Main maternal and neonatal complications of pregnant women with active anorexia nervosa: a systematic review




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.

Author Biographies

José William Araújo do Nascimento, Universidade Federal de Pernambuco

Enfermeiro pela Universidade Católica de Pernambuco (Unicap), Especialista em Anatomia Humana pela Uninter e Mestrando em Informática Médica pela Universidade Federal de Pernambuco (Cin-UFPE).

Geicianfran da Silva Lima Roque, Universidade Federal de Pernambuco

Enfermeira pela Universidade Católica de Pernambuco (Unicap), pós-graduanda em Estomaterapia pelo Instituto Israelita de Ensino e Pesquisa Albert Einstein e mestranda em Ciências da Computação pelo Centro de Informática da Universidade Federal de Pernambuco (CIN/UFPE)

Vitória Campos dos Santos, Universidade Salvador

Graduanda em Enfermagem pela Universidade Salvador (UNIFACS)

Jaíne Arruda Melo, Centro Universitário Tabosa de Almeida

Graduanda de Farmácia pelo Centro Universitário Tabosa de Almeida (Asces-Unita)

Caroline Maria Santos de Assis, Universidade Católica de Pernambuco

Graduanda de Enfermagem pela Universidade Católica de Pernambuco (Unicap)

Carolinne Santana de Morais Mota, Universidade Católica de Pernambuco

Enfermeira pela Universidade Católica de Pernambuco (Unicap)

Wályssa Cheiza Fernandes Santos, Universidade Federal de Pernambuco

Enfermeira pela Faculdade de Enfermagem Nossa Senhora das Graças (Universidade de Pernambuco), especialista em Saúde da Mulher pelo programa de Residência de Enfermagem em Saúde da Mulher no Instituto de Medicina Integral Prof. Fernando Figueira- IMIP e Enfermeira pelo EBSERH-HC/UFPE.


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How to Cite

NASCIMENTO, J. W. A. do .; ROQUE, G. da S. L.; SANTOS, V. C. dos .; MELO, J. A.; ASSIS, C. M. S. de .; MOTA, C. S. de M.; SANTOS, W. C. F. Main maternal and neonatal complications of pregnant women with active anorexia nervosa: a systematic review. Research, Society and Development, [S. l.], v. 11, n. 7, p. e46711730332, 2022. DOI: 10.33448/rsd-v11i7.30332. Disponível em: Acesso em: 20 feb. 2024.



Health Sciences