title: A qualitative study of fish consumption during pregnancy.
abstract: BACKGROUND
  Many pregnant women in the United States do not consume enough docosahexaenoic acid (DHA)--an essential nutrient found in fish. Apparently conflicting findings that fish consumption is beneficial for the developing fetus, yet potentially toxic because of mercury contamination, have created uncertainty about the appropriate fish-consumption advice to provide to pregnant women.
  
  
  OBJECTIVE
  Our objective was to determine knowledge, behaviors, and received advice regarding fish consumption among pregnant women who are infrequent consumers of fish.
  
  
  METHODS
  In 2009-2010 we conducted 5 focus groups with 22 pregnant women from the Boston area who ate <2 fish servings/wk. We analyzed transcripts by using immersion-crystallization.
  
  
  RESULTS
  Many women knew that fish might contain mercury, a neurotoxin, and had received advice to limit fish intake. Fewer women knew that fish contains DHA or what the function of DHA is. None of the women had received advice to eat fish, and most had not received information about which fish types contain more DHA or less mercury. Because of advice to limit fish intake, as well as a lack of information about which fish types they should be eating, many of the women said that they would rather avoid fish than possibly harm themselves or their infants. The participants thought that a physician's advice to eat fish and a readily available reference regarding which fish are safe to consume during pregnancy would likely have encouraged them to eat more fish.
  
  
  CONCLUSIONS
  Pregnant women might be willing to eat more fish if this were advised by their obstetricians or if they had an accessible reference regarding which types are safe.
authors.affiliation: Department of Population Medicine, Harvard Medical School and the Harvard Pilgrim Health Care Institute, Boston, MA 02215, USA.
authors.forename: Arienne
authors.initials: A
authors.lastname: Bloomingdale
authors.forename: Lauren B
authors.initials: LB
authors.lastname: Guthrie
authors.forename: Sarah
authors.initials: S
authors.lastname: Price
authors.forename: Robert O
authors.initials: RO
authors.lastname: Wright
authors.forename: Deborah
authors.initials: D
authors.lastname: Platek
authors.forename: Jess
authors.initials: J
authors.lastname: Haines
authors.forename: Emily
authors.initials: E
authors.lastname: Oken
mesh_terms: D000328:Adult; D000818:Animals; D001900:Boston; D004032:Diet; D004281:Docosahexaenoic Acids; D005260:Female; D005399:Fishes; D005506:Food Contamination; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D008628:Mercury / Q000633:toxicity*; D011247:Pregnancy; D017747:Seafood / Q000009:adverse effects; D055815:Young Adult
chemical_list: D004281:Docosahexaenoic Acids; D008628:Mercury