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Healthy & Safe Pregnancy

Pregorexia

When Women Strive to Be Super Thin During Pregnancy

Ten days after delivering, Jaime Pressly was back in the gym and was quoted as saying, "I'm almost back to where I was before." A standing joke was that Nicole Ritchie had a grape in her belly, not a baby.

"Thin is the strongest fashion statement around," says Dr. Carol Livoti, an OB/GYN and co-author of The Stress-Free Pregnancy Guide: A Doctor Tells You What to Really Expect (Amacom, 2008). "The U.S. is the most weight-obsessed country (ironically) in the history of the human race. Too fat, too thin, BMI, muscle-to-fat ratios, you cannot pick up a magazine or newspaper without reading about weight."

A woman can certainly develop an eating disorder after becoming pregnant.

Is it any wonder, then, that "pregorexia," or women striving to be super thin while pregnant, is on the rise?

What Is Pregorexia?
"Pregorexia is a pop-psychology term, not a medical term," says Dr. Sari Shepphird, a clinical psychologist and eating disorders specialist with 20 years of experience. "Officially, a woman with this condition would be considered an anorexic or other eating disorder patient, depending on the symptoms that are present."

For example, Dr. Shepphird says, if the pregnant mother is considered to weigh less than 85 percent of her expected weight, based on height, weight and expected pregnancy weight gain, she would likely be diagnosed with anorexia nervosa. If she weighs more than 85 percent of her expected weight, but is still underweight and has eating disorder symptoms (purging, fasting), she may be diagnosed as having another eating disorder.


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Carol says
May 25, 2009

I know two women in their 30's who had pregorexia and lied to their doctors about it. Their babies not only had uterine growth problems (not growing!) but also after they were born they had failure to thrive and developmental problems. Their families and friends are horrified and terribly worried...made worse by the new moms' denial. Both new moms are obsessed with their babies not gaining too much weight and are underfeeding them. Finally the pediatricians are demanding results in weight gain -- or else. People are about to call child protective services! Both these women are high income, well-educated...but obviously have mental issues/eating disorders. The lifelong consequences for their babies are frightening. The moms are secretive and evasive with their families, friends and doctors--it has caused terrible harm. Sadly the husbands aren't able to protect the infants from the moms' issues. It's a sad situation all around.

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