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PICA When pregnancy cravings get unhealthy

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Pregnancy and cravings go together like bread and butter. Often times, most cravings are harmless with the exception of a slightly higher reading on the weighing scale, which is bound to happen anyway! However, there are some cravings that may set your pregnancy back a whole lot due to their non-nutritive nature. Here’s the lowdown on unhealthy pregnancy cravings and how to deal with them.

Pica – an eating disorder characterised by persistent eating of substances that have no nutritional value such as dirt or rocks – is common in pregnancy. According to experts, the entire reason behind it remains unknown. Pica is derived from the Latin word for magpie, a bird characterised by its ability to eat not just unusual things, but also just about anything.

Doctors have long speculated that it may have to do with the body demanding supply of some nutrients, mostly minerals, which it may be missing. For instance, the love of ice-cubes has been linked to iron deficiency even though ice-cubes do not contain any iron. Hunger, malnutrition and stress have also been linked to pica. Women who have access to all the right nutrients have also been known to suffer from pica hence the mystery behind its cause.

The pica cravings range from the mundane such as chalk, rocks or clay to the absurd and dangerous such as the consumption of washing powder, bleach, paint and so on. Some common pica cravings and their associated deficiencies include:

Chalk, talcum powder, ice-cubes and baking soda: These cravings are mostly associated with low iron levels. However, to establish the cause, one has to undergo a blood test. Ice-cubes are not necessarily bad but they may give your teeth a beating and exacerbate an existing cold or flu.

Charcoal and ash: Such cravings are associated with low potassium levels but a blood test would be the best way to determine the precise deficiency. While charcoal is not considered too deadly a craving (it was used as medicine for flatulence and bloating in ancient days), consuming it in large doses can lead to disruption of normal nutrient absorption. There are, however, some shops that stock charcoal that is fit for human consumption. It’s best to check with an organics shop or retailer.  Avoid your regular run-of-the-mill charcoal from your grocery vendor.

Paint, glue, detergents and washing powder: These cravings are not necessarily caused by dietary deficiencies; they have been associated with stress and psychological problems. Unfortunately, this group of craving is toxic so steer clear of it. Inhaling solvents can also lead to addiction. Consult a doctor or a specialist in case your cravings fall in this group.

Mud, clay and dirt: This group of craving is associated with deficiency of iron or trace minerals such as selenium, zinc and so on.  Your doctor will probably recommend a supplement but in the event the craving persists, try supplementing dirt with stone ground flour or charcoal powder (fit for human consumption) but in moderation. You can also counter it with a better balanced diet.

Risks associated with pica…

To begin with, the body does not need non-nutritional substances and herein lies the harmful nature of pica. Some substances, however, may be toxic or have parasitic ingredients such as bleach, paint or solvents. Others, such as charcoal, can cause problems with nutrient absorption. This in turn only propagates the same or an entirely new deficiency, which could prove detrimental to the pregnancy.

Managing pica…

While pica has been known to persist even with medical interventions (and even in the post-natal stage), keep your doctor, obstetrician or gynaecologist in the know for better management interventions. Review your pre and post-natal charts with every visit to the doctor so as to be up to speed in the event something is amiss.

Monitor your diet and ensure that it is as balanced as possible. Additionally, consider supplementing the unhealthy cravings with alternative items, as sometimes it is a question of texture, colour or smell, as opposed to the taste of that particular substance or a nutritional deficiency. Try to maintain as minimal stress levels as possible and talk to a counsellor or a therapist if and when necessary.

Published March 2017…

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Cover Story

Elizabeth Nzisa: The Firstborn Who Became a Mother Overnight

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While most teenagers spend their days focused on school, friendships, and dreams for the future, Elizabeth Nzisa, fondly known as Shiku, was forced to grow up much faster than she ever imagined. At only 17 years old, she found herself taking on the role of a mother to her three younger siblings after her family was hit by tragedy not once, but twice.

Her story, shared in an emotional interview, is a powerful reflection of strength, sacrifice and the deep bond between siblings. Elizabeth recalls the moment her life changed completely. Her mother died while giving birth to their youngest sibling, a baby boy. In the middle of that painful loss, their father walked away from the family, leaving Elizabeth alone with a newborn and two other young children to care for.

Mama yetu alipass 2024, Feb. Alipass akipata haka katoto kadogo. Dad naye akatuacha akaenda

 

Becoming a Mother Too Soon

She explains that she had no choice but to step up and become the parent in the house. She raised her youngest brother from the day he was born, and to this day he calls her mum, not knowing she is actually his big sister. That detail alone shows how much responsibility she carried at such a young age. She became the provider, the protector, the caregiver, and the emotional support for her siblings while she was still trying to understand life herself. With little help from relatives, Elizabeth had to find ways to survive, balancing school when she could, doing small jobs and making sure her siblings were fed, safe and loved.

The journey was not easy. She faced financial struggles, emotional exhaustion, and the pressure of trying to stay strong even when she felt overwhelmed. There were moments when she doubted herself and wondered if she was doing enough. Still, her story is not about defeat. It is about endurance. Elizabeth talks about finding strength through faith, support from the people around her, and the determination to keep her family together no matter how hard things became.

Over the years, she made sure her siblings stayed in school, had food on the table, and grew up feeling loved despite everything they had lost. What could have been a completely broken home became a family held together by her sacrifice and commitment.

Many viewers reacted emotionally, saying the story moved them to tears. Some described firstborn daughters as second mothers, while others said her life shows the kind of courage people rarely see but should never forget.

 

Click here to read our March issue 2026

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Cover Story

Elizabeth Nzisa: The Firstborn Who Became a Mother Overnight

Published

on

While most teenagers spend their days focused on school, friendships, and dreams for the future, Elizabeth Nzisa, fondly known as Shiku, was forced to grow up much faster than she ever imagined. At only 17 years old, she found herself taking on the role of a mother to her three younger siblings after her family was hit by tragedy not once, but twice.

Her story, shared in an emotional interview, is a powerful reflection of strength, sacrifice and the deep bond between siblings. Elizabeth recalls the moment her life changed completely. Her mother died while giving birth to their youngest sibling, a baby boy. In the middle of that painful loss, their father walked away from the family, leaving Elizabeth alone with a newborn and two other young children to care for.

Mama yetu alipass 2024, Feb. Alipass akipata haka katoto kadogo. Dad naye akatuacha akaenda

 

Becoming a Mother Too Soon

She explains that she had no choice but to step up and become the parent in the house. She raised her youngest brother from the day he was born, and to this day he calls her mum, not knowing she is actually his big sister. That detail alone shows how much responsibility she carried at such a young age. She became the provider, the protector, the caregiver, and the emotional support for her siblings while she was still trying to understand life herself. With little help from relatives, Elizabeth had to find ways to survive, balancing school when she could, doing small jobs and making sure her siblings were fed, safe and loved.

The journey was not easy. She faced financial struggles, emotional exhaustion, and the pressure of trying to stay strong even when she felt overwhelmed. There were moments when she doubted herself and wondered if she was doing enough. Still, her story is not about defeat. It is about endurance. Elizabeth talks about finding strength through faith, support from the people around her, and the determination to keep her family together no matter how hard things became.

Over the years, she made sure her siblings stayed in school, had food on the table, and grew up feeling loved despite everything they had lost. What could have been a completely broken home became a family held together by her sacrifice and commitment.

Many viewers reacted emotionally, saying the story moved them to tears. Some described firstborn daughters as second mothers, while others said her life shows the kind of courage people rarely see but should never forget.

 

Click here to read our March issue 2026

Continue Reading

Cover Story

Endometriosis and sex: How to make intimacy pain-free

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There is no doubt that endometriosis can affect a woman’s way of life. The condition slews a couple of conditions, painful sex being one of them. Penetration pulls and pushes any tissue growth behind the vagina and lower uterus.

Although symptoms may differ from woman to woman, here are some things you can do to lessen your pain and ensure you have some good time:

Take a dose of painkillers

Take an over the counter painkiller that sits well with your body before intercourse and incase pain persists, take another one as prescribed.

Track your cycle and try at certain times of the month

Most women with endometriosis experience excruciating pain during their period and ovulation. Keep track of your cycle so that you can know when you are ovulating. You can use apps like my calendar and flo period tracker to track your periods. This will help you know when best to engage in sexual intercourse.

READ ALSO: Crucial Facts About Endometriosis Everyone Should Know About

Use lube

Vaginal dryness is not something to be ashamed of and if you happen to have it, lube should be your best buddy. Make sure to use any silicon or water based lubricant anytime you feel like your vagina is dry. Ensure the application is of good amount to achieve a wet area.

Explore alternatives

Talk with your partner about things that turn you on and bring you pleasure. Just to mention a few; mutual masturbation, foreplay, kissing and mutual fondling. Sex does not have to mean intercourse.

Try different positions

Experimenting different positions can teach you and your partner which ones hurt and the ones that bring direct pleasure with no or less pain. Positions that are considered better vary from person to person so take the time to explore and learn yourself with your partner.

Find the right rhythm

Finding the right rhythm can help you experience less discomfort during sex. Quick thrusting or deep penetration can aggravate pain. Talk to your partner about that which you do not like and find ways that will satisfy the both of you like exchanging positions so that you can control the speed and rhythm.

Bottom line

Intimacy does not have to be boring, painful or make you hate the condition that you have. Talk openly about your feelings around sex and penetration and what would help to ease your concerns.

Our FREE  e-paper March Issue is here!
As we celebrate our women this month, we bring you the best stories and the most inspiring features to get you going.
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