Placentophagy, also known as placentophagia, is the act of consuming part or all of the afterbirth following parturition in mammals. [1] Parturition involves the delivery of the neonate, as well as the placenta and fetal membranes. [2] The placenta is a critical organ that develops in the maternal uterus during pregnancy to support the fetus. It connects to the fetus via the umbilical cord in order to allow nutrient transport, waste excretion and gas exchange between mother and fetus. [2] The morphological features of the placenta differ among species, but the function is universal. The behaviour is characteristic to the mother of the majority of placental mammals. [1] Significant documentation has been provided on placentophagy in a range of animals.
Anomalies generally include humans and aquatic species, as well as camels. [2] However, the concept is becoming more popular among women in the West, despite its controversial overtone. [1]
Theories as to why mammals engage in placentophagy are related to the many proposed benefits of placental consumption. These vary between animals but tend to be behavioural, medical or spiritual in nature. [2] [3] [4]
Placentophagy is a normality in most members of the taxonomic group Eutheria. It has been observed in animals ranging from rodents to primates, and even in some instances humans. The most extensive study has been on animals in orders Rodentia, Chiroptera, Lagomorpha, Carnivora, Perissodactyla, Artiodactyla, and Primates. [2] Exceptions to the ubiquitous behaviour in mammals can be seen in humans, sea mammals and camelids. It is suggested that the portion of marine species that do not practice placentophagy are ones that deliver their offspring in the water because beneficial components are dispersed upon expulsion from the mother, and that the domestication of camelids has eradicated the behaviour by placing stress and selective pressure on the species. [5]
Placentophagia in rabbits is exclusively performed by maternal figures that have recently given birth. A study shows that even when pregnant and pre-parturient female rabbits are presented with placental meal there is little participation in the behavior but all postpartum mothers ate the afterbirth. When compared with the consumption of liver, another protein source, the occurrence of placentophagia alone increases by roughly 55% in the short 1–5 day period following parturition. [6] The liver is preferential to non-pregnant, pregnant and pre-parturient mothers consistently as opposed to post-partum mothers who chose to consume only placenta when presented with both. The same study also looked at the interest of the placenta in pregnant rabbits, they saw that in the days leading up to delivery the animals were more intrigued by the placenta when it was presented, which was shown by increasing sniffing of the placenta. The attraction was not demonstrated towards the liver. This infers that there is a tie between elements prompting both delivery and placentophagy in pregnant maternal rabbits. [6] In some instances placentophagia is tied to cannibalism in rabbits. As the mother engages in the act of consuming the placenta, they accidentally ingest the neonate as well. [7]
Placentophagia has been studied most commonly in rodents, specifically rats. There have been multiple conclusions drawn from the available literature. One major finding is that the consumption of the afterbirth and associated materials increases the onset and intensity of maternal behavior in rats. [4] The increased contact between the adult and the infant is what enhances the adoption of parental behavior. In addition to increasing the parenting tendencies of mother rats, it has been seen that placentophagia by female weanling laboratory rats when the mother births a subsequent litter, elevates alloparenting behavior toward their siblings. [8] Additional research has shown that ingestion of the placenta and amniotic fluid influences the pain tolerance in pregnant rats via elevation of naturally occurring opioid-mediated analgesia. [4] Production of endogenous opioids produced by the central nervous system, is increased during the birthing process which raises the pain threshold of the mother. When coupled with the ingestion of placenta or amniotic fluid, there is a drastic increase in the opioid effect. A test whereby rats were given meat rather than placenta supported the contribution of the afterbirth components to the enhanced opioid effect by showing no increase in the pain threshold of the post-partum mother. [4] [5]
There are numerous hypothesized benefits to the practice of placentophagy in both human and nonhuman mammals, which are seen as the direct motivation for various animals to engage in the consumption of the afterbirth. Many of these proposed benefits have since been disproved through scientific study.
Some initial conjectures related directly to the satiation of specific and general maternal hunger. [5] These hinged on the idea that prior to parturition mothers ceased to eat and so, immediately after birth they consumed the placenta to satisfy an intense hunger. A further idea was that of specific hunger, according to which the maternal figure participated in placentophagy in order to replenish any resources depleted during pregnancy that were contained within the placenta. [4] This was later disproved by studies on rats and other species showing that a wide range of animals do not typically decrease the amount of food or water taken in prior to delivery, and that rats presented with placenta will consume it regardless of pregnancy or virginity. [2] [4] [9]
Another aspect of placentophagy that was initially considered a beneficial reason for its occurrence was that the consumption of the afterbirth ensured cleanliness of the nest and eliminated any sign of new and vulnerable offspring. [2] It was suggested that nesting animals, who would then rear their young within the nest, benefited by having an aseptic area. Further, predators would be attracted to the site of parturition by the scent of blood and of fetal tissue, so ingesting the afterbirth would eliminate the ability for predators to easily locate newborns. This would in turn provide protection for the defenseless young. [2] These hypothesized benefits were later rejected because the act of consuming the placenta would be more time-consuming than merely abandoning the site of parturition or removing the afterbirth from the nesting area, each of which would provide the same benefit as placentophagy was presumed to provide. [2]
A newer hypothesis about the maternal consumption of afterbirth in mammals is that the placenta contains compounds that increase pain tolerance post parturition. [4] [9] Although it is known that during pregnancy and labour there is a natural increase in internal production of enkephalins and endorphins that decrease the sensation of pain, studies indicated that the consumption of placenta by maternal rats after delivery spiked the subsequent numbers of these opioids. [5] This was due to the active ingredient present in the placenta as well as the amniotic fluid, placental opioid-enhancing factor (POEF). It is important to note that afterbirth also contains amniotic fluid, and scientists believe its consumption may be equally as important in the elevation of pain threshold as is the placental ingestion. Amniotic fluid is likely taken in unknowingly by cleaning the genital area prior or post delivery, or by cleaning or kissing the infant soon after expulsion. [4] [9]
Placentophagy evolved independently in different lineages as adaptations to various challenges faced by ancestral species. [5] The behaviour was ultimately attractive to the maternal subject based on the hypothesized benefits discussed above but provided some kind of advantage. Based on this advantage, placentophagy was selected for by natural selection which lead to its persistence in mammal species. [5]
Although the placenta is revered in many cultures, there is scarce evidence that any customarily eat the placenta after the newborn's birth. [10]
Those who advocate placentophagy in humans believe that eating the placenta prevents postpartum depression and other pregnancy complications.[ citation needed ] Obstetrician and spokesperson for the Royal College of Obstetricians and Gynaecologists Maggie Blott disputes the post-natal depression theory, stating there is no medical reason to eat the placenta: "Animals eat their placenta to get nutrition – but when people are already well-nourished, there is no benefit, there is no reason to do it." [11] While no scientific study has proven any benefits, a survey was conducted by American medical anthropologists at the University of South Florida and University of Nevada, Las Vegas. Among the respondents, about three-fourths claimed to have positive experiences from eating their own placenta, citing "improved mood", "increased energy", and "improved lactation". [12] [13]
Human placenta has also been an ingredient in some traditional Chinese medicines, [14] including using dried human placenta, known as ziheche (simplified Chinese : 紫河车 ; traditional Chinese :紫河車; pinyin :Zǐhéchē), to treat wasting diseases, infertility, impotence and other conditions. [15] Most recently, the CDC [16] published a report of a newborn infected with group B Streptococcus (GBS) bacteria likely after the mother ingested placenta capsules. Consequently, the CDC said that placenta capsule ingestion should be avoided and to educate mothers interested in placenta encapsulation about the potential risks. A recent publication [17] advised that physicians should discourage placentophagy because it is potentially harmful with no documented benefit.
British celebrity chef Hugh Fearnley-Whittingstall, known for his series of River Cottage programmes, notoriously cooked and ate a human placenta on one of his programmes. [18]
Pg.104-7 in Cecil Adams's Return of the Straight Dope (1994) describes a home childbirth, followed by placentophagy, in Berkeley, California.
Gestation is the period of development during the carrying of an embryo, and later fetus, inside viviparous animals. It is typical for mammals, but also occurs for some non-mammals. Mammals during pregnancy can have one or more gestations at the same time, for example in a multiple birth.
The placenta is a temporary embryonic and later fetal organ that begins developing from the blastocyst shortly after implantation. It plays critical roles in facilitating nutrient, gas and waste exchange between the physically separate maternal and fetal circulations, and is an important endocrine organ, producing hormones that regulate both maternal and fetal physiology during pregnancy. The placenta connects to the fetus via the umbilical cord, and on the opposite aspect to the maternal uterus in a species-dependent manner. In humans, a thin layer of maternal decidual (endometrial) tissue comes away with the placenta when it is expelled from the uterus following birth. Placentas are a defining characteristic of placental mammals, but are also found in marsupials and some non-mammals with varying levels of development.
Birth is the act or process of bearing or bringing forth offspring, also referred to in technical contexts as parturition. In mammals, the process is initiated by hormones which cause the muscular walls of the uterus to contract, expelling the fetus at a developmental stage when it is ready to feed and breathe.
The amnion is a membrane that closely covers human and various other embryos when they first form. It fills with amniotic fluid, which causes the amnion to expand and become the amniotic sac that provides a protective environment for the developing embryo. The amnion, along with the chorion, the yolk sac and the allantois protect the embryo. In birds, reptiles and monotremes, the protective sac is enclosed in a shell. In marsupials and placental mammals, it is enclosed in a uterus.
The chorion is the outermost fetal membrane around the embryo in mammals, birds and reptiles (amniotes). It is also present around the embryo of other animals, like insects and molluscs.
Gestational hypertension or pregnancy-induced hypertension (PIH) is the development of new hypertension in a pregnant woman after 20 weeks' gestation without the presence of protein in the urine or other signs of pre-eclampsia. Gestational hypertension is defined as having a blood pressure greater than 140/90 on two occasions at least 6 hours apart.
The yolk sac is a membranous sac attached to an embryo, formed by cells of the hypoblast layer of the bilaminar embryonic disc. This is alternatively called the umbilical vesicle by the Terminologia Embryologica (TE), though yolk sac is far more widely used. The yolk sac is one of the fetal membranes and is important in early embryonic blood supply. In humans much of it is incorporated into the primordial gut during the fourth week of embryonic development.
Placental abruption is when the placenta separates early from the uterus, in other words separates before childbirth. It occurs most commonly around 25 weeks of pregnancy. Symptoms may include vaginal bleeding, lower abdominal pain, and dangerously low blood pressure. Complications for the mother can include disseminated intravascular coagulopathy and kidney failure. Complications for the baby can include fetal distress, low birthweight, preterm delivery, and stillbirth.
Autocannibalism, also known as self-cannibalism and autosarcophagy, is the practice of eating parts of one's own body. Generally, only the consumption of flesh by an individual of the same species is considered cannibalism. In line with this usage, self-cannibalism means the consumption of flesh from one's own body. While some texts use this strict definition, others use the term autocannibalism in a wider sense that includes the consumption of hair or nails from one's own body.
Placentation is the formation, type and structure, or modes of arrangement of the placenta. The function of placentation is to transfer nutrients, respiratory gases, and water from maternal tissue to a growing embryo, and in some instances to remove waste from the embryo. Placentation is best known in live-bearing mammals (Theria), but also occurs in some fish, reptiles, amphibians, a diversity of invertebrates, and flowering plants. In vertebrates, placentas have evolved more than 100 times independently, with the majority of these instances occurring in squamate reptiles.
Nesting behavior refers to an instinct in animals during reproduction to prepare a place with optimal conditions for offspring. The nesting place provides protection against predators and competitors that mean to exploit or kill offspring. It also provides protection against the physical environment.
A fetus or foetus is the unborn mammalian offspring that develops from an embryo. Following the embryonic stage, the fetal stage of development takes place. Prenatal development is a continuum, with no clear defining feature distinguishing an embryo from a fetus. However, in general a fetus is characterized by the presence of all the major body organs, though they will not yet be fully developed and functional, and some may not yet be situated in their final anatomical location.
Women should speak to their doctor or healthcare professional before starting or stopping any medications while pregnant. Drugs taken in pregnancy including over-the counter-medications, prescription medications, nutritional supplements, recreational drugs, and illicit drugs may cause harm to the mother or the unborn child. Non-essential drugs and medications should be avoided while pregnant. Tobacco, alcohol, marijuana, and illicit drug use while pregnant may be dangerous for the unborn baby and may lead to severe health problems and/or birth defects. Even small amounts of alcohol, tobacco, and marijuana have not been proven to be safe when taken while pregnant. In some cases, for example, if the mother has epilepsy or diabetes, the risk of stopping a medication may be worse than risks associated with taking the medication while pregnant. The mother's healthcare professional will help make these decisions about the safest way to protect the health of both the mother and unborn child. In addition to medications and substances, some dietary supplements are important for a healthy pregnancy, however, others may cause harm to the unborn child.
The fetal membranes are the four extraembryonic membranes, associated with the developing embryo, and fetus in humans and other mammals. They are the amnion, chorion, allantois, and yolk sac. The amnion and the chorion are the chorioamniotic membranes that make up the amniotic sac which surrounds and protects the embryo. The fetal membranes are four of six accessory organs developed by the conceptus that are not part of the embryo itself, the other two are the placenta, and the umbilical cord.
Circumvallate placenta is a rare condition affecting about 1-2% of pregnancies, in which the amnion and chorion fetal membranes essentially "double back" on the fetal side around the edges of the placenta. After delivery, a circumvallate placenta has a thick ring of membranes on its fetal surface. Circumvallate placenta is a placental morphological abnormality associated with increased fetal morbidity and mortality due to the restricted availability of nutrients and oxygen to the developing fetus.
The placenta is an organ which links the fetus to the mother in mammals for the transfer of oxygen and nutrients to the fetus and fetal waste products to the mother. Many species of mammals consume their placentas. Placentas are consumed in some human cultures. This may be for nutrition but often it has a cultural significance. For more information about the ritual consumption of placenta see Placenta: Society and culture. Human and animal placentas are also used as a source of extracts for ingredients in various consumer products such as pharmaceuticals, cosmetics, hair care products, health tonics, and food products other than ritual consumption by the mother or family. Human placentas are also used by search and rescue teams to train their search and rescue dogs to detect human remains.
Placental expulsion occurs when the placenta comes out of the birth canal after childbirth. The period of time starting just after the baby is expelled until just after the placenta is expelled is called the third stage of labor.
Human placentophagy, or consumption of the placenta, is defined as "the ingestion of a human placenta postpartum, at any time, by any person, either in raw or altered form". Placentophagy can be divided into two categories, maternal placentophagy and non-maternal placentophagy.
Cannabis consumption in pregnancy is an important public health issue. Research has found possible or likely associations between cannabis use and a risk of adverse outcomes in respect of cognitive development, mental health, physical health, and lactation.
The placental microbiome is the nonpathogenic, commensal bacteria claimed to be present in a healthy human placenta and is distinct from bacteria that cause infection and preterm birth in chorioamnionitis. Until recently, the healthy placenta was considered to be a sterile organ but now genera and species have been identified that reside in the basal layer.