Pregnancy and Neonatal Outcomes in Women With Eating Disorders

Saloua Koubaa · Tore Hällström · Caroline Lindholm · Angelica Lindén Hirschberg

233 citations0/0 files storedObstetrics and Gynecology

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Eating Disorders and Behaviors Maternal Mental Health During Pregnancy and Postpartum Maternal and Neonatal Healthcare

Abstract

OBJECTIVE: This study was initiated to examine pregnancy and neonatal outcomes in women with past or current eating disorders as compared with a control group. METHODS: Forty-nine nulliparous nonsmoking women previously diagnosed with eating disorders (24 anorexia nervosa, 20 bulimia nervosa, 5 eating disorders not otherwise specified) and 68 controls were recruited in early pregnancy. Data on antenatal complications, mode of delivery, and neonatal outcome variables were collected. For comparisons between groups 1-way analysis of variance or chi(2) test was used. RESULTS: Twenty-two percent of the patients had a verified relapse in eating disorders during pregnancy. Women with past or current eating disorders were at increased risk of hyperemesis (P < .01) and delivered infants with significantly lower birth weight (P < .01) and smaller head circumference (P < .001) as compared with controls. They were also at greater risk of delivering infants with microcephaly (P < .05) and small for gestational age infants (P < .05). CONCLUSION: Pregnant women with past or active eating disorders seem to be at greater risk for delivering infants with lower birth weight, smaller head circumference, microcephaly, and small for gestational age. LEVEL OF EVIDENCE: II-2.

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2013Experimental Design: Procedures for the Behavioral Sciences 2001Pregnancy Complications and Neonatal Outcomes in Women With Eating Disorders

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2007Patterns of remission, continuation and incidence of broadly defined eating disorders during early pregnancy in the Norwegian Mother and Child Cohort Study (MoBa)2008Birth outcomes in women with eating disorders in the Norwegian Mother and Child cohort study (MoBa)2015Obstetric and gynecologic problems associated with eating disorders 2014Pregnancy, obstetric, and perinatal health outcomes in eating disorders 2006Risk of Postnatal Depression, Miscarriage, and Preterm Birth in Bulimia Nervosa: Retrospective Controlled Study 2013Long-term consequences of anorexia nervosa 2019Association of Maternal Eating Disorders With Pregnancy and Neonatal Outcomes 2008The Reciprocal Effects of Eating Disorders and the Postpartum Period: A Review of the Literature and Recommendations for Clinical Care

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