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Author (up) Eik-Nes, T.T.; Horn, J.; Strohmaier, S.; Holmen, T.L.; Micali, N.; Bjornelv, S. url  doi
  Title Impact of eating disorders on obstetric outcomes in a large clinical sample: A comparison with the HUNT study Type Journal Article
  Year 2018 Publication The International Journal of Eating Disorders Abbreviated Journal Int J Eat Disord  
  Volume 51 Issue 10 Pages 1134-1143  
  Keywords anorexia nervosa; birth weight; bulimia nervosa; eating disorders; eating disorders not otherwise specified; obstetric outcomes; registry studies  
  Abstract OBJECTIVE: Current evidence from clinical studies suggests that having an active eating disorder (ED) during pregnancy is associated with unfavorable obstetric outcomes. However, the role of a lifetime diagnosis of ED is not fully understood. Variations in findings suggest a need for additional studies of maternal ED. This study aims to identify associations between a lifetime ED and obstetric outcomes. METHOD: Data from a hospital patient register and a population-based study (The HUNT Study) were linked to the Medical Birth Registry in Norway. Register based information of obstetric complications (preeclampsia, preterm birth, perinatal deaths, small for gestational age (SGA), large for gestational age (LGA), Caesarean sections, and 5-min Apgar score) were acquired for 532 births of women with ED and 43,657 births of non-ED women. Multivariable regression in generalized estimating equations was used to account for clusters within women as they contributed multiple births to the dataset. RESULTS: After adjusting for parity, maternal age, marital status, and year of delivery, lifetime history of anorexia nervosa was associated with increased odds of having offspring who were SGA (Odds ratio (OR) 2.7, 95% Confidence Interval (CI) 1.4-5.2). Women with a lifetime history of bulimia nervosa had higher odds of having a Caesarian section (OR 1.7 95% CI 1.1-2.5). Women with EDNOS/sub-threshold ED had a higher likelihood of having a low Apgar score at 5 min (OR 3.1, 95% CI 1.1-8.8). CONCLUSION: Our study corroborates available evidence on the associations between maternal ED and adverse obstetric outcomes.  
  Address Department of Mental Health and Addiction, Levanger Hospital, Nord-Trondelag Hospital Trust, Levanger, Norway  
  Corporate Author Thesis  
  Publisher Place of Publication Editor  
  Language English Summary Language Original Title  
  Series Editor Series Title Abbreviated Series Title  
  Series Volume Series Issue Edition  
  ISSN 0276-3478 ISBN Medium  
  Area Expedition Conference  
  Notes PMID:30189108 Approved no  
  Call Number HUNT @ maria.stuifbergen @ Serial 2079  
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