Pregnancy in bulimic women

Willis, D C; Rand, Carol A.

doi:10.1016/0020-7292(89)90502-x

Cited by 19 publications

(30 citation statements)

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“…Aunque algunos autores señalan que ciertas complicaciones del embarazo en madres con historia de anorexia nerviosa y bulimia nerviosa no son significativamente diferentes a la población general (4,(8)(9)(10), la mayoría de la evidencia indica que la presencia de un trastorno alimentario durante la gestación puede generar múltiples consecuencias, tanto fetales como maternas. Dentro de las fetales se cuentan anormalidades faciales congénitas (4), menores puntajes de Apgar de 5 minutos (11), bajo peso de nacimiento (4,(12)(13)(14), más altas tasas de aborto (13), menor circunferencia craneana y microcefalia (14), parto por cesárea (15), defectos del tubo neural (16) y mayor mortalidad perinatal (17).…”

Section: Introductionunclassified

Trastornos De La Conducta Alimentaria en Mujeres Embarazadas Controladas en Atención Primaria

A²,

P³

et al. 2008

Rev. chil. obstet. ginecol.

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RESUMENAntecedentes: En relación al impacto de los trastornos de la conducta alimentaria (TCA) sobre el embarazo, la mayoría de la evidencia advierte sobre consecuencias negativas prenatales y postnatales para la madre y el feto. Objetivo: Determinar la presencia de comportamientos alimentarios anormales en gestantes controladas en atención primaria, y analizar descriptiva y comparativamente las pacientes con estas actitudes en relación con variables maternas, del embarazo, rasgos psicológicos y conductuales. Método: 141 pacientes embarazadas fueron encuestadas con el test de actitudes alimentarias (EAT-40) y el inventario de trastornos alimentarios (EDI), a los cuales se añadieron preguntas relativas al embarazo e historia de TCA. Resultados: 23,4% de las encuestadas obtuvieron puntajes en rango patológico de EAT-40, donde la historia previa de TCA emerge como un factor de riesgo importante para el desarrollo de un desorden alimentario en estas pacientes. Otras diferencias se observaron en los puntajes del EAT-40, el EDI y todas sus subescalas. Conclusión: La cifra alcanzada para conductas anormales de alimentación supera ampliamente a la planteada para TCA clínicos, los que además reflejan tendencia a la cronicidad aun en el embarazo. Se requieren estudios adicionales que orienten a los profesionales de salud en la prevención, detección y tratamiento de los TCA en el embarazo.PALABRAS CLAVE: Trastornos de la conducta alimentaria, embarazo, bulimia, anorexia nerviosa, control prenatal SUMMARYBackground: According to the impact of eating disorders on pregnant women, most evidence shows negative pre and post natal consequences for the mother and the fetus. Objective: To determine the presence of abnormal eating behaviors in pregnant women controlled in primary care, and to describe and compare eating disordered patients in relation to the pregnancy, maternal, psychological and behavioral characteristics. Method: The Eating Attitudes Test (EAT-40), the Eating Disorders Inventory (EDI) and a questionnaire about demographic and pregnancy data and previous history of eating disorders were administered to 141 pregnant women. Results: 23.4% of the polled women scored within the pathological range of EAT-40, in whom the prior history of eating disorders emerged as the most important factor of risk to develop an eating disorder in these patients. Furthermore, considerable differences were seen in the average of EAT-40 scores and in the EDI and its all subscales. Conclusion: The percentage of pregnant women who displayed abnormal eating behaviors exceeds the rate described in literature for clinical eating disorders. Besides, it

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Section: Introductionunclassified

Trastornos De La Conducta Alimentaria en Mujeres Embarazadas Controladas en Atención Primaria

A²,

P³

et al. 2008

Rev. chil. obstet. ginecol.

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“…In active AN or BN, body dissatisfaction and low body esteem may worsen during pregnancy [61] in addition to an increased frequency of restricting, binge eating-purging, and nonpurging behaviors [36,44,46,51,58]. Conversely, AN or BN symptoms and behaviors improved during pregnancy in women receiving treatment [45,46,53,54] and not currently receiving treatment [47,49,55,[61][62][63]. Yet, postpartum resumption of AN and BN behaviors occurred with some regularity [45,46,48,49,54,55,62,63].…”

Section: Changes In Behaviorsmentioning

confidence: 96%

“…In those studies in which women with AN or BN were investigated together, risk and incidence of inappropriate weight gain [53][54][55], hyperemesis gravidarum [56], cesarean section [57], preterm delivery [58], LBW [56,58,59], SGA [56,58], small head circumference or microcephaly [56], short body length [59], NTD [29], and other birth defects [57] were high. In general, women who entered pregnancy in remission from their AN or BN had optimal maternal and fetal outcomes [50,60], while women with active eating disorders prior to conception and during pregnancy fared less well [24,58].…”

Section: Findings Related To Anorexia and Bulimia Nervosamentioning

confidence: 98%

“…Pregnancy can provide a unique opportunity to improve AN or BN behaviors if interventions focus on fetal nutritional requirements [45,47,55], fetal growth and development [45,46], and relationships among maternal body weight gain, shape changes, and fetal growth [47]. Planning individualized, patient-focused care, activities, and expected outcomes is essential.…”

Section: Nutrition Interventionmentioning

confidence: 99%

“…Relapses in eating disorders often occur in the postpartum period [46][47][48][49][50]55]. Moreover, the rate of PPD in women with eating disorders is high (see Chap.…”

Section: Planning For Postpartum Carementioning

confidence: 99%

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Anorexia Nervosa and Bulimia Nervosa During Pregnancy

Nickols‐Richardson

Handbook of Nutrition and Pregnancy

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Summary Anorexia nervosa (AN) and bulimia nervosa (BN) present high-risk situations during pregnancy. These conditions have been associated with poor energy and nutrient intakes, notably total energy; folate; vitamins B 6 , B 12 , and A; calcium; iron; and zinc. Electrolyte imbalances are also of concern. Inadequate or excessive weight gain, spontaneous abortion, intrauterine growth restriction, preterm delivery, and low birth weight, among other adverse outcomes, have been reported in pregnant women with AN or BN and their offspring. Screening and assessment of women for these eating disorders during prenatal clinic visits is recommended. An interdisciplinary approach to care during pregnancy, the postpartum period, and beyond is critical to the successful management of AN or BN and optimal pregnancy outcomes.

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