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Using the Activity-based Anorexia Rodent Model to Study the Neurobiological Basis of Anorexia Nervosa
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A case of refeeding syndrome in pregnancy with anorexia nervosa

Hiroaki Soyama1, Morikazu Miyamoto1, Takahiro Natsuyama1

  • 1Department of Obstetrics and Gynecology, National Defense Medical College, Tokorozawa, Japan.

Obstetric Medicine
|July 13, 2018
PubMed

Refeeding syndrome very rarely develops during pregnancy. A 35-year-old primiparous woman pregnant with twins complained of severe fatigue at 19 weeks' gestation. She was admitted to our hospital in a malnourished condition because of repeated self-induced vomiting due to anorexia nervosa. Just after hospitalization, she voluntarily increased her caloric intake significantly above the recommended prescribed diet, without medical permission. Nine days later, she developed refeeding syndrome. Electrolyte replacement and calorie restriction were started and her condition gradually improved. The healthy twin babies were born by cesarean section at 36 weeks' gestation. Acute increases in caloric intake by previously malnourished pregnant women with anorexia nervosa may induce refeeding syndrome. Women with the binge eating/purging subtype of anorexia nervosa may be at additional risk due to alternating phases of starvation and overeating.

Keywords:
Anorexia nervosahigh-risk pregnancynutritionrefeeding syndrome

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