Eating disorders in pregnancy

Authors: M. Kníže 1;  Z. Baraníková 2;  V. Krejčová 3;  T. Fait 1
Authors‘ workplace: Gynekologicko-porodnická klinika 2. LF UK a FN Motol, Praha, přednosta MUDr. R. Chmel, Ph. D., MHA 1;  Dětská psychiatrická klinika 2. LF UK a FN Motol, Praha, přednosta prof. MUDr. M. Hrdlička, CSc. 2;  Novorozenecké oddělení FN Motol, Praha, primář MUDr. M. Černý 3
Published in: Ceska Gynekol 2018; 83(5): 359-363
Category: Case Report



To highlight a problem of eating disorders in pregnancy and the need for interdisciplinary cooperation in these cases.


Case report.


Department of Gynecology and Obstetrics, 2nd Faculty of Medicine, University hospital Motol, Prague.

Case report:

We report the course of pregnancy in a 19-year-old woman with an atypical form of mental anorexia. The patient was repeatedly hospitalized for metabolic disruption. The pregnancy was finally terminated at the 27th week of pregnancy for fetal growth restriction of the fetus.


Despite the frequent irregularities of the menstrual cycle in eating disorders, a spontaneous conception is possible. The prognosis of pregnancy is uncertain and may endanger the mother and fetus. Management of pregnant women with eating disorders requires the cooperation of a perinatologist, internist, nutritional therapist, psychiatrist or psychologist.


mental anorexia, bulimia, pregnancy, fetal growth restriction, amenorrhoea


1.    Astrachan-Fletcher, E., Veldhuis, C., Lively, N., et al. The reciprocal effects of eating disorders and the postpartum period: A review of the literature and recommendations for clinical care. J Women‘s Health (Larchmt), 2008, 17(2), p. 227–239.
2.    Bulik, C., Von Holle, A., Hamer, R., et al. Patterns of remission, continuation, and incidence of eating disorders during pregnancy in the Norwegian Mother and Child Cohort Study (MoBa). Psychol Med, 2007, 37(8), p. 1109–1118.
3.    Crow, SJ.. Eating disorders in pregnancy. Solomon, D. (Ed.), UpToDate. Retrieved February 10, 2018,
4.    Crow, SJ., Thuras, P., Keel, PK., Mitchell, JE. Long-term menstrual and reproductive function in patients with bulimia nervosa. Am J Psychiatry, 2002, 159, p. 1048–1050.
5.    Eagles, J., Lee, A., Raja, E., et al. Pregnancy outcomes of women with and without a history of anorexia nervosa. Psycholog Med, 2012, 42(12), p. 2651–2660.
6.    Hájek, Z., Čech, E., Maršál, K. Porodnictví. 3. vyd. Praha: Grada 2014, s. 538.
7.    Kouba, S., Hallstrom, T., Lindholm, C., Hirschberg, AL. Pregnancy and neonatal outcomes in women with eating disorders. Obstet Gynecol, 2005, 105, p. 255–260.
8.    Krch, FD. Poruchy příjmu potravy: vymezení a terapie. Praha: Grada, 1999, 238 s.
9.    Linna, MS., Raevuori, A., Haukka, J., et al. Pregnancy, obstetric, and perinatal health outcomes in eating disorders. Am J Obstet Gynecol, 2014, 211(4), p. 392.
10.    Martos-Ordonez, C. Pregnancy in women with eating disorders: A review. Brit J Midwifery, 2005, 13(7), p. 446–448.
11.    Mathieu, J. What is pregorexia? J Amer Dietetic Ass, 2009, 109(6), p. 976–979.
12.    Micali, N., dos-Santos-Silva, I., De Stavola, B., et al. Fertility treatment, twin births, and unplanned pregnancies in women with eating disorders: findings from a population-based birth cohort. BJOG, 2014, 121(4), p. 408–416.
13.    Micali, N., Simonoff, E., Treasure, J., et al. Pregnancy and post-partum depression and anxiety in a longitudinal general population cohort: The effect of eating disorders and past depression. J Affective Disorders, 2011, 131(1), p. 150–157.
14.    Mitchell, AM., Bulik, CM. Eating disorders and women‘s health: An update. J. Midwifery Women‘s Health, 2006, 51(3), p.193–201.
15.    Morgan, JF., Lacey, JH., Chung, E. Risk of postnatal depression, miscarriage, and preterm birth in bulimia nervosa: Retrospective controlled study. Psychosomat Med, 2006, 68(3), p. 487–492.
16.    Patel, P., Lee, J., Wheatcroft, R., et al. Concerns about body shape and weight in the postpartum period and their relation to women‘s self-identification. J Reprod Infant Psychol, 2005, 23(4), p. 347–364.
17.    Polášková, P., Kuběna, A., Calda, P. Prenatální růstové křivky v České populaci. Čes Gynek, 2014, 79(4), s. 276–282.
18.    Větr, M. Porody dětí s nízkou a velmi nízkou vahou v Unverzitní nemocnici Olomouc 1993-2011. Čes Gynek, 2013, 78(1), s. 41–55.
19.    Ward, VB. Eating disorders in pregnancy. BMJ, 2008, 336(7635), p. 93–96.
20.    Watson, HJ., Zerwas, S., Torgersen, L., et al. Maternal eating disorders and perinatal outcomes: A three-generation study in the Norwegian Mother and Child Cohort Study. J Abnorm Psychol, 2017, 126(5), p. 552–564.

Paediatric gynaecology Gynaecology and obstetrics Reproduction medicine
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