Eating Disorders in the Obstetric and Gynecologic Patient Population
Autor: | Arnold E. Andersen, Ginny L. Ryan |
---|---|
Rok vydání: | 2009 |
Předmět: |
Adult
Hypothalamo-Hypophyseal System medicine.medical_specialty Adolescent education Anorexia nervosa Miscarriage Feeding and Eating Disorders Young Adult Bone Density Pregnancy Risk Factors medicine Humans Childbirth Sexual Dysfunctions Psychological Psychiatry Menstruation Disturbances Gynecology business.industry Bulimia nervosa Ovary Not Otherwise Specified Obstetrics and Gynecology medicine.disease Obstetric Labor Complications Obstetrics Low birth weight Eating disorders Sexual dysfunction Female medicine.symptom business Infertility Female |
Zdroj: | Obstetrics & Gynecology. 114:1353-1367 |
ISSN: | 0029-7844 |
DOI: | 10.1097/aog.0b013e3181c070f9 |
Popis: | The eating disorders anorexia nervosa and bulimia nervosa and eating disorders not otherwise specified disproportionately affect women, have profound effects on the overall well-being of women and their children, and can have mortality rates as high as those found with major depression. These disorders may present to obstetrician-gynecologists (ob-gyns) clinically as menstrual dysfunction, low bone density, sexual dysfunction, miscarriage, preterm delivery, or low birth weight in offspring. Ninety percent of eating disorders develop before the age of 25 in otherwise healthy young women, a group that characteristically seeks the majority of their health care from ob-gyns. For all of these reasons, ob-gyns must have a greater awareness of these disorders and a lower index of suspicion for screening their patients than they currently do. Otherwise, they may miss life-threatening illness, treat characteristic amenorrhea inappropriately, or inadvertently intervene to help these women conceive, contributing to maternal and fetal risks. As providers of both primary and specialty care for women, ob-gyns have the opportunity to play a vital role in prevention and diagnosis of eating disorders and in the multidisciplinary management required to effectively manage these disorders. |
Databáze: | OpenAIRE |
Externí odkaz: |