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首页> 外文期刊>Journal of women’s health >Eating disorders and obstetric-gynecologic care.
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Eating disorders and obstetric-gynecologic care.

机译：吃疾病和产科妇科护理。

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OBJECTIVE: Disordered eating can have consequences for gynecologic and obstetric patients and fetuses. Amenorrhea, infertility, hyperemesis gravidarum, and preterm birth have been linked to eating disorders (EDs). This study aimed to evaluate obstetrician-gynecologists' ED-related knowledge, attitudes, and practices. METHODS: Questionnaires were sent to 968 Fellows of the American College of Obstetricians and Gynecologists between November 2007 and March 2008. Data were analyzed separately for generalists (provide obstetric and gynecologic care) and gynecologists only (treat only gynecologic patients). RESULTS: A majority of obstetrician-gynecologists assess body weight, exercise, body mass index, and dieting habits. Less than half assess ED history, body image concerns, weight-related cosmetic surgery, binging, and purging. Over half (54%) of generalists believed ED assessment falls within their purview. Most (90.8%) generalists agreed or strongly agreed that EDs can negatively impact pregnancy outcome. A majority rated residency training in diagnosing (88.5%) and treating (96.2%) EDs as barely adequate or less. Most knew low birth weight (91%) and postpartum depression (90%) are associated with maternal EDs, though over a third was unsure about several consequences. Some gender differences emerged; females screen for more ED indicators and are more likely to view ED assessment as within their role. CONCLUSIONS: Despite the consequences of EDs and the fact that most physicians agree EDs can negatively impact pregnancy, only about half view ED assessment as their responsibility. Only some weight- and diet-related topics are assessed, and there are gaps in knowledge of ED consequences. Obstetrician-gynecologists are not confident in their training regarding EDs. Improvement in knowledge and altering obstetrician-gynecologists' view of their responsibilities may improve ED screening rates.
机译：目的：患有混乱的饮食可能对妇科和产科患者和胎儿产生后果。闭经，不孕症，高血压妊娠和早产与吃障碍（EDS）有关。本研究旨在评估产科医生 - 妇科医生的ED相关知识，态度和实践。方法：向2007年11月和2008年3月送到美国产科医生和妇科医生的968人问卷。仅针对一般主义者分开分析数据（提供产科和妇科护理）和妇科医生（只治疗妇科患者）。结果：大多数产科医生 - 妇科医生评估体重，运动，体重指数和节食习惯。不到一半的评估历史，身体形象涉及，体重相关的化妆品手术，叮咬和清洗。超过一半（54％）的通道认为，ED评估落在他们的职权范围内。大多数（90.8％）一般主义者同意或强烈同意EDS可能会对妊娠结果产生负面影响。诊断（88.5％）和治疗（96.2％）EDS的大多数额定居住培训，只需少量或更少。大多数人知道低出生体重（91％），产后抑郁（90％）与母体EDS相关，但在第三个不确定几个后果。一些性别差异出现了;女性屏幕以获取更多ED指标，更有可能在其角色中查看ED评估。结论：尽管EDS的后果以及大多数医生同意EDS可能对怀孕产生负面影响的事实，但只有大约一半的景观评估为他们的责任。只评估一些重量和饮食有关的主题，并且有关ED后果的知识存在差距。产科医生 - 妇科主义者对他们的训练并不充满信心。知识和改变产科医生 - 妇科主义者对其职责的看法可能会改善ED筛选率。

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