Main maternal and neonatal complications of pregnant women with active anorexia nervosa: a systematic review
Keywords:Anorexia nervosa; Obstetric nursing; Review.
Objective: To analyze the main maternal and neonatal complications of pregnant women with active anorexia nervosa. Methodology: This is a systematic review carried out using the PRISMA method, in the electronic databases PubMed, Scopus and Web of Science, using the following descriptors: “anorexia nervosa”, “pregnancy”, “antenatal” and “perinatal”. Full articles, available in Portuguese, English or Spanish, were included; published between January 2011 and December 2021. Results: Four articles made up the final sample of this study, with a higher frequency of publication in 2020 (n: 02). All studies used the retrospective cohort study, with a moderate level of evidence (III). It was found that the main maternal complications among pregnant women with active anorexia nervosa involve premature labor, premature contractions, diabetes mellitus and gestational hypertension, anemia, liver failure, hyperemesis gravidarum and a greater chance of hospitalization in an intensive care unit. The main neonatal complications reported in the studies are: perinatal death, small for gestational age, preterm and very preterm birth, low birth weight, cardiovascular and respiratory disorders, and low Apgar score at 1 min (<7). Conclusion: The findings of this research suggest that, although based on a small number of studies, although women with active AN can conceive, there are potential risks to mother and fetus, especially preterm labor, perinatal death, small for age. gestational age and increased risk of admission to an intensive care unit.
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Copyright (c) 2022 José William Araújo do Nascimento; Geicianfran da Silva Lima Roque; Vitória Campos dos Santos; Jaíne Arruda Melo; Caroline Maria Santos de Assis; Carolinne Santana de Morais Mota; Wályssa Cheiza Fernandes Santos
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