The risk of eating disorder relapse during pregnancy and after delivery and postpartum depression among women recovered from eating disorders

Makino, Mariko; Yasushi, Mitsuo; Tsutsui, Sueharu

doi:10.1186/s12884-020-03006-7

Cited by 20 publications

(16 citation statements)

References 22 publications

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“…Nevertheless, this ambivalence is an important factor to consider when establishing the parent–child relationship. As a matter of fact, the existence of a maternal ED during pregnancy increases the risk of postpartum depression and can represent an obstacle to the establishment of an early bond [ 38 ]. Mothers with an ED report greater difficulties in determining their child's needs.…”

Section: Discussionmentioning

confidence: 99%

Prevalence and phenotype of eating disorders in assisted reproduction: a systematic review

et al. 2022

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Background Eating disorders (EDs) are common conditions that mainly affect women of reproductive age and have a major impact on fertility. Our systematic review focuses on the prevalence of EDs in patients in the process of assisted reproductive technique (ART) and describes the phenotypes of EDs identified. Methods Our systematic review is based on the PRISMA criteria. Articles were collected using the Medline/Pubmed, Web Of Science and Cochrane databases. The articles chosen had to mention the prevalence of ED in infertile patients undergoing ART and be cohort or case–control studies assessing the prevalence of ED during fertility treatment. Main findings Fifteen articles were included in this review. The prevalence of active ED varied between 0.13 and 44% depending on the types considered in each study. The main phenotypes described were EDNOS (eating disorder not otherwise specified) and binge eating disorders (BED) occurring in women with a normal body mass index (BMI) and a history of ED. Mainly subthreshold forms with cognitive distortions were described. Conclusion This review highlights a 6 times higher prevalence of EDs in infertile patients undergoing fertility treatment compared to regular pregnant women. However, diagnosing these conditions is complex. As a result, it is essential that professionals in contact with this population are alert to symptoms consistent with these conditions in order to refer them to specialized psychiatric care.

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Section: Discussionmentioning

confidence: 99%

Prevalence and phenotype of eating disorders in assisted reproduction: a systematic review

et al. 2022

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“…In a small study of 24 women by Makino et al (2020), 67% of the women relapsed, defined by a wish to be thinner, in early pregnancy and 50% relapsed postpartum; however, symptoms were temporary during pregnancy and not well defined. The present results may thus be the first reported in a large sample of pregnant women with a clear definition of both remission prior to pregnancy and ED relapse.…”

Section: Missingmentioning

confidence: 96%

“…However, the study did not examine whether the risk of relapse was higher in some periods of pregnancy, assessment of symptoms was based on self-reports and duration of remission was unclear. The second study found 67% of 24 women (Makino, Yasushi, & Tsutsui, 2020) were in ED remission for 6 months before pregnancy but experienced temporary relapse with a wish to lose weight within 3 months after conceiving. None maintained their ED symptoms throughout the pregnancy and 50% of the 24 women relapsed postpartum.…”

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confidence: 99%

The first 20 weeks of pregnancy is a high‐risk period for eating disorder relapse

Sollid

Clausen

Maimburg

2021

Intl J Eating Disorders

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Objective: Eating disorders (ED) are associated with adverse pregnancy outcome and pregnancy is associated with both relapse and remission of ED. Knowledge is lacking on the risk of ED relapse during pregnancy and the postpartum period for women in stable remission. This study examined the occurrence of perinatal ED relapse as well as obstetric and postpartum outcome in women with at least a 6-month ED remission before pregnancy.Method: A total of 122 women in stable remission before pregnancy were included in a prospective longitudinal study. Changes in ED symptoms based on the Eating Disorder Examination were systematically evaluated at each antenatal visit and in the postpartum period.Results: A total of 30 (25%) women relapsed. Twenty women relapsed within the first 20 weeks of pregnancy and eight in the early weeks postpartum. Severe postpartum depression symptoms (33%) were frequent in women with ED relapse; hyperemesis gravidarum (30%) was frequently present independent of the woman's relapse status.Discussion: To prevent relapse of ED and possible consequences, attention to relapse in women in stable remission is especially important in early pregnancy and in the postpartum period.

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“…EDs are often accompanied by other psychological diseases like perinatal mood and anxiety disorders (Makino et al 2020). These could influence the decision to initiate, continue, or stop BF (Vieira et al 2018) and should therefore be carefully considered when examining BF mothers with EDs in future studies.…”

Section: Strengths and Limitations Of The Included Studiesmentioning

confidence: 99%

“…Furthermore, there is evidence that early negative BF experiences increase the risk for depressive symptoms 2 months postpartum (Watkins et al 2011). Moreover, many women experience ED relapses and even an increase in severity of their ED symptoms in the postpartum period (Makino et al 2020). It might also be helpful to seek psychological counseling at the end of the third trimester to counteract or prepare for a possible worsening of ED symptoms.…”

Section: Conclusion and Further Directionsmentioning

confidence: 99%

The impact of maternal eating disorders on breastfeeding practices: a systematic review

Kaß¹,

Dörsam²,

Weiss

et al. 2021

Arch Womens Ment Health

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Breastfeeding is an effective way to protect and promote the health of the infant and mother. Cultural, social, economic, medical, or psychological factors might interfere with successful breastfeeding. Therefore, maternal eating disorders (EDs) may have detrimental effects on the decision of breastfeeding initiation and on its continuation. There is limited knowledge about the breastfeeding practices of mothers with EDs. We performed a systematic review to generate more evidence in this area. A search was conducted in PubMed and PsycINFO, and several journals were hand searched for relevant publications. Of N = 3904 hits, 13 full texts were included in the qualitative analysis. The findings on total duration of BF between mothers with and without EDs were mixed, but women with EDs showed more negative experiences and emotional problems during BF. There was not enough evidence to conclude on breastfeeding initiation, or on the duration of exclusive breastfeeding. Maternal EDs might have a negative impact on BF practices with possible negative effects on the maternal-child feeding environment. Further studies with comparable data and information on the women’s partners’ attitudes about breastfeeding are needed.

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The risk of eating disorder relapse during pregnancy and after delivery and postpartum depression among women recovered from eating disorders

Cited by 20 publications

References 22 publications

Prevalence and phenotype of eating disorders in assisted reproduction: a systematic review

Prevalence and phenotype of eating disorders in assisted reproduction: a systematic review

The first 20 weeks of pregnancy is a high‐risk period for eating disorder relapse

The impact of maternal eating disorders on breastfeeding practices: a systematic review

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