Document Detail

Eating disorders in the obstetric and gynecologic patient population.
MedLine Citation:
PMID:  19935043     Owner:  NLM     Status:  MEDLINE    
The eating disorders anorexia nervosa and bulimia nervosa and eating disorders not otherwise specified disproportionately affect women, have profound effects on the overall well-being of women and their children, and can have mortality rates as high as those found with major depression. These disorders may present to obstetrician-gynecologists (ob-gyns) clinically as menstrual dysfunction, low bone density, sexual dysfunction, miscarriage, preterm delivery, or low birth weight in offspring. Ninety percent of eating disorders develop before the age of 25 in otherwise healthy young women, a group that characteristically seeks the majority of their health care from ob-gyns. For all of these reasons, ob-gyns must have a greater awareness of these disorders and a lower index of suspicion for screening their patients than they currently do. Otherwise, they may miss life-threatening illness, treat characteristic amenorrhea inappropriately, or inadvertently intervene to help these women conceive, contributing to maternal and fetal risks. As providers of both primary and specialty care for women, ob-gyns have the opportunity to play a vital role in prevention and diagnosis of eating disorders and in the multidisciplinary management required to effectively manage these disorders.
Arnold E Andersen; Ginny L Ryan
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Publication Detail:
Type:  Journal Article; Review    
Journal Detail:
Title:  Obstetrics and gynecology     Volume:  114     ISSN:  1873-233X     ISO Abbreviation:  Obstet Gynecol     Publication Date:  2009 Dec 
Date Detail:
Created Date:  2009-11-25     Completed Date:  2009-12-21     Revised Date:  2010-10-27    
Medline Journal Info:
Nlm Unique ID:  0401101     Medline TA:  Obstet Gynecol     Country:  United States    
Other Details:
Languages:  eng     Pagination:  1353-67     Citation Subset:  AIM; IM    
Department of Psychiatry, University of Iowa Carver College of Medicine, Iowa City, Iowa 52242 , USA.
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MeSH Terms
Bone Density
Eating Disorders / complications,  diagnosis*,  physiopathology
Hypothalamo-Hypophyseal System / physiopathology
Infertility, Female / etiology
Menstruation Disturbances / etiology
Obstetric Labor Complications / etiology
Ovary / physiopathology
Risk Factors
Sexual Dysfunctions, Psychological / etiology
Young Adult
Erratum In:
Obstet Gynecol. 2010 Nov;116(5):1224

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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