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Eating Disorders During Pregnancy

Cardwell, Michael S. MD, JD, MPH, MBA

Obstetrical & Gynecological Survey: April 2013 - Volume 68 - Issue 4 - p 312–323
doi: 10.1097/OGX.0b013e31828736b9
CME Articles: Eating Disorders During Pregnancy

Eating disorders during pregnancy, once thought to be rare, occur in a significant number of women. The incidences of the major eating disorders—anorexia nervosa and bulimia nervosa—are increasing because of cultural pressures on the drive for thinness. Because the age range for these major eating disorders overlaps with the age range for reproductive function, it is not unusual for a clinician to encounter a pregnant patient with a major eating disorder. Eating disorders attributable to the pregnant state include pregnancy sickness, pica, and ptyalism. The diagnostic criteria, etiology, nutritional behavioral influences, evolutionary psychological considerations where elucidated, and treatment of these disorders will be presented.

Target Audience: Obstetricians and gynecologists, family physicians

Learning Objectives: After completing this CME activity, physicians should be better able to review how the major eating disorders impact pregnancy, to diagnose eating disorders during pregnancy using the diagnostic criteria, and to treat eating disorders during pregnancy.

Associate Professor, Department of Obstetrics & Gynecology, Texas Tech University Health Sciences Center, Paul L. Foster School of Medicine, El Paso, TX

Dr Cardwell has disclosed that the US Food and Drug Administration has not approved the use of antidepressant medications for the treatment of bulimia nervosa as discussed in this article.

Correspondence requests to: Michael S. Cardwell, MD, JD, MPH, MBA, Department of Obstetrics & Gynecology, Texas Tech University Health Sciences Center, Paul L. Foster School of Medicine, 4801 Alberta Ave, El Paso, TX 79905. E-mail: Michael.cardwell@ttuhsc.edu.

© 2013 by Lippincott Williams & Wilkins.