Format

Send to:

Choose Destination
See comment in PubMed Commons below
Obstet Gynecol. 2010 Nov;116(5):1136-40. doi: 10.1097/AOG.0b013e3181f7efdc.

Unplanned pregnancy in women with anorexia nervosa.

Author information

  • 1Departments of Psychiatry and Nutrition, University of North Carolina, Chapel Hill, North Carolina 27599-7160, USA. cbulik@med.unc.edu

Abstract

OBJECTIVE:

To compare the frequency with which unplanned pregnancies occur in individuals with anorexia nervosa relative to women without eating disorders in the Norwegian Mother and Child Cohort Study.

METHOD:

In a sample of 62,060 women, 62 reported anorexia nervosa. Using data from a questionnaire completed by all participating mothers, we compared mother's age at birth and the frequency with which mothers reported their index pregnancy as being unplanned.

RESULTS:

Women with anorexia nervosa were younger (26.2 years, standard deviation 4.76) than women with no eating disorder (29.9 years, standard deviation 4.60) at the time of birth. Significantly more women with anorexia nervosa (50.0%) reported unplanned pregnancy than women in the referent group (18.9%). After adjustment for maternal age and infertility treatment, the relative risk of unplanned pregnancy in individuals with anorexia nervosa was 2.11 (95% confidence interval 1.64-2.72). Induced abortion was also significantly more common in women with anorexia nervosa than referent women (24.2% compared with 14.6%).

CONCLUSION:

The higher rate of unplanned pregnancy and abortion in women with anorexia nervosa is of clinical concern because absent or irregular menstruation may be misinterpreted as decreasing risk of pregnancy.

LEVEL OF EVIDENCE:

II.

PMID:
20966699
[PubMed - indexed for MEDLINE]
PMCID:
PMC3632206
Free PMC Article
PubMed Commons home

PubMed Commons

0 comments
How to join PubMed Commons

    Supplemental Content

    Full text links

    Icon for Lippincott Williams & Wilkins Icon for PubMed Central
    Loading ...
    Write to the Help Desk