Table 7.
EDs during pregnancy: bullets points.
Periconceptional period | • High rate of unplanned pregnancy • Infertility • Hypotalamic and pituitary dysfunction • PCOS (BN) |
Preconception Nutritional profile | • Micronutrients and vitamin deficiencies • Anemia, leukopenia, trombocytopenia • Low mineral density |
Nutritional profile during pregnancy | • Similar dietary patterns to general population • High diet quality score in ED population (more vegetarian) • BED: greater intake of total energy and fat • Higher amount of caffeine • Greater risk for gestational anemia • Higher risk of micronutrient deficiencies |
GWG | • GWG depends on the relapse of ED symptoms during pregnancy • Lower GWG in hospitalized patients if compared to general population |
Endocrine manifestations | • Hypotalamic and pituitary dysfunction • Suppressed thyroid function • Low leptin and peptide YY levels, high ghrelin levels • Increase insulin sensitivity, high adiponectin levels • High cortisol and CRH levels |
Pregnancy outcomes | Increased risk of: • Spontaneous abortion and preterm delivery • BED y BN: greater rate of C-section |
Fetal outcomes | Increased risk of: • IUGR • SGA • LGA (BED subtype) • Perinatal mortality (few studies) • Microcephaly and intraventricular hemorrhage (few studies) |
Maternal psychopatology | • Depression • Anxiety • Post-partum depression |
Postpartum period | • Depression • Stress • Earlier stop of breatsfeeding |