Journal article

Determining effects of areca (betel) nut chewing in a prospective cohort of pregnant women in Madang Province, Papua New Guinea

Maria Ome-Kaius, Holger W Unger, Dupain Singirok, Regina A Wangnapi, Sarah Hanieh, Alexandra J Umbers, Julie Elizah, Peter Siba, Ivo Mueller, Stephen J Rogerson

BMC PREGNANCY AND CHILDBIRTH | BIOMED CENTRAL LTD | Published : 2015

Abstract

BACKGROUND: Chewing areca nut (AN), also known as betel nut, is common in Asia and the South Pacific and the habit has been linked to a number of serious health problems including oral cancer. Use of AN in pregnancy has been associated with a reduction in mean birthweight in some studies, but this association and the relationship between AN chewing and other adverse pregnancy outcomes remain poorly understood. METHODS: We assessed the impact of AN chewing on adverse outcomes including stillbirth, low birthweight (LBW, <2,500 g) and anaemia at delivery (haemoglobin <11.0 g/dL) in a longitudinal cohort of 2,700 pregnant women residing in rural lowland Papua New Guinea (PNG) from November 2009 ..

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