BULIMIA-NERVOSA - THE IMPACT OF PREGNANCY ON MOTHER AND BABY
BULIMIA-NERVOSA - THE IMPACT OF PREGNANCY ON MOTHER AND BABY
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DOI：
10.1192/bjp.150.6.777
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发表时间：
1987-06-01
影响因子：
10.5
通讯作者：
SMITH, G
中科院分区：
文献类型：
--
作者：
LACEY, JH;SMITH, G
本研究探讨了怀孕的影响，20未经治疗的正常体重神经性贪食症的妇女报告的饮食行为，它还报告了胎儿和产科异常，并指出最初的饮食习惯的婴儿。暴饮暴食和自我诱发呕吐的患病率在怀孕的每个三个月依次降低。到妊娠晚期，15名妇女（75%）停止了所有暴食行为，其余的进食不那么严重。症状往往在产褥期复发，在近一半的样本中，异常饮食在分娩后比怀孕前更受干扰。然而，7名患者描述的与妊娠相关的改善得到了维持，5名患者似乎得到了治愈。妊娠暴食症患者普遍担心他们的异常饮食行为可能会损害未出生的孩子，这项研究无法消除这种恐惧;胎儿畸形（包括腭裂和唇裂），多胎妊娠和产科并发症（包括臀位和手术干预）的发生率很高。婴儿的营养和发育状况良好，尽管有三位母亲（15%）报告说在第一年内给婴儿瘦身。
This study examines the impact of pregnancy on the reported eating behaviour of 20 untreated normal body weight bulimia nervosa women; it also reports foetal and obstetric abnormalities and indicates the initial eating habits of the infants. The prevalence of binge-eating and self-induced vomiting reduced sequentially during each trimester of pregnancy. By the third trimester 15 women (75%) had stopped all bulimic behaviour and in the remainder the disturbed eating was less severe. Symptoms tended to return in the puerperium and in nearly half the sample abnormal eating was more disturbed after delivery than before conception. However, the improvement associated with the pregnancy described by seven patients was maintained and for five it appears to have been curative. The common fear among pregnant bulimics that their abnormal eating behaviour may damage their unborn child cannot be dispelled by this study; the incidence of foetal abnormality (including cleft palate and cleft lip), multiple pregnancies and obstetric complications (including breech presentation and surgical intervention) was high. The nutrition and development of the infants was good although three mothers (15%) reported slimming their babies down within the first year.