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Can I breastfeed my baby if I have an eating disorder?

Ana Cuevas, comadrona y especialista en nutrición.
Ana Cuevas Mayordomo
Midwife. ASSIR Sabadell
Institut Català de la Salut (ICS)

First, regarding the ability to lactate , focusing on the physical aspect—that is, the functioning of the mammary gland— lactation is possible . However, milk production may be reduced due to underdeveloped breast tissue in women who have lost their menstrual cycle (hypothalamic amenorrhea) or experienced significant menstrual irregularities during puberty. The composition of the milk has also been affected in cases of severe malnutrition.

On the other hand, regarding the suitability of breastfeeding , we must bear in mind that this process will involve a great expenditure of energy , besides the fact that it can be a significant source of stress, often due to a lack of family and social support, and difficulties that may arise. To find the answer, you have to be honest with yourself and weigh your desire against the risks and benefits.

If you decide to breastfeed, prioritize rest, delegate tasks, and make things easy for yourself . It's crucial to eat without restrictions. Keep in mind that energy needs increase significantly. People who have previously been malnourished may experience episodes of hyperphagia (binge eating) or intense mental hunger. Acknowledge this; it's an adaptive mechanism. Your body, which has been malnourished, wants to ensure it won't go hungry. If you're in an advanced stage of the disorder, the brain's reward circuits for hunger and satiety may be disrupted. In this case, you should eat according to a nutritional guideline, but always understand it as a minimum. If your body asks for more, give it more.

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Ana Cuevas, comadrona y especialista en nutrición.
Ana Cuevas Mayordomo
Midwife. ASSIR Sabadell
Institut Català de la Salut (ICS)