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Is it dangerous to get pregnant if you have anorexia or bulimia?

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

Yes, having any eating disorder carries a higher risk of complications during pregnancy and for the normal development of the baby, such as:

  • Intrauterine growth retardation.
  • Premature births.
  • Cesarean sections.
  • Preeclampsia.
  • Worst experience of the process.
  • Increased anxiety.
  • Higher likelihood of postpartum depression.

But it's also important to consider that pregnancy itself affects the course of our eating disorder . The changes inherent in pregnancy (increased energy needs, changes in appetite, nausea, vomiting, bodily changes, stress due to life changes, etc.) and the way this process is supported (concern about weight, normalization of pathological behaviors by society, prescription of diets, weight stigma, the presence of medical fatphobia) can negatively impact the eating disorder , as there is a greater risk of energy deficit, stress, excessive concern about health, or body dissatisfaction.

In many cases, pregnancy has been shown to lessen symptoms , likely due to the social acceptance of bodily changes and weight gain during this stage. In the postpartum period, this acceptance generally disappears, and the pressure to regain one's pre-pregnancy figure returns with renewed force. This, along with the stress and demands of raising a child, often exacerbates symptoms.

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