Author:
Micali Nadia,Simonoff Emily,Treasure Janet
Abstract
BackgroundLow birth weight, prematurity and higher miscarriage rates have
previously been reported in women with eating disorders.AimsTo determine whether women with a history of eating disorders are at
higher risk of major adverse perinatal outcomes.MethodsAdjusted birth weight, preterm delivery and miscarriage history were
compared in those with a history of eating disorders (anorexia nervosa
(n=171), bulimia nervosa (n=199) and
both (n=82)) and those with other
(n=1166) and no psychiatric disorders
(n=10 636) in a longitudinal cohort study.ResultsThe group with bulimia nervosa had significantly higher rates of past
miscarriages (relative risk ratio 2.0, P=0.01) and the
group with anorexia nervosa delivered babies of significantly lower birth
weight than the general population (P=0.01), which was
mainly explained by lower pre-pregnancy body mass index. Preterm delivery
rates were comparable across groups.ConclusionsWomen with a history of eating disorders are at higher risk of major
adverse obstetric outcomes. Antenatal services should be aware of this
higher risk.
Publisher
Royal College of Psychiatrists
Subject
Psychiatry and Mental health
Cited by
155 articles.
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