Anne M. Mitchell, CNM, PhD, NPWH, is in clinical practice with Dr. Marc Adelman at William Beaumont Hospital in Troy, MI and is an Assistant Professor in the School of Nursing at Oakland University, Rochester, MI.
Eating Disorders and Women's Health: An Update
Article first published online: 24 DEC 2010
2006 American College of Nurse Midwives
Journal of Midwifery & Womens Health
Volume 51, Issue 3, pages 193–201, May-June 2006
How to Cite
Mitchell, A. M. and Bulik, C. M. (2006), Eating Disorders and Women's Health: An Update. Journal of Midwifery & Womens Health, 51: 193–201. doi: 10.1016/j.jmwh.2006.01.005
- Issue published online: 24 DEC 2010
- Article first published online: 24 DEC 2010
- anorexia nervosa;
- bulimia nervosa;
- eating disorders;
- eating disorders not otherwise specified;
Anorexia nervosa, bulimia nervosa, and eating disorders not otherwise specified have a significant impact on the health care and childbearing outcomes of the female population. Primary care contact for gynecologic care, childbearing, or infertility can serve as a critical entry point for the initial recognition of potentially devastating disorders that may result in permanent impairment and/or chronic debilitation. This review addresses the nature and prevalence of eating disorders and the management of pregnancy complicated by an active eating disorder or a history of an eating disorder. Genetic influences and intergenerational transmission of eating disorders are discussed. Finally, the increased risk for postpartum depression among women with a current or past eating disorder is examined. Factors critical to improving pregnancy outcome and reducing the risk for exacerbation or relapse in the postpartum period are identified.