EATING DISORDERS DURING PREGNANCY.

ED syntomatology modification before and during pregnancy?

MSc. Paola Barriguete-Chavez Peón1, MD. José Antonio Zorrilla-Dosal,

Armando Barriguete-Meléndez, María Eugenia Flores-Quijano, PhD, MD.
Saúl Garza-Morales1, Dra, Ivonne PhD, Philippe Leff-Gelman 1, PhD.
Blanca Eugenia Farfán-Labonne1.

1
        NeuroscienceDepartment, NationalInstitute of Perinatology “Isidro Espinosa de
los Reyes”. Montes Urales 825, Col. Lomas de Virreyes, C.P.11000 Del. Miguel
Hidalgo, CDMX. México 
  
2                 
Eating disorders Assesor National Institute of Medical Sciences and Nutrition
“Salvador Zubirán”.Vasco de Quiroga 15, Belisario Domínguez Secc 16, 14080
CDMX, México.
3                 
Angeles Eating Disorders Clinic. Circuito Empresarial s/n, San Fernando La
Herradura, 52787 México.

Author’s contact details: 

MSc. Paola Barriguete-Chávez Peón
NeuroscienceDepartment, NationalInstitute of Perinatology “Isidro Espinosa de los
Reyes”. Montes Urales 825, Col. Lomas de Virreyes, C.P.11000 Del. Miguel Hidalgo,
CDMX. México 
Telephone: 0052 55209900 ext. 288/ 00521 5591957426
E-mail: paolabarriguete@gmail.com
 
 ABSTRACT. 
 
Background and aims. There is insufficient literature for

epidemiological factors of eating disorders (ED) associated with

pregnancy. Evaluation for rates of ED risk for pregnant population in

a third level hospital in México City was performance.

Methodology. Transversal study was conducted at the National

Institute of Perinatology from January to June 2019. All newly

admitted patients who agreed to answer a standardized ED brief

questionnaire were included (N=330), diagnose was confirmed by an

ED specialists.

Results.

Thirteen patients were positive for ED risk (RP) (3.9%). Maternal age

and gestation weeks for RP group were 32±7y, 19.6±9w. The overall

score between the RP and healthy groups (HP) is 11.5±2.5 vs

2.6±2.2 p=0.001. Significant differences were found in pregestational

weight and BMI between RP and HP (83±20 vs 63.7±13, p=0.006,

34±4 vs 24.9±5 p=0.025 respectively).

Conclusion. We observed that from the % of patients with an ED only

one was previously diagnosed, demonstrating a lack of knowledge

around the prevalence, diagnosis and treatment of eating disorders

during pregnancy.
  

Keywords: anorexia, bulimia, perinatal mental health,

THE IMPACT OF WOMEN EATING DISORDERS ON THEIR

BREASTFEEDING

Breastfeeding perception and/or beliefs in women with ED.

MSc. Paola Barriguete-Chavez Peón1, MD. José Antonio Zorrilla-Dosal,

Armando Barriguete-Meléndez, MD. Saúl Garza-Morales1, Dra, Ivonne
PhD. Philippe Leff-Gelman1, PhD. Blanca Eugenia Farfán-Labonne1.

1
        NeuroscienceDepartment, NationalInstitute of Perinatology “Isidro Espinosa de
los Reyes”. Montes Urales 825, Col. Lomas de Virreyes, C.P.11000 Del. Miguel
Hidalgo, CDMX. México 
  
2                 
Eating disorders Assesor National Institute of Medical Sciences and Nutrition
“Salvador Zubirán”.Vasco de Quiroga 15, Belisario Domínguez Secc 16, 14080
CDMX, México.
3                 
Angeles Eating Disorders Clinic. Circuito Empresarial s/n, San Fernando La
Herradura, 52787 México.

Author’s contact details: 

MSc. Paola Barriguete-Chávez Peón
NeuroscienceDepartment, NationalInstitute of Perinatology “Isidro Espinosa de los
Reyes”. Montes Urales 825, Col. Lomas de Virreyes, C.P.11000 Del. Miguel Hidalgo,
CDMX. México 
Telephone: 0052 55209900 ext. 288/ 00521 5591957426
E-mail: paolabarriguete@gmail.com
 
 ABSTRACT. 
 
Background and aims. Breastfeeding in women with eating disorders (ED) is a controversial

subject due to the inconsistencies found in literature, but evidence demonstrates that they tend to

avoid and diminish the recommended breastfeeding times.

Methodology. The present study follows a qualitative phenomenological methodology study.

The patients included in the present study were patients diagnosed with ED, most of whom were

pregnant in the second or third trimester, with an average of 10 years of diagnose. These

women were followed during their pregnancy and 6 months postpartum.

Results. The work showed CUANTOS principal factors that have an impact on breastfeeding in

women that have an ED. These are: (1) The belief that their milk will harm or not nurture

enough their babies, (2) The transmission of eating disorders alterations through the experience

of feeding them, (3) Not feeling capable of breastfeeding, (4) Believing that breastfeeding will

worsen their eating disorders symptoms, (5) Seeing breastfeeding as an obstacle for getting their

body back.

Conclusion. Having a profound knowledge of beliefs, thoughts and emotional limitations of ED

women around breastfeeding are fundamental aspects to take into account during the treatment

aims.

  

Keywords:  anorexia, bulimia, perinatal mental health, lactation