神经性厌食症中的生殖问题。
Reproductive issues in anorexia nervosa.
作者信息
Hoffman Elizabeth R, Zerwas Stephanie C, Bulik Cynthia M
机构信息
Department of Psychiatry, University of North Carolina at Chapel Hill, CB #7160, 101 Manning Drive, Chapel Hill, NC 27599-7160, USA.
出版信息
Expert Rev Obstet Gynecol. 2011 Jul;6(4):403-414. doi: 10.1586/eog.11.31.
Abstract
Despite a high prevalence of menstrual irregularities, women with anorexia nervosa are becoming pregnant. The physical and psychological demands of pregnancy and motherhood can represent an immense challenge for women already struggling with the medical and psychological stress of an eating disorder. This article summarizes key issues related to reproduction in women with anorexia nervosa, highlighting the importance of preconception counseling, adequate gestational weight gain, and sufficient pre- and post-natal nutrition. Postpartum issues including eating disorder symptom relapse, weight loss, breastfeeding, and risk of perinatal depression and anxiety are also discussed.
摘要
尽管月经不调的发生率很高，但神经性厌食症女性仍在怀孕。怀孕和为人母对身体和心理的要求，对于那些已经在饮食失调的医学和心理压力中挣扎的女性来说，可能是一个巨大的挑战。本文总结了与神经性厌食症女性生殖相关的关键问题，强调了孕前咨询、孕期适当体重增加以及充足的产前和产后营养的重要性。还讨论了产后问题，包括饮食失调症状复发、体重减轻、母乳喂养以及围产期抑郁和焦虑的风险。
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