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孕期饮食失调。

Eating disorders in pregnancy.

作者信息

Kníže M, Baraníková Z, Krejčová V, Fait T

出版信息

Ceska Gynekol. 2018 Winter;83(5):359-363.

Abstract

OBJECTIVE

To highlight a problem of eating disorders in pregnancy and the need for interdisciplinary cooperation in these cases.

DESIGN

Case report.

SETTING

Department of Gynecology and Obstetrics, 2nd Faculty of Medicine, University hospital Motol, Prague.

CASE REPORT

We report the course of pregnancy in a 19-year-old woman with an atypical form of mental anorexia. The patient was repeatedly hospitalized for metabolic disruption. The pregnancy was finally terminated at the 27th week of pregnancy for fetal growth restriction of the fetus.

CONCLUSION

Despite the frequent irregularities of the menstrual cycle in eating disorders, a spontaneous conception is possible. The prognosis of pregnancy is uncertain and may endanger the mother and fetus. Management of pregnant women with eating disorders requires the cooperation of a perinatologist, internist, nutritional therapist, psychiatrist or psychologist.

摘要

目的

强调孕期饮食失调问题以及此类情况下跨学科合作的必要性。

设计

病例报告。

地点

布拉格莫托尔大学医院医学院第二妇产科。

病例报告

我们报告一名19岁非典型精神性厌食症女性的孕期情况。该患者因代谢紊乱多次住院。最终因胎儿生长受限,妊娠在孕27周时终止。

结论

尽管饮食失调患者月经周期常不规律,但仍有可能自然受孕。妊娠预后不确定,可能危及母亲和胎儿。饮食失调孕妇的管理需要围产医学专家、内科医生、营养治疗师、精神科医生或心理学家的合作。

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