Vpliv motenj hranjenja na zanositev in nosečnost : diplomsko delo

Kumpuš, Ines (author), Stanek Zidarič, Tita (mentor), Pandel Mikuš, Ruža (reviewer)

Uvod: Motnje hranjenja se uvrščajo med kompleksne duševne motnje, vključujejo težave s prehranjevalnim vedenjem in razmišljanjem o hrani. Pri motnjah hranjenja gre za zdravstveno stanje in ne za izbiro življenjskega sloga. Namen: Namen diplomskega dela je ugotoviti pojavnost motenj hranjenja v nosečnosti, njihov vpliv na zdravje ženske in izid poroda. Metode dela: Diplomsko delo temelji na sistematičnem pregledu strokovne in znanstvene literature. V diplomskem delu so faze pregleda literature predstavljene s pomočjo PRISMA diagrama in s tabelami. Uporabljena literatura vključuje članke objavljene od leta 2013 do 2023, v slovenskem in angleškem jeziku. Rezultati: Ugotovljeno je bilo, da imajo ženske, ki obolevajo za motnjo hranjenja povečano tveganje za prekomerno pridobivanje na telesni teži med nosečnostjo in za porod otrok velikih za gestacijsko starost. Med ženskami, pri katerih je bila znana zgodovina motenj hranjenja, se je pokazalo večje tveganje za krvavitev med nosečnostjo, slabost in bruhanje med nosečnostjo, za spontani splav, inducirani splav in prezgodnji porod. Večina študij, ki so se osredotočale na same izide poroda pri ženskah z motnjami hranjenja, je prišla do relativno kontroverznih ugotovitev. S pregledom študij smo ugotovili pogosto povezavo med motnjami hranjenja in perinatalno umrljivostjo. Razprava in zaključek: Med posledice motenj hranjenja med nosečnostjo uvrščamo naslednje: nenačrtovano nosečnost, porodne zaplete, prekomerno pridobivanje na telesni teži med nosečnostjo, recidiv same bolezni, krvavitve med nosečnostjo, slabost, bruhanje, večplodno nosečnost, uporabo odvajal, izgubo nadzora nad prehranjevanjem in drugo. Pregledani rezultati študij so pokazali, da imajo porodnice z diagnozo motenj hranjenja večjo možnost za rojstvo otroka majhnega za gestacijsko starost, pojav placente praevie, obporodnih krvavitev, dokončanje poroda s carskim rezom ali operativno dokončanje vaginalnega poroda. Po pregledu raziskav bi poudarili pomen svetovanja o reproduktivnem zdravju in stalnem spremljanju obolelih žensk. Glavni namen spremljanja obolelih žensk je, preprečiti poslabšanje simptomov motenj hranjenja in neugodne izide reproduktivnega zdravja.

• Language: Slovenian
• Keywords: diplomska dela, babištvo, nosečnost, motnje hranjenja, anoreksija, bulimija, kompulzivno prenajedanje
• Work type: Bachelor thesis/paper
• Typology: 2.11 - Undergraduate Thesis
• Organization: ZF - Faculty of Health Sciences
• Place of publishing: Ljubljana
• Publisher: [I. Kumpuš]
• Year: 2024
• Number of pages: 26 str.
• PID: 20.500.12556/RUL-155732
• UDC: 618.2/.7
• COBISS.SI-ID: 192452099
• Publication date in RUL: 13.04.2024

Secondary language

• Language: English
• Title: The impact of eating disorders on conception and pregnancy : diploma work

Abstract

Introduction: Eating disorders are classified as complex mental disorders, they include problems with eating behavior and thinking about food. Eating disorders are a medical condition, not a lifestyle choice. Purpose: The purpose of the thesis is to determine the occurrence of eating disorders in pregnancy, their impact on the health of the woman and the outcome of childbirth. Methods: The thesis is based on a systematic review of professional and scientific literature. In the diploma work, the phases of the literature review will be presented with the help of the PRISMA diagram and tables. The literature used includes articles published from 2013 to 2023 in Slovenian and English language. Results: It has been established that women suffering from an eating disorder have an increased risk of excessive weight gain during pregnancy and of giving birth to children who are large for their gestational age. Among women with a known history of eating disorder, an increased risk of bleeding during pregnancy, nausea and vomiting during pregnancy, spontaneous abortion, induced abortion and preterm birth has been shown. Most studies that have focused on birth outcomes in women with eating disorders themselves have come to relatively controversial conclusions. A review of studies found a frequent association between eating disorders and perinatal mortality. Discussion and conclusion: The consequences of eating disorders during pregnancy include the following: unplanned pregnancy, birth complications, excessive weight gain during pregnancy, relapse of the disease itself, bleeding during pregnancy, nausea, vomiting, multiple pregnancy, use of laxatives, loss of control over eating and others. The reviewed results of the studies showed that women in labor with a diagnosis of eating disorders have a greater chance of giving birth to a child small for gestational age, the occurrence of placenta praevia, perinatal bleeding, completion of delivery by caesarean section or operative completion of vaginal delivery. After reviewing the research, we would emphasize the importance of reproductive health counseling and ongoing monitoring of affected women. The main purpose of monitoring sick women is to prevent worsening symptoms of eating disorders and adverse reproductive health outcomes.

• Keywords: diploma theses, midwifery, pregnancy, eating disorders, anorexia, bulimia, compulsive overeating