Perinatal Illness in Eating Disorders

  • Lesley PillansEmail author


  • Why is pregnancy such a vulnerable time?

  • How do eating disorders affect fertility and pregnancy?

  • How does pregnancy affect the course of an eating disorder?

  • What are the features of an eating disorder in pregnancy and how should these be managed?

  • What are the perinatal outcomes when there is an eating disorder?

  • What management and follow up should we offer to a patient with an eating disorder during the post-partum period?


Lesley Pillans

is an Associate Specialist at the Eden Unit, Aberdeen. She is involved in the day-to-day care of patients and has a particular interest in the problems faced by patients before, during and after pregnancy.


  1. 1.
    Freizinger M, Franko DL, Dacey M, Okun B, Domar AD. The prevalence of eating disorders in infertile women. Fertil Steril 2010;93(1):72–78.CrossRefPubMedGoogle Scholar
  2. 2.
    Stewart DE, Robinson GE, Goldbloom DS, Wright C. Infertility and eating disorders. Obstet Gynecol 1990;163(4 I):1196–1199.CrossRefPubMedGoogle Scholar
  3. 3.
    Morgan JF, Lacey JH, Chung E. Risk of postnatal depression, miscarriage and preterm birth in bulimia nervosa: retrospective controlled study. Psychosom Med. 2006;68:487–92.CrossRefPubMedGoogle Scholar
  4. 4.
    Kohmuna H, Miyake A, Aono T, Tanizawa O. Recovery of reproductive function in patients with anorexia nervosa: a 10-year follow up study. Eur J Obstet Gynecol Reprod Biol. 1986;22:293–6.CrossRefGoogle Scholar
  5. 5.
    Crow SJ, Thuras P, Keel PK, Mitchell JE. Long term menstrual and reproductive function in patients with bulimia nervosa. Am J Psychiatry. 2002;159:1048–50.CrossRefPubMedGoogle Scholar
  6. 6.
    Bulik CM, Hoffman ER, Von Holle A, Torgersen L, Stoltenberg C & Reichborn-Kjennerud T. Unplanned Pregnancy in Women With Anorexia Nervosa. Obstetrics & Gynecology. 2010;116(5):1136–1140CrossRefGoogle Scholar
  7. 7.
    Rocco PL, Orbitello B, Perini L, Pera V, Ciano RP, Balestrieri M. Effects of pregnancy on eating attitudes and disorders: a prospective study. J Psychsom Res. 2005;59:175–9.CrossRefGoogle Scholar
  8. 8.
    Kouba,S, Hällström T, Lindholm C & Hirschberg AL. Pregnancy and Neonatal Outcomes in Women With Eating Disorders. Obstetrics & Gynecology: 2005;105(2):255–260CrossRefGoogle Scholar
  9. 9.
    Blais MA, Becker AE, Burwell RA, Fiores AT, Nussbaum KM, Greenwood DN, et al. Pregnancy outcome and impact on symptomatology in a cohort of eating-disordered women. Int J Eat Disord. 2000;27:140–90.CrossRefPubMedGoogle Scholar
  10. 10.
    Micali N, Simonoff E, Treasure J. Risk of major adverse perinatal outcomes in women with eating disorders. Br J Psychiatry. 2007;190:255–9.CrossRefPubMedGoogle Scholar
  11. 11.
    Larson G, Anderson-Elistron A. Experiences of pregnancy-related body shape changes and of breast feeding in women with a history of eating disorders. Eur Eat Disord Rev. 2003;11:6–24.Google Scholar
  12. 12.
    Morgan JF, Lacey H, Sedgwick PM. Effect of pregnancy on bulimia nervosa. Br J Psychiatry. 1999;174:135–40.CrossRefPubMedGoogle Scholar
  13. 13.
    Mazzeo SE, Slof-Op’t Landt MC, Jones I, Mitchell K, Kendler KS, Neale MC, et al. Associations among postpartum depression, eating disorders, and perfectionism in a population-based sample of adult women. Int J Eat Disord. 2006;39:202–11.CrossRefPubMedGoogle Scholar
  14. 14.
    Larson G, Andersson-Elistron A. Experiences of pregnancy-related body shape changes and of breast-feeding in women with a history of eating disorders. Eur Eat Disord Rev. 2003;11:116–24.CrossRefGoogle Scholar
  15. 15.
    Stein A, Woolley H, Cooper SD, et al. An observational study of mothers with eating disorders and their infants. J Child Psychol Psychiatry. 1994;35:733–48.CrossRefPubMedGoogle Scholar
  16. 16.
    Cooper P, Whelan E, Woolgar M, Morrell J, Murray L. Association between childhood feeding problems and maternal eating disorder: role of the family environment. Br J Psychiatr. 2004;184(3):210–5. Scholar

Copyright information

© Springer International Publishing AG, part of Springer Nature 2018

Authors and Affiliations

  1. 1.Eden UnitRoyal Cornhill HospitalAberdeenUK

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