Remission of eating disorder during pregnancy: five cases and brief clinical review.
Eating disorder during pregnancy is associated with a diversity of adverse outcomes and is of potential danger to both mother and child. There is, however, a tendency for remission of the eating disorder during pregnancy with improvement of symptoms such as restrictive dieting, binging and purging, and some women actually manage to put the disease behind them. This case report describes five women with different eating disorders and focuses on the symptomatology during pregnancy and in the months postpartum. The discussion deals with the possible psychological, social and endocrinological reasons for remission and the subsequent relapse, the definition of recovery and the factors which should alert health care professionals of the at-risk pregnancies in cases of undisclosed eating disorder. Furthermore, therapeutic interventions are proposed.
Madsen
Ida Ringsborg
IR
Department of Endocrinology, Center for Eating Disorders, Odense University Hospital, Odense, Denmark. rene.k.stoving@dadlnet.dk
Hørder
Kirsten
K
Støving
René Klinkby
RK
D000328:Adult; D000856:Anorexia Nervosa / Q000175:diagnosis / Q000523:psychology; D015992:Body Mass Index; D052018:Bulimia Nervosa / Q000175:diagnosis / Q000523:psychology; D015897:Comorbidity; D004038:Diet, Reducing / Q000523:psychology; D001068:Feeding and Eating Disorders / Q000175:diagnosis / Q000523:psychology*; D005260:Female; D005317:Fetal Growth Retardation / Q000523:psychology; D006801:Humans; D007231:Infant, Newborn; D008137:Longitudinal Studies; D002189:Marijuana Abuse / Q000523:psychology; D011247:Pregnancy; D011248:Pregnancy Complications / Q000175:diagnosis / Q000523:psychology*; D011644:Puerperal Disorders / Q000175:diagnosis / Q000523:psychology; D012008:Recurrence; D012017:Referral and Consultation; D012075:Remission, Spontaneous; D055815:Young Adult