Bulimia nervosa in pregnancy: a case report.
Bulimia nervosa is an eating disorder characterized by secretive binge eating and purging with induced vomiting, laxatives, and diuretics. The disorder primarily afflicts young white women between 18-35 years of age. We report the case of a 30-year-old pregnant woman with a 17-year history of bulimia that involved up to six episodes of binging and purging daily. A multidisciplinary approach enabled outpatient management throughout gestation. The pregnancy resulted in the delivery of a normal 3000-g female infant at term. The ramifications for maternal and fetal well-being and the goals of therapeutic management are discussed.
Feingold
M
M
Division of Maternal-Fetal Medicine, Tufts University Affiliated Hospitals/St. Margaret's Hospital for Women, Boston, Massachusetts.
Kaminer
Y
Y
Lyons
K
K
Chaudhury
A K
AK
Costigan
K
K
Cetrulo
C L
CL
D000328:Adult; D002032:Bulimia / Q000628:therapy*; D005260:Female; D006801:Humans; D010348:Patient Care Team; D011247:Pregnancy; D011248:Pregnancy Complications / Q000523:psychology* / Q000628:therapy; D011295:Prenatal Care