Should You Eat Your Placenta (Pills) After Childbirth? A Scientist Explains

Introduction

There is a growing interest in human placentophagy (also spelt placentophagia) which is the scientific term for either eating your own placenta or eating placenta pills after childbirth (1).

Placentophagy is a common practice among non-mammals and has been described as being ‘conspicuously absent’ among humans worldwide. Absent until now, that is. It was first first reported in humans in the 1970s and is growing in popularity especially among middle class white women (1).

Proposed benefits of human placentophagy include reduced risk of post-partum hemorrhage, increased milk production, energy boosting, enhanced bonding and immune boosting.

One thing is for sure – this odd practice is not being driven by the medical profession. A recent study showed that approximately 60% of obstetricians and gynecologists are ‘undecided’ about placentophagy (2).

So who or what are the driving forces behind placentophagy? Experts suspect that it is probably a combination of influences including the natural birth industry and celebrity endorsements (3). Of course, we can’t forget commercial interests. At the end of the day, placentophagy is a business and there is big money to be made here.

A certain Kim Kardashian is a fan of placentophagy. She claims that she did ‘her own research’ and was so convinced by ‘her own research’ that she decided to eat her own placenta. I have to admit that there are many things that I cannot compete with Miss Kardashian on. However, when it comes to medical research, I’m going to guess that I have the edge here.

So before we invite Ms Kardashian (the firm believer) to give a lecture to the American Society of Obstetrics and Gynecology (the undecided), let’s see if Ms Kardashian’s ‘research’ on the benefits of placentophagy hold up.

The Problem

Pregnancy and delivery are emotional rollercoasters for women. The combination of major fluxes in hormones, combined with the inevitable sleeplessness that comes with a newborn can be stressful even for the most enthusiastic earth mom.

Equally, after delivery that delightful pregnancy glow and bump (that you were so proud of) can quickly transmute into a very unusual body shape that doesn’t quite belong in pregnancy clothes and definitely doesn’t fit back into your own pre-pregnancy clothes.

This can really challenge any woman’s self-confidence and self-image. Add to that the social isolation that many new moms experience. Now enter Ms Kardashian and her ‘research portfolio’ for the perfect storm.

I can totally understand why any new mom could look at Ms Kardashian and think they would absolutely eat their own placenta if they could just look a little bit more ‘Kardashian’.

With great power comes great responsibility, Ms Kardashian.

Have you used you power wisely?

What Exactly Is Placenta Eating?

There are three main approaches to placentophagy. (The following section comes with a disclaimer as it is a bit distasteful for some people. If you squirm watching Hannibal Lecter, then the following section might not be suitable reading material for you.)

  1. Eat the placenta itself once it has been steamed to reduce the risk of infectious diseases. This is exactly as it sounds. The placenta is a slippery, blood rich material. The closest thing I can compare it to would  be liver. (Just to be clear I have never eaten human liver but I am remembering a childhood where my mother force fed me cows liver – ugh!). There are endless ways that you can eat human placenta e.g.  ‘tartare’ style, cooked, in a sandwich or blended in a smoothie. In fact, don’t worry about ideas – you can buy a book on Amazon entitled ‘DIY Placenta Edibles: Smoothies + Tinctures + Chocolates: (Volume 3)’. (4) Yes, unbelievable as it may sound, this book is on volume 3! Like I said, this is a big business.
  2. Convert your placenta into capsules. If the thought of eating your placenta ‘tartare’ style is too much for you, this could be the perfect alternative. There is an entire industry out there that will take your placenta and turn it into more palatable capsules. The process involves steaming, dehydrating and grinding the placenta to produce a fine powder which is then placed in capsules. It can even be private labelled so that the box says ‘Jenny’s Placenta’ or ‘Kim’s Placenta’. Each placenta yields between 200 and 400 pills.
  3. The final option is to go to Amazon and buy any one of the 200 placenta product pills that are for sale. These pills come from cows, lamb and deer. It is hilarious to read the marking that goes with these pills. Deer placenta is positioned (and priced) as a superior product to cow or lamb placenta. The funniest part is that you can buy ‘vegan’ placenta pills. Yes, vegan placenta pills come free of allergens, soy and dairy. Hello, has anyone noticed these pills actually come from animals. So how on earth can they be vegan pills?

Logistics:

Preparation of your own placenta takes between 24 and 48 hours depending on whether the placenta is refrigerated or frozen. It can be done in your home or can be sent to a certified placenta outfit. Some people opt for the home option to eliminate the risk of any mix up with the placenta. After all, who wants to eat someone else’s placenta? Not me for sure! Preparation of the placenta costs between $200 and $400. Animal derived placenta pills cost on average $10 for 100 pills.

Certification in placenta encapsulation takes approximately nine months and costs between $350 and $500.

Placenta derived products are not classified as food by the FDA. Equally placentophagy is currently not regulated by the FDA.

What’s Actually In a Placenta

As early as five days after fertilization, the placenta develops from the trophoblast which is the outer layer of cells of the blastocyst. The placenta is the interface between the mother and fetus for the entire duration of the pregnancy. It is absolutely essential to normal fetal development.

The placenta plays a number of key roles including gas exchange, transport of critical nutrients, elimination of waste material and production of hormones and proteins. It also helps prevent rejection of the fetus by the mothers immune system – after all, the fetus contains 50% paternal tissue which is alien as far as the mother’s immune response is concerned. Essentially the placenta acts as the lungs, liver, gastrointestinal tract, kidneys and bodyguard of the fetus.

Typically, the placenta contains protein (amino acids), fiber, fat, minerals (sodium, potassium, phosphorus, calcium, iron, magnesium, zinc, copper, manganese) and hormones (estradiol, progesterone, testosterone, growth hormone).

Once the baby is delivered, there is a reduction in the surface area of the uterus. This results in a shearing force which causes the placenta to separate from the uterine wall. The placenta is delivered in what is known as ‘ the active management of the third stage of labor’. In other words, the placenta is actively delivered instead of being allowed to just be expelled in its own time. This is done to minimize the risk of bleeding.

The newly delivered placenta is examined carefully to ensure that no parts of the placenta have been retained inside the uterus. Retention of placental products could lead to maternal bleeding or infection at a later stage.

Having stood in many delivery rooms for a number of years, I can tell you that placentas vary hugely in appearance. Again here comes a Hannibal Lecter moment so please skip ahead if you are squeamish.

Some placentas have that very beefy, healthy look but some look very old and tired. The old, tired looking placenta can happen in women who are older, who have hypertension or when pregnancy goes beyond 40 weeks.

So let’s get real here. Let’s assume for a moment that placentophagy is health promoting (big big assumption). It is still utterly daft to assume that all placentas are created equally. This just isn’t true. While I can’t imagine eating my placenta, I would definitely not eat a haggard, old looking placenta and expect to get an energy boost!

It is also worth mentioning at this time that the placenta is sometimes sent to the laboratory for examination. This may be done for conditions such as intrauterine growth retardation, pre-term birth, stillbirth injuries, and infection.

The placenta may be fixed in formalin for histopathological examination or fresh samples may be sent to the microbiology lab to look for infectious diseases. Placentophagy is not an option for these women.

Is There Any Research?

There are a grand total of 27 papers written on placentophagy. Lucky as this means that Ms Kardashian did not have too much reading to do for her ‘own research’.

To put this into context, there are over 40,000 publications on breast feeding.

Does it Help to balance your hormones?

Theoretically, the placenta contains bioactive hormones and could potentially help balance hormones.

One study analyzed human placentas and showed that there were physiological levels of 16 out of 17 placental hormones in the placentas examined(5).

However, there is no proof that these placental hormones can actually be absorbed or reach the threshold necessary for physiological effects in vivo.

Additionally, an interesting study showed that ingestion of human placenta by rats did not result in any changes in the hormone levels in the rats leading investigators to speculate that there may be a species specific effect (6). If this is the case, this means that humans may not benefit from animal placenta pills.This effectively undermines the entire industry of giving animal placenta pills to humans.

Bottom line: There are no studies proving that placentophagy helps balance hormones.

Does It Replenish depleted iron levels?

There is a single randomized double blind placebo controlled trial looking at the effect of placentophagy on iron status (7). The study compared iron status in 10 women who received placenta pills to 13 women who received a placebo.

The study showed no statistically significant difference in maternal iron status between women who took placenta supplements versus women compared to women who took placebo pills. In fact, daily intake of placenta pills provided only 24% of the recommended dose of iron for lactating women.

Bottom line: Placentophagy is not an effective strategy for iron supplementation.

Does It Assist the uterus to return to its pre-pregnancy state?

There are no studies on the effect of placentophagy on uterine involution in women (return of the uterus to the pre-pregnancy state). The placenta is rich in prostaglandins which play a key role in involution of the uterus. Again, we have the problem filling in the reality-rhetoric gap.

Are the prostaglandins levels in the placenta high enough to have a clinical effect? Are prostaglandins absorbed in sufficient quantities to affect human physiology? Do cow/deer/lamb prostaglandins work in women?

Bottom line: There is insufficient evidence to support placentophagy as an aid to assist the uterus return to its pre-pregnancy state.

Does It Reduce post-natal bleeding?

Oxytocin is used in the active management of the third stage of labor to reduce the risks of port-partum hemorrhage. The placenta contains small amounts oxytocin and could theoretically play a role in reduction of post-partum bleeding.

However as always there are a lot of ‘ifs’.

  • If the levels of oxytocin are high enough in the first place.
  • If the oxytocin is absorbed.
  • If oxytocin derived from animals induces physiological change in humans.

Bottom line: There are no human studies looking at the effects of placentophagy on post-natal bleeding. This means that we are left with the ‘ifs’.

Does It Increase milk production?

There are two studies evaluating the effect of placentophagy on milk production. In the first study, 15% of respondents reported an increase in lactation (3). This study was a self-reported survey. A 15% positive response rate in a survey would be classified as a negative outcome as this is below the placebo response rate.

The second study involved 210 patients and was a randomized control trial (8). In this study, a total of  86% of women noted an increase in milk production. The study was conducted in 1954 and is not available online. The 1954 paper is described in a recent review paper on placentophagy as having ‘major limitations’ (9).

Bottom line: There is no convincing evidence to support placentophagy as a lacotgogue.

Does it Increase your energy levels?

A  2013 study interviewed 189 women who had consumed their own placenta (3). This is the same self-report survey that evaluated milk production. This time the survey showed that 26% of women reported an increase in energy following placentophagy.  Again, a result of 26% would not be considered to be a positive result as it is less than the placebo response.

Bottom line: There is no proof that placentophagy boosts energy.

Are Placenta Pills Safe?

Placentophagy is associated with significant health risks.

Pregnant women should not eat human placenta or animal derived placenta as it increases the risk of miscarriage (9).

They key concern with placentophagy relates to infectious diseases. The temperatures used to prepare the placenta are too low to eliminate key infectious pathogens.

There is case report of an infant who developed group B streptococcal sepsis (10). The mom of the infant had consumed placental pills. Group B streptococcus were identified from the placental pills.

The CDC are generally concerned about the potential for placental pills to pass on infection and specifically notes that the temperatures used in placental encapsulation may be insufficient to eradicate key viruses such as HIV, hepatitis or Zika.  Temperatures of 158 degrees F are required for the inactivation of hepatitis A, while HIV inactivation requires heating to temperature 133- 144 degrees F.

A study published last year showed that placenta pills contain modest concentrations of 14 trace elements (11). The study found that placental pills contain levels of cadmium, selenium, lead and mercury in low but detectable amounts. This is understandable considering the fact that the placenta has a dual role to both act as a barrier to protect the developing fetus and eliminate waste material from the fetus.

Another concern is the potential development of choriocarcinoma (cancer of the uterus) as the ingestion of placental tissue can theoretically immunize the mother against any placental cells remaining in the uterus (9).

There are two outstanding issues that need to be addressed.

  1. Why do other animals eat their placenta?

This is a very reasonable question. It seems that other animals eat their placenta to disguise the fact that a new offspring has been born. This protects them against predators. It has been suggested that humans may have consumed their placentas for the same reason as animals prior to the discovery of fire.

Anthropologists have proposed a ‘fire hypothesis’ which states that cooking the placenta produced fumes which were toxic to humans which led to the end of human placentophagy (until now) (12).

  1. But what if I ate my placenta and it worked for me?

This is another very valid consideration. Experts in the area say that women who opt for placentophagy are not representative of women in general. Placentophagy is not covered by insurance or recommended by most physicians.

This means that women have to organize the placentophagy themselves and pay out of pocket. This means that these women are usually pretty convinced that it will work. This selection bias increases the chances that these women will experience a placebo effect.

Conclusion

A comprehensive review on placentophagy was published in the American Journal of Obstetrics and Gynecology last month (9). Austrian author, Dr Alex Farr, concludes that ‘there is no scientific evidence of any clinical benefit of placentophagy and there is evidence of an actual risk.

Based on this, health care providers have no professional responsibility to offer placentophgy and there is professional responsibility to direct against it’.

That is pretty direct and conclusive.

Methinks that Ms Kardashian should stick to reality TV and leave the science to people who are actually qualified to do it.

References

  1. Marraccini ME, Gorman KS.Exploring Placentophagy in Humans: Problems and Recommendations.J Midwifery Womens Health. 2015 Jul-Aug;60(4):371-9. doi: 10.1111/jmwh.12309. Review.
  2. Schuette SA, Brown KM, Cuthbert DA, Coyle CW, Wisner KL, Hoffman MC, Yang A, Ciolino JD, Newmark RL, Clark CT.Perspectives from Patients and Healthcare Providers on the Practice of Maternal Placentophagy.J Altern Complement Med. 2017 Jan;23(1):60-67. doi: 10.1089/acm.2016.0147. Epub 2016 Nov 17.
  3. Selander J, Cantor A, Young SM, Benyshek DC. Human maternal placentophagy: a survey of self-reported motivations and experiences associated with placenta consumption. Ecol Food Nutr. 2013;52(2):93-115. doi: 10.1080/03670244.2012.719356.
  4. http://a.co/9ZbkAyj
  5. Young SM, Gryder LK, Zava D, Kimball DW, Benyshek DC. Presence and concentration of 17 hormones in human placenta processed for encapsulation and consumption. Placenta. 2016 Jul;43:86-9. doi: 10.1016/j.placenta.2016.05.005. Epub 2016 May 10.
  6. Blank MS, Friesen HG.Effects of placentophagy on serum prolactin and progesterone concentrations in rats after parturition or superovulation. J Reprod Fertil. 1980 Nov;60(2):273-8.
  7. Gryder LK, Young SM, Zava D, Norris W, Cross CL, Benyshek DC. Effects of Human Maternal Placentophagy on Maternal Postpartum Iron Status: A Randomized, Double-Blind, Placebo-Controlled Pilot Study.J Midwifery Womens Health. 2017 Jan;62(1):68-79. doi: 10.1111/jmwh.12549. Epub 2016 Nov 3.
  8. SOYKOVA-PACHNEROVA E, BRUTAR V, ZVOLSKA E.[Possible increase of lactation]. Lek List. 1954 Jan 1;9(1):10-4. Undetermined Language. No abstract available.
  9. Farr A, Chervenak FA, McCullough LB, Baergen RN, Grünebaum A. Human placentophagy: a review. Am J Obstet Gynecol. 2017 Aug 30. pii: S0002-9378(17)30963-8. doi: 10.1016/j.ajog.2017.08.016. [Epub ahead of print] Review.
  10. Buser GL, Mató S, Zhang AY, Metcalf BJ, Beall B, Thomas AR. Notes from the Field: Late-Onset Infant Group B Streptococcus Infection Associated with Maternal Consumption of Capsules Containing Dehydrated Placenta – Oregon, 2016. MMWR Morb Mortal Wkly Rep. 2017 Jun 30;66(25):677-678. doi: 10.15585/mmwr.mm6625a4. No abstract available
  11. Human placenta processed for encapsulation contains modest concentrations of 14 trace minerals and elements. Young SM, Gryder LK, David WB, Teng Y, Gerstenberger S, Benyshek DC. Nutr Res. 2016 Aug;36(8):872-8. doi: 10.1016/j.nutres.2016.04.005. Epub 2016 Apr 22.
  12. Young SM, Benyshek DC, Lienard P The conspicuous absence of placenta consumption in human postpartum females: the fire hypothesis. Ecol Food Nutr. 2012;51(3):198-217. doi: 10.1080/03670244.2012.661349.

 

Summary
Should You Eat Your Placenta (Pills) After Childbirth? A Scientist Explains
Article Name
Should You Eat Your Placenta (Pills) After Childbirth? A Scientist Explains
Author
Healthy But Smart

Leave a Reply

Your email address will not be published. Required fields are marked *