Strollerderby

Are More Pregnant Women Suddenly Starving Themselves?

Posted by Miriam Axel-Lute

A blogger over at self-improvement site PeopleJam is warning us about a new buzzword, "pregorexia," and the supposed trend from which it stems—women suddenly trying to be like a couple of skinny celebs by staying thin during their pregnancies.

But the original article reporting on the topic in the Times of London paints a somewhat different picture—one of a world in which lots of women have eating disorders, and, surprise, surprise, they don't just disappear during pregnancy, though sometimes pregnancy does make some that have been in remission return. (Since eating disorders are as much about control as appearance, I can see that the feeling of being out of control that pregnancy can bring would be a risk factor.)

The article paints a depressing picture of insufficient care and doctors not asking about, or noticing, symptoms of unhealthy eating. But it doesn't make the case that there's actually any new upswing in cases, and in fact specifically notes that there is no data to show that. Perhaps there is just an upswing in awareness, which is often mistaken for an increase in the thing itself.

More awareness of eating disorders in general is good, and I suppose I can tolerate "pregorexia," a creepily cutesy term for a non-cutesy thing, if it helps with that, but my gut feeling is it would make more sense to use the words we have and not treat eating disorders in pregnancy as some new, separate thing that those crazy knocked up ladies are getting into.

There does seem to already be a disturbing willingness to assume that healthy pregnancy weight gain is going to screw with all of our delicate self esteems, even if we have no eating disorders. Take lines like this one from BabyCenter—"It's normal to feel anxious and even depressed as the numbers on the scale edge up" (Depressed? Just from that? If that's true, we're in sad shape) or the popular, defensive "I'm not fat, I'm knocked up" T-shirt.

So there's weirdness out there, but I'm still suspicious of making it a celebrity supermodel problem. There are an awful lot of normally protruding pregnant bellies in evidence on famous people. Enough that even under-a-pop-culture-rock me has seen the pictures.

On the other hand, from what I've heard from midwives and other mothers, fears about gestational diabetes (a real problem with extreme weight gain) and "babies too big for a natural birth" (which is almost always bunk) seem to lead an awful lot of nurses and doctors to cluck their tongues warningly over even slightly high weight gain. That won't create an eating disorder out of thin air, but it sure can sow doubt and paranoia. And if eating disorders are as common in pregnancy as the Times thinks, medical professionals might want to reconsider which side of caution they err on.

Photo by tomeppy.


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Comments

 

Liz said:

I'm 25 weeks pregnant w/ #2, and for whatever reason, I have only gained 6 lbs to date.  I had very little morning sickness 1st trimester, I eat when I'm hungry and eat a normal amount, and my only exercise is walking a couple of times a week, and yoga once a week.  I also chase after a toddler.  But I've only gained 6 pounds so far, and I swear to you I do not have an eating disorder, other than excessive love of cheese.

However, at my last OB appt, the dr still warned me about overeating b/c babe #1 was a big boy and we need to keep #2 small to avoid a c-section.  What the hell?!!  How can I possibly gain less?!!

September 10, 2008 5:09 PM
 

Miriam Axel-Lute said:

That's really disturbing. What is he thinking?

(I was all about the cheese when I was pregnant too.)

September 10, 2008 5:44 PM
 

jennifer w. said:

I was blissfully unaware of the dangers of gestational diabetes, despite having "the big three" risk factors - diabetes in the family, having my first child over 30, and being 15 pounds overweight prior to pregnancy. I thought everything was great, as I had only gained 15 pounds up until week 27 of pregnancy. I thought I had beat it. The tests came back positive, however, but now I'm here to tell you - GD is not so gd bad!

The diet is so great, it makes me wonder what I was eating before I was diagnosed (I thought I was eating healthy, but the GD diet requires you to eat waaaay more milk and yogurt than I was eating, plus all the other good stuff I could conveniently forget to eat if I wasn't in the mood). In fact, I eat more overall than I did before, as the diet is 2,200 calories, and has large meals for lunch and dinner plus 3 snacks throughout the day, including one right before bedtime. I actually lost 2 more pounds once I started, and feel absolutely wonderful - full energy, reduced swelling, etc.

My point being, I wonder if doctors shouldn't be better about promoting a diet similar to the GD diet for all pregnant women. We are kind of left out there on our own, and pick and choose what we think is good to eat. We know good and bad foods, but not necessarily how much to eat of each. Of course, most women wouldn't need to do the blood sugar monitoring part, which is the sucky part of having GD, but just to know you are eating the optimal diet to promote regulated growth of the baby (and not you!) would be comforting to most. If I were a dietician to pregnant stars, I know what diet I would give them!

September 11, 2008 6:33 PM

About Miriam Axel-Lute

Miriam Axel-Lute is a freelance writer, editor, poet, and urban planning junkie. She lives, works, and gardens in Albany, NY, with her two partners and daughter.

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