Madsen Ida Ringsborg, Hørder Kirsten, Støving René Klinkby
Department of Endocrinology, Center for Eating Disorders, Odense University Hospital, Odense, Denmark.
J Psychosom Obstet Gynaecol. 2009 Jun;30(2):122-6. doi: 10.1080/01674820902789217.
Eating disorder during pregnancy is associated with a diversity of adverse outcomes and is of potential danger to both mother and child. There is, however, a tendency for remission of the eating disorder during pregnancy with improvement of symptoms such as restrictive dieting, binging and purging, and some women actually manage to put the disease behind them. This case report describes five women with different eating disorders and focuses on the symptomatology during pregnancy and in the months postpartum. The discussion deals with the possible psychological, social and endocrinological reasons for remission and the subsequent relapse, the definition of recovery and the factors which should alert health care professionals of the at-risk pregnancies in cases of undisclosed eating disorder. Furthermore, therapeutic interventions are proposed.
孕期饮食失调与多种不良后果相关,对母婴均有潜在危险。然而,孕期饮食失调有缓解的趋势,诸如节食、暴饮暴食和催吐等症状会有所改善,一些女性实际上能够摆脱这种疾病。本病例报告描述了五名患有不同饮食失调症的女性,并着重关注孕期及产后数月的症状表现。讨论涉及缓解及随后复发的可能心理、社会和内分泌原因、康复的定义以及在未公开饮食失调情况下应提醒医护人员注意高危妊娠的因素。此外,还提出了治疗干预措施。