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Eating Disorders During Pregnancy

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Presentation on theme: "Eating Disorders During Pregnancy"— Presentation transcript:

1 Eating Disorders During Pregnancy
Jamilia Jernigan Karen Balkamfard Marlyn Zarate

2 What is Pregorexia? “A term coined by the media to define women who exhibit eating disorder behaviors during pregnancy to avoid gaining weight” Journal Of The American Dietetic Association

3 Symptoms of Pregorexia
Denial about developing baby Avoiding/restricting calories Increased isolation Desired weight loss Journal Of The American Dietetic Association

4 Weight Gain 25-35 lbs weight gain in a healthy pregnancy with pre-pregnant normal weight BMI Having to gain this amount can be very frightening for women with eating disorders Most women with eating disorders fall somewhere between two extremes National Eating Disorders Association

5 Two Extremes Important cause Many cope with weight gain
Struggle with tension between idea of weight gain and body image Enter depression state

6 Warning Signs History of eating disorder
Unrealistic view about the pregnancy Extreme dieting Focus of caloric intake vs. health Eating alone Skipping meals binging and purging excessive exercise

7 Diagnosis Decrease ED symptoms during during 1st and 3rd trimester
Past ED:10% purged first 18 weeks High exercise Concerned with body image Recent ED: higher use of laxatives during first 18 weeks compulsive exercise SIV Restricted eating

8 Pregnancy and Anorexia Nervosa
Women are underweight /Not enough weight gain Low birth weight in baby Related health problems for baby

9 Pregnancy and Bulimia Nervosa
Continue to purge Suffer dehydration Chemical/ electrolyte imbalances Cardiac irregularities

10 Risks Low birth weight Stillbirth or fetal death
Increased risk of cesarean birth Delayed fetal growth Respiratory problems Premature Labor Miscarriage Preeclampsia American Pregnancy Association

11 Risks Cont. Women struggling with bulimia will often gain excess weight At risk for hypertension and gestational diabetes Higher rates of postpartum depression More likely to have problems with breastfeeding Laxatives and diuretics may be harmful to the developing baby. Take away nutrients and fluids before they are able to feed and nourish the baby May lead to fetal abnormalities if used on a regular basis American Pregnancy Association

12 Risks: Baby Premature birth Low birth weight for age
Higher in active or recovered AN Respiratory distress Feeding difficulties Poor development Perinatal complications

13 Neurodevelopmental & Physical Sequelae
Schizophrenia Eating Disorders themselves Obesity Cardiovascular Disease Visual/hearing impairment Rickets Cognitive development ADHD: attention problems

14 Intervention/Recovery
Be HONEST with your prenatal health provider Extra appointments to more closely track the growth and development of your baby Consult a nutritionist with expertise in eating disorders before or immediately after becoming pregnant Individual counseling during and after pregnancy can help you cope with your concerns and fears regarding food, weight gain, body image and the new role of mothering Attend a support group for people with eating disorders National Eating Disorders Association

15 Intervention/Recovery Cont.
Attend a prenatal exercise class Allow your prenatal health provider to weigh you. If you suffer from severe depression or obsessive- compulsive problems, you may require medications for these conditions even during pregnancy Tailor your schedule to your pregnancy instead of trying to keep your regular schedule Cut back on commitments and activities if necessary. National Eating Disorders Association

16 Questions How can you identify the signs of pregorexia?
What consequences are caused due to anorexia nervosa and bulimia nervosa during pregnancy to the fetus? What are some warning signs of undergoing an eating disorder during pregnancy?

17 References: Fahy, T. & O'Donoghue, G. (1991). Eating disorders in pregnancy. Psychological Medicine, 21(3), doi: /S Franko, D. L., Blais, M. A., Becker, A. E., Delinsky, S. S., Greenwood, D. N., Flores, A. T., Herzog, D. B. (2001). Pregnancy complications and neonatal outcomes in women with eating disorders. Ajp, 158(9), doi: /appi.ajp Getz, L. (2015). Eating Disorders. Starving for Two. Today's Dietitian, 17(1), Mathieu, J. (2009). What is pregorexia?. Journal Of The American Dietetic Association, 109(6), doi: /j.jada

18 References Cont. Micali, N., Treasure, J., & Simonoff, E. (2007). Eating disorders symptoms in pregnancy: A longitudinal study of women with recent and past eating disorders and obesity. Journal of Psychosomatic Research, 63(3), doi: /j.jpsychores (2011). Pregnancy and Eating Disorders. American Pregnancy Association. Pregnancy and Eating Disorders. National Eating Disorder Association. Solmi, F., Sallis, H., Stahl, D., Treasure, J., & Micali, N. (2014). Low Birth Weight in the Offspring of Women With Anorexia Nervosa. Epidemiologic Reviews, 36(1), 49–56. doi: /epirev/mxt004

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