Eating Disorders and Childbearing: Concealment and Consequences

Authors

  • Anne Mitchell-Gieleghem PhD, CNM, NP,

    1. Anne Mitchell-Gieleghem is an Assistant Professor at Oakland University in Rochester, Michigan and is a Certified Nurse-Midwife and Nurse Practitioner sharing a private practice with Dr. Donald Taylor in Troy, Michigan; Mary E. Mittelstaedt is Associate Professor of Nursing, Oakland University, Rochester, Michigan; and Cynthia M.Bulik is an Associate Professor at the Virginia Institute for Psychiatric and Behavioral Genetics of Virginia Commonwealth University, Richmond, Virginia.
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  • Mary E. Mittelstaedt PhD, RNC,

    1. Anne Mitchell-Gieleghem is an Assistant Professor at Oakland University in Rochester, Michigan and is a Certified Nurse-Midwife and Nurse Practitioner sharing a private practice with Dr. Donald Taylor in Troy, Michigan; Mary E. Mittelstaedt is Associate Professor of Nursing, Oakland University, Rochester, Michigan; and Cynthia M.Bulik is an Associate Professor at the Virginia Institute for Psychiatric and Behavioral Genetics of Virginia Commonwealth University, Richmond, Virginia.
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  • Cynthia M. Bulik PhD

    1. Anne Mitchell-Gieleghem is an Assistant Professor at Oakland University in Rochester, Michigan and is a Certified Nurse-Midwife and Nurse Practitioner sharing a private practice with Dr. Donald Taylor in Troy, Michigan; Mary E. Mittelstaedt is Associate Professor of Nursing, Oakland University, Rochester, Michigan; and Cynthia M.Bulik is an Associate Professor at the Virginia Institute for Psychiatric and Behavioral Genetics of Virginia Commonwealth University, Richmond, Virginia.
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Address correspondence to Anne Mitchell-Gieleghem, 1629 West Big Beaver, Troy, Michigan 48084.

Abstract

ABSTRACT: The reported incidence of eating disorders has increased markedly during the past 30 years. Numerous studies have linked a spectrum of eating disorders to serious medical complications resulting in hospitalization and death. The prevalence of such disorders occurs primarily in women of adolescent and childbearing age. This article reviews the published literature alerting the practitioner to the indicators of a condition that is seldom disclosed bythe client or detected by the caregiver. Predisposing factors, behavioral theories, and reproductive outcomes are discussed to provide clear evidence of the link between eating disorders and poor pregnancy outcome. Recommendations are offered for early recognition ofa repeatedly concealed disease and for management of eating disorders during the childbearing cycle. (BIRTH 29:3 September 2002)

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