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Down syndrome in newborn
0%
0/6
Postpartum depression for mother
83%
5/6
Bradycardia in newborn
Anemia in newborn
Seizure for mother
17%
1/6
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Pregnant women with current or past history of anorexia nervosa are more likely to suffer from postpartum depression than the average pregnant population. Given that she continues to struggle with her disorder, close observation is needed throughout the pregnancy for both the mother and fetus. Anorexia nervosa is a psychiatric disorder usually seen in teenage females, and is defined by excessive dieting due to distorted body image. Two subtypes include purging type as well as restricting type. Pregnancy in anorexic patients can lead to the increased risk of other co-morbitidies. These include prematurity, intrauterine growth retardation, hyperemesis gravidarum, and postpartum depression. Treatments for anorexia nervosa include behavioral therapy, close observation, and pharmacological therapy with selective serotonin receptor inhibitors. Harrington et al. discuss initial evaluation and treatment of anorexia nervosa. As anorexia nervosa is a multifactorial condition stemming from environmental as well as genetic and biochemical signal changes, it is important to assess the issues with close observation. Family-based treatment is found to be effective along with pharmocological modalities. The authors recommend multidiciplinary team-based treatment for the best outcome. Hoffman et al. discuss the effect of anorexia nervosa on pregnancy. Due to the overwhelming stress induced by added responsibility, patients have a higher risk for relapse, weight loss, trouble with breastfeeding, and depression. It is important to have pre-conception counseling, and adequate weight gain prior to pregnancy. Incorrect Answers: Answer 1: Anorexia nervosa does not increase a child's risk of developing Down syndrome. Answer 3: Bradycardia often affects patients with anorexia, but not the infant. Answer 4: Anemia is seen in anorexic patients, not infants. Lack of iron and nutritional intake is often the reason for the anemia. Answer 5: Bupropion decrease the seizure threshold in patients suffering from anorexia nervosa.
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