Delayed detection of pregnancy in patients with anorexia nervosa: two case reports

The International Journal of Eating Disorders
O B BonneE M Berry

Abstract

Pregnancy in patients with anorexia nervosa is rarely suspected. Amenorrhea is invariably present, often accompanied by sensations such as a bloated abdomen, nausea, vomiting, and fatigue. The detection of conception in anorectic patients is often delayed. Two extreme cases of belated recognition of pregnancy (at Weeks 25 and 26) in anorectic patients are described: Both had been amenorrheic prior to conception, had no notion of pregnancy, and in both, discovery was incidental. Termination of pregnancy, requested by one of the patients, was unfeasible at this gestational age. Pregnancy in patients with eating disorders is elusive, prone to complications, and should be considered when symptoms are suggestive.

Citations

Feb 29, 2000·Obstetrics and Gynecology Clinics of North America·R E Kreipe, S M Mou
Jul 4, 2002·The Journal of Perinatal & Neonatal Nursing·D C James
Oct 28, 2014·European Eating Disorders Review : the Journal of the Eating Disorders Association·Abigail EasterNadia Micali
Jul 19, 2008·The International Journal of Eating Disorders·Emilia ManzatoMalvina Gualandi
Jun 18, 2009·Journal of Psychosomatic Obstetrics and Gynaecology·Ida Ringsborg MadsenRené Klinkby Støving
Mar 16, 2013·European Eating Disorders Review : the Journal of the Eating Disorders Association·Abigail EasterNadia Micali
Dec 11, 1999·The Medical Journal of Australia·R Kaplan

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Anorexia Nervosa

Anorexia nervosa (AN) is a psychiatric condition characterized by severe weight loss and secondary problems associated with malnutrition. Here is the latest research on AN.

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