OJOG  Vol.4 No.2 , February 2014
Eating disorders and pregnancy: Proposed treatment guidelines for obstetricians and gynecologists
ABSTRACT

Pregnant women with eating disorders are at risk for multiple complications to both the woman and the fetus. Eating disorders are particularly prevalent among adolescent girls and young women. This paper suggests a road map for the obstetrician gynecologist caring for women who either have an active eating disorder, report a history of a prior eating disorder, or when the clinician suspects that the woman may have an eating disorder which has not been previously identified. Proposed treatment guidelines are outlined.


Cite this paper
Fornari, V. , Dancyger, I. , Renz, J. , Skolnick, R. and Rochelson, B. (2014) Eating disorders and pregnancy: Proposed treatment guidelines for obstetricians and gynecologists. Open Journal of Obstetrics and Gynecology, 4, 90-94. doi: 10.4236/ojog.2014.42016.
References
[1]   Harris, E.C. and Barraclough, B. (1998) Excess mortality of mental disorder. British Journal of Psychiatry, 173, 11-53. http://dx.doi.org/10.1192/bjp.173.1.11

[2]   Hoek, H. (2006) Incidence, prevalence and mortality of anorexia nervosa and other eating disorders. Current Opinion in Psychiatry, 19, 389-394. http://dx.doi.org/10.1097/01.yco.0000228759.95237.78

[3]   Hoek, H. and van Hoeken, D. (2003) Review of the prevalence and incidence of eating disorders. International Journal of Eating Disorders, 34, 383-396. http://dx.doi.org/10.1002/eat.10222

[4]   Andersen, A.E. and Ryan, G.L. (2009) Eating disorders in the obstetric and gynecological patient population. Obstetrics and Gynecology, 114, 1353-1367. http://dx.doi.org/10.1097/AOG.0b013e3181 c070f9

[5]   Chizawsky. L. and Newton, M. (2006) Eating disorders: Identification and treatment in obstetrical patients. Nursing for Women’s Health, 16, 482-488.

[6]   Institute of Medicine (2009) Weight gain during pregnancy: Reexamining the guidelines. The National Academies Press, Washington, D.C.

[7]   Lemberg, R. and Phillips, J. (1989) The impact of pregnancy on anorexia nervosa and bulimia. International Journal of Eating Disorders, 8, 285-295. http://dx.doi.org/10.1002/1098-108X(198905) 8:3<285::AID-EAT2260080304>3.0.CO;2-P

[8]   Crow, S.J., Agras, W.S., Crosby, R., Halmi, K. and Mitchell, J.E. (2008) Eating disorder symptoms in pregnancy: A prospective study. International Journal of Eating Disorders, 41, 277-279.
http://dx.doi.org/10.1002/eat.20496

[9]   Blais, M.A., et al. (2000) Pregnancy: Outcome and impact on symptomatology in a cohort of eating-disordered women. International Journal of Eating Disorders, 27, 140-149.
http://dx.doi.org/10.1002/(SICI)1098-108X(200003)27:2<140::AID-EAT2>3.0.CO;2-E

[10]   Mazer-Poline, C. and Fornari, V. (2009) Anorexia nervosa and pregnancy: Having a baby when you are dying to be thin—Case report and proposed treatment guidelines. International Journal of Eating Disorders, 42, 382384. http://dx.doi.org/10.1002/eat.20607

[11]   Resch, M. and Szendei, G. (2002) Gynecologic and obstetric complications in eating disorders. Orvosi Hetilap, 143, 1529-1532.

[12]   Bulik, C.M., et al. (1999) Fertility and reproduction in women with anorexia nervosa: A controlled study. Journal of Clinical Psychiatry, 60, 130-135. http://dx.doi.org/10.4088/JCP.v60n0212

[13]   Franko, D.L. and Spurrell, E.B. (2000) Detection and management of eating disorders during pregnancy. Obstetrics and Gynecology, 95, 1353-1367. http://dx.doi.org/10.1016/S0029-7844(00) 00792-4

[14]   Rochelson, B., Vohra, N., Darvishzadeh, J. and Pagano, M. (2003) Low prepregnancy ideal weight:height ration in women with hyperemesis gravidarum. Journal of Reproductive Medicine, 48, 422-424.

[15]   Kouba, S., Hallstrom, T., Lindholm, C. and Hirschberg, A.L. (2005) Pregnancy and neonatal outcomes in women with eating disorders. Obstetrics and Gynecology, 105, 255-260.
http://dx.doi.org/10.1097/01.AOG.0000148265.90984.c3

[16]   Easter, A., Treasure, J. and Micali, N. (2011) Fertility and prenatal attitudes towards pregnancy in women with eating disorders: Results from the Avon Longitudinal Study of Parents and Children. BJOG: An International Journal of Obstetrics & Gynaecology, 118, 1491-1498.
http://dx.doi.org/10.1111/j.1471-0528.2011.03077.x

[17]   Fairburn, C.G. and Cooper, Z. (1993) The eating disorder examination. In: Fairburn, C.G. and Wilson, G.T., Eds., Binge eating: Nature, assessment, and treatment (12th ed.), Guilford Press, New York, 317-356.

[18]   Morgan, J.F., Reid, F. and Lacey, J.H. (1999) The SCOFF questionnaire: Assessment of a new screening tool for eating disorders. British Medical Journal, 319, 1467-1468.
http://dx.doi.org/10.1136/bmj.319.7223.1467

[19]   Mehler, P.S., Birmingham, L.C., Crow, S.J. and Jahraus, J.P. (2010) Medical complications of eating disorders. In: Grilo, C.M. and Mitchell, J.E., Eds., The treatment of eating disorders: A clinical handbook, Guilford Press, New York, 66-80.

[20]   Leddy, M.A., Jones, C., Morgan, M.A. and Schulkin, J. (2009) Eating disorders and obstetric-gynecological care. Journal of Women’s Health, 18, 1395-1431. http://dx.doi.org/10.1089/jwh.2008. 1183

[21]   Guarda, A.S. and Coughlin, J.W. (2009) Treatment resistance: Persuasion, perceived coercion and compulsion. In: Dancyger, I.F. and Fornari, V.M., Eds., Evidence based treatments for eating disorders: Children, adolescents and adults, Nova Science Publishers, New York, 171-186.

 
 
Top