Maternal and fetal risks and outcomes

Pregnancy represents a life cycle stage during which energy balance is critical to optimal outcomes for both mother and fetus. Body weight and shape changes that occur during pregnancy and serve as indicators of appropriate energy, macronutrient, and micronutrient intakes to support fetal growth and development must be accepted by the

Table 9.3

Adverse Findings during Pregnancy in Women with Anorexia Nervosa (AN) or Bulimia Nervosa (BN)

Maternal outcomes

Fetal outcomes

  • Inadequate or excessive body weight gain
  • Spontaneous abortion
  • Hyperemesis gravidarum
  • Relapse in AN or BN symptoms
  • Worsening of AN or BN symptoms
  • Cesarean section
  • Death
  • Postpartum depression
  • Intrauterine growth restriction
  • Preterm delivery
  • Low birth weight
  • Small for gestational age
  • Microcephaly
  • Short body length
  • Neural tube defect
  • Other birth defects
  • Poor Apgar scores woman with AN or BN. A variety of risks and adverse outcomes have been documented in women with AN or BN during pregnancy (Table 9.3).
Breaking Bulimia

Breaking Bulimia

We have all been there: turning to the refrigerator if feeling lonely or bored or indulging in seconds or thirds if strained. But if you suffer from bulimia, the from time to time urge to overeat is more like an obsession.

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