All Posts tagged Eating Disorders and Pregnancy

Eating Disorders and Pregnancy

The two most common types of eating disorders are anorexia nervosa and bulimia nervosa, yet there are other types out there that are not as common. Unfortunately, research on eating disorders and pregnancy is quite limited– there are estimations that eating disorders affect 5-8% of women during pregnancy, but this may not be completely credible as results can be skewed due to women’s reluctance to recognize eating disorders. Anorexia and bulimia often become noticeable in adolescence, and it’s possible that they linger during a woman’s reproductive years. Consequently, they can of course affect not only a woman’s reproductive health but also the health of her baby. 

Fertility is the first affected area of women who suffer from an eating disorder: most women with anorexia do not have menstrual cycles, and approximately half of the women who have bulimia do not experience regular menstrual cycles. Absence of menstruation or irregular periods can limit the chances of conceiving, or even make it a lot more difficult for a couple to conceive. If you know you have an eating disorder and are seeking to get pregnant, it will be much healthier for you and your future baby if you try to treat your eating disorder first and establish some healthy eating habits. It is also important to share your history with medical professionals and ask for your weighing to be treated with more care. 

Though there is quite a long list of complications associated with eating disorders during pregnancy, rest assured that proper planning and prenatal care– as well as a commitment to building healthy eating habits and helping your body remain healthy– can minimize a lot of those complications, lessen the risks associated with them, and enhance your chances for a healthy pregnancy. Some of those complications can be premature labor and low birth weight, as well as delayed fetal growth and respiratory problems. You may also be at a higher risk for emergency cesarean birth and other complications during labor. Gestational diabetes, preeclampsia, and even miscarriage are also possible complications. Women with eating disorders are also at a higher risk for postpartum depression, and depression during pregnancy, and are more likely to have problems with breastfeeding. Women with bulimia are at a higher risk for hypertension, and substances such as laxatives and other medications may be harmful to the development of the baby and can lead to fetal abnormalities as well. 

Eating disorders unfortunately cannot be treated with medications that are pregnancy-safe. Treatment includes, first and foremost, the mother’s determination to have a healthy pregnancy and–difficult and shameful as it may be–disclosing to health professionals that you are struggling with an eating disorder. That way, your doctor will be able to tailor your prenatal visits accordingly, and know the risk factors associated with your pregnancy. The obstetrician’s care can be complemented by a registered dietitian/nutritionist and a therapist for well rounded care and medical treatment. 

 

https://americanpregnancy.org/healthy-pregnancy/pregnancy-health-wellness/eating-disorders-and-pregnancy/ 

https://www.verywellmind.com/pregnancy-and-eating-disorders-4179037 



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Body Awareness in Pregnancy

If you have armed yourself with all the knowledge you can gather regarding the possible changes
on your body during pregnancy, then you are one step closer to dealing with the physical effect
of those changes. Some women, though they do know their body will change during pregnancy
and possibly afterwards as well, do not seem to mind it at all. Great! According to a survey of
more than 1500 women, just over 41% said they felt more negative about their bodies after
pregnancy. Which goes to show: the majority of women are struggling with body image while
pregnant. Not to mention what the body image stress is probably not helping the baby…

Is this only related to pregnancy?

Of course not… women in general are held to unrealistic expectations of beauty standards—expectations that the media and society constantly repeat. In recent years, this pressure for body perfection has worsened with the rise of social media. What is worse in pregnancy, however, is that the changes are relatively rapid, weight gain is almost always expected, feelings are exacerbated, and you may even be feeling alien in your own body. A vessel, so to speak. All of these are true: you will most likely gain weight during your pregnancy, it’s possible to develop stretch marks, and it is also a possibility that your post-partum body will not be 100% the same as your pre-pregnancy body.

 

This is a lot…

Yes, this can absolutely be overwhelming. Despair not! Weight gain is—and we cannot stress this enough—normal, and healthy for your baby. Also, if your doctor or nurse gives you the green light, you can exercise while pregnant. It may be light exercise, such as swimming or walking, or pre-natal yoga. These options help make you more aware of the connection between your body and your mind, perhaps take some of the edge off and your mind off of your worries and are steps to ensure the overall health of your body.

If you are concerned about weight gain during pregnancy, make a plan with your doctor, nurse, or mid wife, about your diet. Allow yourself the small pleasures without guilt: your body is participating in the miracle of nourishing a new life. There is no way to make this happen in a healthy manner unless you experience changes yourself.

What else can I do?

Honestly, don’t bottle up your feelings. Being insecure about, or even disappointed with, your
body image is completely normal. Share those feelings and thoughts with your partner, talk about
those worries with your friends. You may want to join a mom group, or even an online
discussion forum where you can exchange ideas with others on the same boat. If it gets too
much, you can always talk to a medical professional or a therapist. Even if you didn’t have body
image issues before pregnancy, it is not uncommon that future mothers start facing those worries
for the first time when they become pregnant. You are not alone in this!

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