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Encouraging pregnant women to eat fish did not show effect
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EDITOR
Should we routinely encourage all pregnant women to consume sea
fish or to increase their consumption of sea fish? This is the main
practical question inspired by the study by Olsen and
Secher.1
In 1991-2, in the antenatal clinic of Whipps Cross Hospital in east London, we randomly encouraged 499 pregnant women (before 20 weeks) to increase their consumption of sea fish. Each woman was matched with a control who had had the same number of births. We could not detect any significant effect of our dietary recommendations in the perinatal period in terms birth weight and duration of pregnancy.2 The rate of prematurity was 34/468 in the study group v 44/462 in the control group (95% confidence interval 0.45 to 1.2).
We repeated similar studies in three different contexts: a French
university hospital (Rennes), a Dutch midwifery practice (Boxtel), and
another hospital in east London (Newham). We were not encouraged