Document Detail


Bulimia nervosa during pregnancy: a review.
MedLine Citation:
PMID:  11320952     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Pregnant women with bulimia nervosa present interesting practice challenges for dietitians and healthcare professionals due to potential complications of bulimia nervosa for both mothers and fetuses. This review summarizes case study reports, case series reports, and retrospective studies of women with bulimia nervosa during pregnancy, and focuses on relationships among bulimic behaviors, pregnancy results, and birth outcomes. Pregnancy and birth outcomes of women with bulimia nervosa varied among individuals and studies. Material outcomes of concern included miscarriages, inappropriate weight gains (excessive or inadequate), complicated deliveries, and resumed and/or continued bulimic behaviors shortly after parturition. Fetal complications included low birth weights, prematurity, malformations, and low Apgar scores. Screening to detect bulimic behaviors is recommended, as is multidisciplinary treatment of pregnant women with bulimia nervosa to emphasize adequate dietary intakes, promote appropriate weight gains, and help achieve healthy infant outcomes in addition to long-term, healthy eating habits for these women. Future research regarding maternal and fetal outcomes of women with bulimia nervosa during pregnancy, conducted by registered dietitians, is needed to provide greater clarity and understanding of the impact of bulimic behaviors, dietary intakes, and nutritional status during pregnancy on maternal and fetal health.
Authors:
E S Morrill; H M Nickols-Richardson
Publication Detail:
Type:  Case Reports; Journal Article; Review    
Journal Detail:
Title:  Journal of the American Dietetic Association     Volume:  101     ISSN:  0002-8223     ISO Abbreviation:  J Am Diet Assoc     Publication Date:  2001 Apr 
Date Detail:
Created Date:  2001-04-25     Completed Date:  2001-05-10     Revised Date:  2005-11-16    
Medline Journal Info:
Nlm Unique ID:  7503061     Medline TA:  J Am Diet Assoc     Country:  United States    
Other Details:
Languages:  eng     Pagination:  448-54     Citation Subset:  AIM; IM    
Affiliation:
Department of Human Nutrition, Foods and Exercise, 225 Wallace Hall, Virginia Polytechnic Institute and State University, Blacksburg, VA 24061-0430, USA.
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MeSH Terms
Descriptor/Qualifier:
Birth Weight
Body Image
Bulimia / complications*,  diet therapy,  physiopathology
Female
Humans
Nutritional Status*
Pregnancy
Pregnancy Complications* / diet therapy,  etiology,  physiopathology
Pregnancy Outcome
Retrospective Studies
Comments/Corrections
Comment In:
J Am Diet Assoc. 2002 Apr;102(4):477   [PMID:  11985402 ]

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