Obstetric and gynecologic problems associated with eating disorders.
Obstetric and gynecologic problems associated with eating disorders.
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DOI：
10.1002/eat.22483
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发表时间：
2016-03
期刊：
影响因子：
--
通讯作者：
Meltzer-Brody S
中科院分区：
文献类型：
--
作者：
Kimmel MC;Ferguson EH;Zerwas S;Bulik CM;Meltzer-Brody S
本文总结了与进食障碍相关的妇产科并发症的文献。我们使用PubMed对与进食障碍相关的妇产科并发症的现有文献进行了全面检索。最近的随机对照试验和较大的数据集获得优先考虑。我们还选择了我们认为与供应商最相关的内容。饮食失调妇女常见的妇产科并发症包括不孕症、意外怀孕、流产、怀孕期间营养不良、婴儿头围小、产后抑郁和焦虑、性功能障碍和妇科癌症治疗并发症。饮食失调症的诊断也有独特的关联，如神经性厌食症的早期停止母乳喂养;神经性贪食症的多囊卵巢综合征增加;以及暴食症导致的肥胖并发症。我们专注于可能的生物和心理社会因素的基础风险，为不良的产科和妇科结局的进食障碍。了解这些因素可能会提高我们对饮食失调女性生殖需求及其医疗结果的理解。我们还强调，必须建立多学科团队，为生育期饮食失调的妇女提供全面护理。
This article summarizes the literature on obstetric and gynecologic complications associated with eating disorders. 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. 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. 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.
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影响因子：
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