose active management did not consider the placenta to be an important element of natural birth, and chose active management in order to prevent complications. Decisions about birthing the placenta were informed by Internet sources and previous personal experiences rather than care providers. During the birth of the placenta care providers managed the boundaries of time whilst women focused on their baby. The sensations women described were consistent across both types of management. Women valued seeing their placenta and having the opportunity to keep it, and placenta encapsulation was popular. The findings of this study contribute the experiences of women to the body of knowledge informing practice during the birth of the placenta.
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Affiliation(s)
- Rachel Reed
- School of Nursing, Midwifery and Paramedicine, University of the Sunshine Coast, Locked Bag 4, Maroochydore DC, Qld 4558 Australia
| | - Laura Gabriel
- School of Nursing, Midwifery and Paramedicine, University of the Sunshine Coast, Locked Bag 4, Maroochydore DC, Qld 4558 Australia
| | - Lauren Kearney
- School of Nursing, Midwifery and Paramedicine, University of the Sunshine Coast, Locked Bag 4, Maroochydore DC, Qld 4558 Australia
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Young SM, Gryder LK, Cross CL, Zava D, Norris W, Benyshek DC. Ingestion of Steamed and Dehydrated Placenta Capsules Does Not Affect Postpartum Plasma Prolactin Levels or Neonatal Weight Gain: Results from a Randomized, Double‐Bind, Placebo‐Controlled Pilot Study. J Midwifery Womens Health 2019; 64:443-450. [DOI: 10.1111/jmwh.12955] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/16/2018] [Revised: 12/10/2018] [Accepted: 12/11/2018] [Indexed: 12/11/2022]
Affiliation(s)
- Sharon M. Young
- Nutrition and Reproduction Lab, Department of AnthropologyUniversity of Nevada, Las Vegas Las Vegas Nevada
- Office of Undergraduate ResearchUniversity of Nevada, Las Vegas Las Vegas Nevada
| | - Laura K. Gryder
- Department of Surgery, School of MedicineUniversity of Nevada, Las Vegas Las Vegas Nevada
| | - Chad L. Cross
- Department of Environmental and Occupational HealthUniversity of Nevada, Las Vegas Las Vegas Nevada
- Department of Radiation Oncology, School of MedicineUniversity of Nevada, Las Vegas Las Vegas Nevada
| | | | | | - Daniel C. Benyshek
- Nutrition and Reproduction Lab, Department of AnthropologyUniversity of Nevada, Las Vegas Las Vegas Nevada
- School of MedicineUniversity of Nevada, Las Vegas Las Vegas Nevada
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16
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Benyshek DC, Cheyney MM, Bovbjerg ML. Reply to Farr et al. Letter (Benyshek et al.). Birth 2019; 46:202-204. [PMID: 30767305 DOI: 10.1111/birt.12381] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
Affiliation(s)
- Daniel C Benyshek
- Department of Anthropology, University of Nevada, Las Vegas, NV, USA
| | - Melissa M Cheyney
- Department of Anthropology, Oregon State University, Corvallis, OR, USA
| | - Marit L Bovbjerg
- College of Public Health and Human Sciences, Oregon State University, Corvallis, OR, USA
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Benyshek DC, Cheyney M, Brown J, Bovbjerg ML. Placentophagy among women planning community births in the United States: Frequency, rationale, and associated neonatal outcomes. Birth 2018; 45:459-468. [PMID: 29722066 DOI: 10.1111/birt.12354] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 01/03/2018] [Revised: 03/18/2018] [Accepted: 03/18/2018] [Indexed: 11/28/2022]
Abstract
BACKGROUND Limited systematic research on maternal placentophagy is available to maternity care providers whose clients/patients may be considering this increasingly popular practice. Our purpose was to characterize the practice of placentophagy and its attendant neonatal outcomes among a large sample of women in the United States. METHODS We used a medical records-based data set (n = 23 242) containing pregnancy, birth, and postpartum information for women who planned community births. We used logistic regression to determine demographic and clinical predictors of placentophagy. Finally, we compared neonatal outcomes (hospitalization, neonatal intensive unit admission, or neonatal death in the first 6 weeks) between placenta consumers and nonconsumers, and participants who consumed placenta raw vs cooked. RESULTS Nearly one-third (30.8%) of women consumed their placenta. Consumers were more likely to have reported pregravid anxiety or depression compared with nonconsumers. Most (85.3%) placentophagic mothers consumed their placentas in encapsulated form, and nearly half (48.4%) consumed capsules containing dehydrated, uncooked placenta. Placentophagy was not associated with any adverse neonatal outcomes. Women with home births were more likely to engage in placentophagy than women with birth center births. The most common reason given (73.1%) for engaging in placentophagy was to prevent postpartum depression. [Corrections added on 16 May 2018, after first online publication: The percentage values in the Results sections were updated.] CONCLUSIONS: The majority of women consumed their placentas in uncooked/encapsulated form and hoping to avoid postpartum depression, although no evidence currently exists to support this strategy. Preparation technique (cooked vs uncooked) did not influence adverse neonatal outcomes. Maternity care providers should discuss the range of options available to prevent/treat postpartum depression, in addition to current evidence with respect to the safety of placentophagy.
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Affiliation(s)
- Daniel C Benyshek
- Department of Anthropology, University of Nevada, Las Vegas, NV, USA
| | - Melissa Cheyney
- Department of Anthropology, Oregon State University, Corvallis, OR, USA
| | - Jennifer Brown
- College of Agricultural and Environmental Sciences, University of California, Davis, CA, USA
| | - Marit L Bovbjerg
- College of Public Health and Human Sciences, Oregon State University, Corvallis, OR, USA
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Compaoré A, Dierickx S, Jaiteh F, Nahum A, Bohissou TFE, Tinto H, Scott S, D'Alessandro U, Schallig H, Grietens KP. Fear and rumours regarding placental biopsies in a malaria-in-pregnancy trial in Benin. Malar J 2018; 17:425. [PMID: 30442132 PMCID: PMC6238265 DOI: 10.1186/s12936-018-2578-9] [Citation(s) in RCA: 15] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/27/2018] [Accepted: 11/09/2018] [Indexed: 05/30/2023] Open
Abstract
Background A multi-country, community-based trial on scheduled screening and treatment for malaria in pregnancy was conducted in Benin, The Gambia and Burkina Faso. Despite standardized procedures and outcomes, the study became subject to rumours and accusations of placenta being sold for mystical and financial gain by trial staff, leading to drop-out rates of 30% and the consequent halting of placental biopsy sampling in Benin. This paper explores the role of socio-cultural beliefs related to placenta and identified additional factors contributing these rumours. Methods A qualitative comparative emergent-theory design was used to assess social factors related to trial implementation and uptake in the three countries. Data from participant observation, informal conversations, group discussions and interviews were triangulated and analysed with NVivo Qualitative Analysis software. Results Despite similar sociocultural beliefs about the sacred nature of the placenta in all three study countries, these beliefs did not affect participation rates in Burkina Faso and The Gambia and placenta-related rumours only emerged in Benin. Therefore, the presence of beliefs is not a sufficient condition to have generated placenta-selling fears. The rumours in Benin reflected the confluence of placenta-related beliefs and factors related to the implementation of the trial (including a catalysing adverse event and miscommunication during the informed consent procedure). Furthermore, distinct socio-political factors contributed to the emergence of rumours, including the historical distrust in governmental organizations and the tense relationship between some of the actors involved in the trial. Conclusion Transdisciplinary social science research designs should accompany the implementation of the trial. The integration of multiple stakeholders’ knowledge and involvement is required to define and solve upcoming barriers.
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Affiliation(s)
- Adélaïde Compaoré
- Clinical Research Unit of Nanoro, Institut de Recherche en Sciences de la Santé, Nanoro, Burkina Faso.
| | - Susan Dierickx
- Medical Anthropology Unit, Department of Public Health, Institute of Tropical Medicine, Antwerp, Belgium.,Centre of Expertise on Gender, Diversity and Intersectionality (RHEA), Vrije Universiteit Brussel, Pleinlaan 2, 1050, Brussels, Belgium.,Centre for Research on Culture and Gender, Ghent University, Rozier 44, 9000, Ghent, Belgium
| | - Fatou Jaiteh
- Medical Anthropology Unit, Department of Public Health, Institute of Tropical Medicine, Antwerp, Belgium.,Amsterdam Institute of Social Science Research, Amsterdam, The Netherlands.,Medical Research Council Unit The Gambia at London, School of Tropical Medicine and Hygiene, Fajara, The Gambia
| | - Alain Nahum
- Centre de Recherches Entomologiques de Cotonou, Cotonou, Benin
| | | | - Halidou Tinto
- Clinical Research Unit of Nanoro, Institut de Recherche en Sciences de la Santé, Nanoro, Burkina Faso
| | - Susana Scott
- Medical Research Council Unit The Gambia at London, School of Tropical Medicine and Hygiene, Fajara, The Gambia.,London School of Tropical Medicine and Hygiene, London, UK
| | - Umberto D'Alessandro
- Medical Research Council Unit The Gambia at London, School of Tropical Medicine and Hygiene, Fajara, The Gambia
| | - Henk Schallig
- Department of Medical Microbiology-Parasitology Unit, Academic Medical Centre, Amsterdam, 1105, AZ, The Netherlands
| | - Koen Peeters Grietens
- Medical Anthropology Unit, Department of Public Health, Institute of Tropical Medicine, Antwerp, Belgium.,Amsterdam Institute of Social Science Research, Amsterdam, The Netherlands.,Partners for Applied Social Sciences (PASS) International, Tessenderlo, Belgium.,School of Tropical Medicine and Global Health, Nagasaki University, Nagasaki, Japan
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Johnson SK, Pastuschek J, Rödel J, Markert UR, Groten T. Placenta - Worth Trying? Human Maternal Placentophagia: Possible Benefit and Potential Risks. Geburtshilfe Frauenheilkd 2018; 78:846-852. [PMID: 30258243 PMCID: PMC6138470 DOI: 10.1055/a-0674-6275] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/24/2018] [Revised: 08/07/2018] [Accepted: 08/09/2018] [Indexed: 01/12/2023] Open
Abstract
The use of placenta preparations as an individual puerperal remedy can be traced back to historical, traditional practices in Western and Asian medicine. To evaluate the ingestion of processed placenta as a puerperal remedy, the potential risks (trace elements, microorganisms) and possible benefit (hormones in the placental tissue) of such a practice are discussed in this article based on a literature review.
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Affiliation(s)
- Sophia K Johnson
- Plazenta-Labor, Klinik für Geburtsmedizin, Universitätsklinikum Jena, Jena, Germany
| | - Jana Pastuschek
- Plazenta-Labor, Klinik für Geburtsmedizin, Universitätsklinikum Jena, Jena, Germany
| | - Jürgen Rödel
- Institut für klinische Mikrobiologie, Universitätsklinikum Jena, Jena, Germany
| | - Udo R Markert
- Plazenta-Labor, Klinik für Geburtsmedizin, Universitätsklinikum Jena, Jena, Germany
| | - Tanja Groten
- Plazenta-Labor, Klinik für Geburtsmedizin, Universitätsklinikum Jena, Jena, Germany
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Young SM, Gryder LK, Cross C, Zava D, Kimball DW, Benyshek DC. Placentophagy’s effects on mood, bonding, and fatigue: A pilot trial, part 2. Women Birth 2018; 31:e258-e271. [DOI: 10.1016/j.wombi.2017.11.004] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/11/2017] [Revised: 10/04/2017] [Accepted: 11/04/2017] [Indexed: 10/18/2022]
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Young SM, Gryder LK, Cross C, Zava D, Kimball DW, Benyshek DC. Effects of placentophagy on maternal salivary hormones: A pilot trial, part 1. Women Birth 2018; 31:e245-e257. [DOI: 10.1016/j.wombi.2017.09.023] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/11/2017] [Revised: 09/19/2017] [Accepted: 09/25/2017] [Indexed: 10/18/2022]
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Human placentophagy: Effects of dehydration and steaming on hormones, metals and bacteria in placental tissue. Placenta 2018; 67:8-14. [DOI: 10.1016/j.placenta.2018.05.006] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 11/10/2017] [Revised: 05/09/2018] [Accepted: 05/11/2018] [Indexed: 01/26/2023]
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25
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Human placentophagy: a review. Am J Obstet Gynecol 2018; 218:401.e1-401.e11. [PMID: 28859955 DOI: 10.1016/j.ajog.2017.08.016] [Citation(s) in RCA: 24] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/29/2017] [Revised: 08/03/2017] [Accepted: 08/16/2017] [Indexed: 01/12/2023]
Abstract
Placentophagy or placentophagia, the postpartum ingestion of the placenta, is widespread among mammals; however, no contemporary human culture incorporates eating placenta postpartum as part of its traditions. At present, there is an increasing interest in placentophagy among postpartum women, especially in the United States. The placenta can be eaten raw, cooked, roasted, dehydrated, or encapsulated or through smoothies and tinctures. The most frequently used preparation appears to be placenta encapsulation after steaming and dehydration. Numerous companies offer to prepare the placenta for consumption, although the evidence for positive effects of human placentophagy is anecdotal and limited to self-reported surveys. Without any scientific evidence, individuals promoting placentophagy, especially in the form of placenta encapsulation, claim that it is associated with certain physical and psychosocial benefits. We found that there is no scientific evidence of any clinical benefit of placentophagy among humans, and no placental nutrients and hormones are retained in sufficient amounts after placenta encapsulation to be potentially helpful to the mother postpartum. In contrast to the belief of clinical benefits associated with human placentophagy, the Centers for Disease Control and Prevention recently issued a warning due to a case in which a newborn infant developed recurrent neonatal group B Streptococcus sepsis after the mother ingested contaminated placenta capsules containing Streptococcus agalactiae. The Centers for Disease Control and Prevention recommended that the intake of placenta capsules should be avoided owing to inadequate eradication of infectious pathogens during the encapsulation process. Therefore, in response to a woman who expresses an interest in placentophagy, physicians should inform her about the reported risks and the absence of clinical benefits associated with the ingestion. In addition, clinicians should inquire regarding a history of placenta ingestion in cases of postpartum maternal or neonatal infections such as group B Streptococcus sepsis. In conclusion, there is no professional responsibility on clinicians to offer placentophagy to pregnant women. Moreover, because placentophagy is potentially harmful with no documented benefit, counseling women should be directive: physicians should discourage this practice. Health care organizations should develop clear clinical guidelines to implement a scientific and professional approach to human placentophagy.
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Placentophagia: Revolution in Postpartum Medicine, or Just a Trend? JOURNAL OF OBSTETRICS AND GYNAECOLOGY CANADA 2017; 40:286. [PMID: 29248357 DOI: 10.1016/j.jogc.2017.10.009] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/07/2017] [Accepted: 10/10/2017] [Indexed: 11/22/2022]
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27
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Chang S, Lodico L, Williams Z. Nutritional composition and heavy metal content of the human placenta. Placenta 2017; 60:100-102. [DOI: 10.1016/j.placenta.2017.07.013] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 04/07/2017] [Revised: 07/17/2017] [Accepted: 07/19/2017] [Indexed: 11/29/2022]
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Latendresse G, Founds S. The Fascinating and Complex Role of the Placenta in Pregnancy and Fetal Well-being. J Midwifery Womens Health 2016; 60:360-70. [PMID: 26255798 DOI: 10.1111/jmwh.12344] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/04/2023]
Abstract
Existing evidence implicates the placenta as the origin of some common pregnancy complications. Moreover, some maternal conditions, such as inadequate nutrition, diabetes, and obesity, are known to adversely affect placental function, with subsequent negative impact on the fetus and newborn. The placenta may also contribute to fetal programming with health consequences into adulthood, such as cardiovascular, metabolic, and mental health disorders. There is evidence that altered placental development, specifically impaired trophoblast invasion and spiral artery remodeling in the first trimester, is the origin of preeclampsia. Prenatal care providers who understand the relationships between placental health and maternal-newborn health can better inform and guide women to optimize health early in pregnancy and prior to conception. This article reviews the current understanding of placental function; placental contributions to normal fetal brain development and timing of birth; and impact of maternal nutrition, obesity, and diabetes on the placenta.
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Schuette SA, Brown KM, Cuthbert DA, Coyle CW, Wisner KL, Hoffman MC, Yang A, Ciolino JD, Newmark RL, Clark CT. Perspectives from Patients and Healthcare Providers on the Practice of Maternal Placentophagy. J Altern Complement Med 2016; 23:60-67. [PMID: 27854131 DOI: 10.1089/acm.2016.0147] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/12/2022] Open
Abstract
PURPOSE Placentophagy (maternal consumption of the placenta) has become increasingly prevalent in the past decade among women seeking to promote health and healing during the postpartum period. The purpose of this study was to assess patient and provider familiarity with and attitudes toward placentophagy, as well as patients' willingness to try placentophagy. METHODS Two cross-sectional surveys with questions regarding placentophagy practice were distributed to healthcare providers and patients. The provider survey was distributed via email listservers to international perinatal professional organizations and to obstetrics and gynecology, nurse midwifery, family medicine, and psychiatry departments at three urban hospitals. Patient surveys were administered in person at an urban hospital in Chicago, Illinois. RESULTS Approximately two thirds (66%; n = 100) of patients and most (89%; n = 161) of providers were familiar with placentophagy. Patients with a history of a self-reported mental health disorder were more likely to be willing to consider placentophagy and to believe that healthcare providers should discuss it with their patients. CONCLUSIONS Most providers and patients have heard of placentophagy but are unsure of its benefits and/or risks. Further research examining the potential therapeutic efficacy and/or risks of placentophagy is needed.
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Affiliation(s)
- Stephanie A Schuette
- 1 Department of Medical Social Sciences, Northwestern University Feinberg School of Medicine , Chicago, IL
| | - Kara M Brown
- 2 Department of Psychiatry, Brigham and Women's Hospital , Chestnut Hill, MA
| | - Danielle A Cuthbert
- 3 Department of Psychiatry and Behavioral Sciences, Northwestern University Feinberg School of Medicine , Chicago, IL.,4 Asher Center for the Study and Treatment of Depressive Disorders, Northwestern University Feinberg School of Medicine , Chicago, IL
| | - Cynthia W Coyle
- 3 Department of Psychiatry and Behavioral Sciences, Northwestern University Feinberg School of Medicine , Chicago, IL.,4 Asher Center for the Study and Treatment of Depressive Disorders, Northwestern University Feinberg School of Medicine , Chicago, IL
| | - Katherine L Wisner
- 3 Department of Psychiatry and Behavioral Sciences, Northwestern University Feinberg School of Medicine , Chicago, IL.,4 Asher Center for the Study and Treatment of Depressive Disorders, Northwestern University Feinberg School of Medicine , Chicago, IL
| | - M Camille Hoffman
- 5 Departments of Obstetrics and Gynecology and Psychiatry, University of Colorado School of Medicine , Denver Health Medical Center, Denver, CO
| | - Amy Yang
- 6 Department of Preventive Medicine, Northwestern University Feinberg School of Medicine , Chicago, IL
| | - Jody D Ciolino
- 6 Department of Preventive Medicine, Northwestern University Feinberg School of Medicine , Chicago, IL
| | - Rebecca L Newmark
- 3 Department of Psychiatry and Behavioral Sciences, Northwestern University Feinberg School of Medicine , Chicago, IL.,4 Asher Center for the Study and Treatment of Depressive Disorders, Northwestern University Feinberg School of Medicine , Chicago, IL
| | - Crystal T Clark
- 3 Department of Psychiatry and Behavioral Sciences, Northwestern University Feinberg School of Medicine , Chicago, IL.,4 Asher Center for the Study and Treatment of Depressive Disorders, Northwestern University Feinberg School of Medicine , Chicago, IL
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Gryder LK, Young SM, Zava D, Norris W, Cross CL, Benyshek DC. Effects of Human Maternal Placentophagy on Maternal Postpartum Iron Status: A Randomized, Double‐Blind, Placebo‐Controlled Pilot Study. J Midwifery Womens Health 2016; 62:68-79. [DOI: 10.1111/jmwh.12549] [Citation(s) in RCA: 21] [Impact Index Per Article: 2.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/03/2023]
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Joseph R, Giovinazzo M, Brown M. A Literature Review on the Practice of Placentophagia. Nurs Womens Health 2016; 20:476-483. [PMID: 27719777 DOI: 10.1016/j.nwh.2016.08.005] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/27/2016] [Revised: 06/08/2016] [Indexed: 06/06/2023]
Abstract
Placentophagia (consuming the placenta) has historically not been a common practice among humans. Over the past few decades the practice has gained attention as more women, particularly educated, middle-class, White American women, choose to partake in this practice. Purported benefits of placentophagia include pain relief, increased breast milk production, and decreased risk of postpartum depression; however, there is a lack of evidence to support these claims. The placenta can be consumed raw, cooked, or encapsulated; it can be used for keepsakes; or it can be used to make topical applications such as dermatologic creams and hair-growth products. Placentophagia has typically been viewed as a personal choice, resulting in little rigorous scientific research on the topic. More research is necessary to determine if the purported health benefits of placentophagia are proven.
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Human placenta processed for encapsulation contains modest concentrations of 14 trace minerals and elements. Nutr Res 2016; 36:872-8. [DOI: 10.1016/j.nutres.2016.04.005] [Citation(s) in RCA: 24] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/28/2016] [Revised: 04/13/2016] [Accepted: 04/18/2016] [Indexed: 11/16/2022]
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Young SM, Gryder LK, Zava D, Kimball DW, Benyshek DC. Presence and concentration of 17 hormones in human placenta processed for encapsulation and consumption. Placenta 2016; 43:86-9. [PMID: 27324105 DOI: 10.1016/j.placenta.2016.05.005] [Citation(s) in RCA: 19] [Impact Index Per Article: 2.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 03/15/2016] [Revised: 04/26/2016] [Accepted: 05/09/2016] [Indexed: 12/29/2022]
Abstract
Human maternal placentophagy is a rare but growing practice in several industrialized countries among postpartum mothers seeking a variety of purported health benefits attributed to the practice. These postpartum mothers typically consume their placenta as a processed, encapsulated supplement. To determine whether free (unconjugated) steroid hormones and melatonin in placenta can survive the encapsulation process (namely steaming and dehydration), we analyzed 28 placenta samples processed for encapsulation using liquid chromatography tandem-mass spectrometry (LC-MS/MS) to evaluate the concentration of 17 hormones. The results revealed detectable concentrations for 16 of the hormones analyzed, some in concentrations that could conceivably yield physiological effects.
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Affiliation(s)
- Sharon M Young
- Metabolism, Anthropometry and Nutrition Laboratory, Department of Anthropology, University of Nevada, Las Vegas, 4505 S. Maryland Pkwy, Box 455003, Las Vegas, NV, 89154-5003, USA.
| | - Laura K Gryder
- Metabolism, Anthropometry and Nutrition Laboratory, Department of Anthropology, University of Nevada, Las Vegas, 4505 S. Maryland Pkwy, Box 455003, Las Vegas, NV, 89154-5003, USA; School of Community Health Sciences, University of Nevada, Las Vegas, 4505 S. Maryland Pkwy, Box 453063, Las Vegas, NV, 89154-3063, USA.
| | - David Zava
- ZRT Laboratory, 8605 SW Creekside Place, Beaverton, OR, USA.
| | - David W Kimball
- ZRT Laboratory, 8605 SW Creekside Place, Beaverton, OR, USA.
| | - Daniel C Benyshek
- Metabolism, Anthropometry and Nutrition Laboratory, Department of Anthropology, University of Nevada, Las Vegas, 4505 S. Maryland Pkwy, Box 455003, Las Vegas, NV, 89154-5003, USA.
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Hayes EH. Consumption of the Placenta in the Postpartum Period. J Obstet Gynecol Neonatal Nurs 2016; 45:78-89. [DOI: 10.1016/j.jogn.2015.10.008] [Citation(s) in RCA: 15] [Impact Index Per Article: 1.9] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 10/01/2015] [Indexed: 12/12/2022] Open
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Abstract
Postpartum women are consuming their placentas encapsulated, cooked, and raw for the prevention of postpartum depression (PPD), pain relief, and other health benefits. Placentophagy is supported by health advocates who assert that the placenta retains hormones and nutrients that are beneficial to the mother. A computerized search was conducted using PubMed, Medline Ovid, and PsychINFO between January 1950 and January 2014. Keywords included placentophagy, placentophagia, maternal placentophagia, maternal placentophagy, human placentophagia, and human placentophagy. A total of 49 articles were identified. Empirical studies of human or animal consumption of human placentas were included. Editorial commentaries were excluded. Animal placentophagy studies were chosen based on their relevance to human practice. Ten articles (four human, six animal) were selected for inclusion. A minority of women in developed countries perceive placentophagy to reduce PPD risk and enhance recovery. Experimental animal research in support of pain reduction has not been applied in humans. Studies investigating placenta consumption for facilitating uterine contraction, resumption of normal cyclic estrogen cycle, and milk production are inconclusive. The health benefits and risks of placentophagy require further investigation of the retained contents of raw, cooked, and encapsulated placenta and its effects on the postpartum woman.
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Marraccini ME, Gorman KS. Exploring Placentophagy in Humans: Problems and Recommendations. J Midwifery Womens Health 2015; 60:371-9. [DOI: 10.1111/jmwh.12309] [Citation(s) in RCA: 15] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/01/2022]
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Yoshizawa RS, Osis MJD, Nascimento SL, Bento SF, Godoy AC, Coelho S, Cecatti JG. Postpartum Women's Perspectives on the Donation of Placentas for Scientific Research in Campinas, Brazil. J Empir Res Hum Res Ethics 2014; 10:76-87. [PMID: 25742669 DOI: 10.1177/1556264614559889] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
Abstract
Little is known about public perspectives of scientific and therapeutic uses of placentas. Gaps in knowledge potentiate ethical and clinical problems regarding collection and applications. As such, this study sought to assess the perspectives of placenta donation of a sample of women. Postpartum women's perspectives on placental donation were assessed at the State University of Campinas in the Centro de Atençäo Integral a Saúde da Mulher (CAISM) maternity hospital using a cross-sectional survey (n = 384) and semi-structured interviews (n = 12). Surveys were analyzed quantitatively and interviews were analyzed qualitatively using grounded coding; results were compared. The average age of respondents was 27. Fifty-six percent had more than one child, 45% were Caucasian, 38% were mixed-race, 74% identified with a Christian faith, 52% had high school education or higher, 13% regarded the placenta as spiritually important, 72% felt that knowing what happens to the placenta after birth was somewhat or very important, 78% supported the use of the placenta in research and medicine, 59% reported that consent to collect the placenta was very or somewhat important, 78% preferred their doctor to invite donation, and only 7% preferred the researcher to invite donation. Interviews suggested women appreciate being part of research and that receiving information about studies was important to them. Informed by these results, we argue that women support scientific and therapeutic uses of placentas, want to be included in decision making, and desire information about the placenta. Placentas should not be viewed as "throwaway" organs that are poised for collection without the involvement and permission of women. Women want to be meaningfully included in research processes.
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Affiliation(s)
| | | | | | | | | | - Suelene Coelho
- State University of Campinas, State of Sao Paulo, Brazil
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Józsa L. [The placentophagy today]. Orv Hetil 2014; 155:1207-9. [PMID: 25063704 DOI: 10.1556/oh.2014.ho2489] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/19/2022]
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Benyshek DC. The “early life” origins of obesity-related health disorders: New discoveries regarding the intergenerational transmission of developmentally programmed traits in the global cardiometabolic health crisis. AMERICAN JOURNAL OF PHYSICAL ANTHROPOLOGY 2013; 152 Suppl 57:79-93. [DOI: 10.1002/ajpa.22393] [Citation(s) in RCA: 41] [Impact Index Per Article: 3.7] [Reference Citation Analysis] [Track Full Text] [Subscribe] [Scholar Register] [Received: 06/22/2013] [Accepted: 09/17/2013] [Indexed: 12/21/2022]
Affiliation(s)
- Daniel C. Benyshek
- Department of Anthropology, University of Nevada; Las Vegas Las Vegas, NV 89154-5003
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