Obstetric and gynecologic problems associated with eating disorders
ABSTRACT Objective This article summarizes the literature on obstetric and gynecologic complications associated with eating disorders. Method We performed a comprehensive search of the current literature on obstetric and gynecologic complications associated with eating disorders using PubMed. More r...
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| Published in: | The International journal of eating disorders Vol. 49; no. 3; pp. 260 - 275 |
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| Main Authors: | , , , , |
| Format: | Journal Article |
| Language: | English |
| Published: |
United States
Blackwell Publishing Ltd
01-03-2016
Wiley Subscription Services, Inc |
| Subjects: | |
| Online Access: | Get full text |
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| Summary: | ABSTRACT
Objective
This article summarizes the literature on obstetric and gynecologic complications associated with eating disorders.
Method
We performed a comprehensive search of the current literature on obstetric and gynecologic complications associated with eating disorders using PubMed. More recent randomized‐controlled trials and larger data sets received priority. We also chose those that we felt would be the most relevant to providers.
Results
Common obstetric and gynecologic complications for women with eating disorders include infertility, unplanned pregnancy, miscarriage, poor nutrition during pregnancy, having a baby with small head circumference, postpartum depression and anxiety, sexual dysfunction and complications in the treatment for gynecologic cancers. There are also unique associations by eating disorder diagnosis, such as earlier cessation of breastfeeding in anorexia nervosa; increased polycystic ovarian syndrome in bulimia nervosa; and complications of obesity as a result of binge eating disorder.
Discussion
We focus on possible biological and psychosocial factors underpinning risk for poor obstetric and gynecological outcomes in eating disorders. Understanding these factors may improve both our understanding of the reproductive needs of women with eating disorders and their medical outcomes. We also highlight the importance of building multidisciplinary teams to provide comprehensive care to women with eating disorders during the reproductive years.
Resumen
Objetivo
Este artículo revisa la literatura acerca de complicaciones Gineco‐obstétricas asociadas con trastornos de la conducta alimentaria.
Método
Se realizó una búsqueda de la literatura actual acerca de las complicaciones gineco‐obstétricas asociadas con trastornos de la conducta alimentaria usando PubMed. Se dio prioridad a los estudios aleatorios controlados más recientes y grandes bases de datos. También escogimos aquellos que sentimos podrían ser más relevantes.
Resultados
Las complicaciones gineco obstétricas comunes en mujeres con trastornos de la conducta alimentaria incluyen, infertilidad, embarazo no planeado, aborto espontáneo, desnutrición durante el embarazo, tener un bebé con disminución del tamaño de la circunferencia craneal, depresión y ansiedad postparto, disfunción sexual y complicaciones en el tratamiento de cánceres ginecológicos. Hay también asociaciones particulares según el trastorno de la conducta alimentaria como interrupción temprana de la alimentación al seno materno en la anorexia nervosa; aumento de síndrome de ovario poliquístico en bulimia nervosa; y complicaciones de obesidad como resultado del trastorno por atracón.
Discusión
Nos enfocamos en los posibles factores biológicos y psicosociales que refuerzan el riesgo de complicaciones gineco‐obstétricas en pacientes con trastorno de la conducta alimentaria. Entender estos factores puede mejorar tanto nuestro entendimiento de las necesidades reproductivas de las mujeres con trastorno de la conducta alimentaria así como su evolución médica. Destacamos también la importancia de formar equipos multidisciplinarios para proveer un cuidado exhaustivo a las mujeres con trastorno de la conducta alimentaria durante sus años reproductivos. © 2015 Wiley Periodicals, Inc. (Int J Eat Disord 2016; 49:260–275) |
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| Bibliography: | istex:C0ED06AC1C60BCC2D06A7A3022638219BAA77C47 ark:/67375/WNG-D7VCJGFZ-T ArticleID:EAT22483 Supported by 538‐2013‐8864 from Swedish Research Council. ObjectType-Article-2 SourceType-Scholarly Journals-1 ObjectType-Feature-3 content type line 23 ObjectType-Review-1 |
| ISSN: | 0276-3478 1098-108X 1098-108X |
| DOI: | 10.1002/eat.22483 |