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The British Journal of Psychiatry 150: 777-781 (1987)
© 1987 The Royal College of Psychiatrists
JH Lacey and G Smith
Department of Psychiatry, St George's Hospital Medical School, London.
This study examines the impact of pregnancy on the reported eating behaviour of 20 untreated normal body weight bulimia nervosa women; it also reports foetal and obstetric abnormalities and indicates the initial eating habits of the infants. The prevalence of binge-eating and self-induced vomiting reduced sequentially during each trimester of pregnancy. By the third trimester 15 women (75%) had stopped all bulimic behaviour and in the remainder the disturbed eating was less severe. Symptoms tended to return in the puerperium and in nearly half the sample abnormal eating was more disturbed after delivery than before conception. However, the improvement associated with the pregnancy described by seven patients was maintained and for five it appears to have been curative. The common fear among pregnant bulimics that their abnormal eating behaviour may damage their unborn child cannot be dispelled by this study; the incidence of foetal abnormality (including cleft palate and cleft lip), multiple pregnancies and obstetric complications (including breech presentation and surgical intervention) was high. The nutrition and development of the infants was good although three mothers (15%) reported slimming their babies down within the first year.
This article has been cited by other articles:
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  J. F. Morgan, J. H. Lacey, and E. Chung Risk of Postnatal Depression, Miscarriage, and Preterm Birth in Bulimia Nervosa: Retrospective Controlled Study Psychosom Med, May 1, 2006; 68(3): 487 - 492. [Abstract] [Full Text] [PDF]
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 J. H. Lacey and C. Price Disturbed families, or families disturbed? The British Journal of Psychiatry, March 1, 2004; 184(3): 195 - 196. [Full Text] [PDF]
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A. S. Carter, C. W. Baker, and K. D. Brownell Body Mass Index, Eating Attitudes, and Symptoms of Depression and Anxiety in Pregnancy and the Postpartum Period Psychosom Med, March 1, 2000; 62(2): 264 - 270. [Abstract] [Full Text] [PDF]
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 C. P. Carney and W. R. Yates The Evaluation of Eating and Weight Symptoms in the General Hospital Consultation Setting Psychosomatics, February 1, 1998; 39(1): 61 - 67. [Abstract] [Full Text]
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