Pregnancy is often painted as a time of pure joy and glowing anticipation—but let’s be honest, for those grappling with eating disorders (EDs), it can come with unique challenges. The pressure to “bounce back” postpartum can amplify body image stress and nutrition struggles, making an already complex journey even more difficult. The physical and emotional demands of pregnancy, coupled with the societal pressure to bounce back into pre-baby shape, can make it easy for disordered eating behaviors to resurface. But here’s the thing: You’re not alone, and there are ways to protect your mental and physical health
during this incredible transformation.
The Real Deal on Postpartum Pressure
Let’s be real—postpartum life can feel like living in a pressure cooker. We’re constantly bombarded with messages to reclaim our “pre-baby bodies” and dive back into our “pre-mom” lives, as if growing and birthing a human was just a small detour. These pressures create a perfect storm for self-doubt, comparison, and in some cases, full-blown disordered eating.
And research backs this up: postpartum women are more likely to compare themselves to their pre-pregnancy bodies than to other people. While some reflection is natural, it becomes harmful when it feeds into disordered eating habits. It’s important to recognize that you’re going through Matrescence—the often-undervalued transition into motherhood that fundamentally changes both your body and your life. Instead of aiming to “bounce back,” let’s focus on healing and nourishment. Your body has done something incredible, and it deserves a lot more than a rush back into skinny jeans!
Why We Don’t Talk About EDs in Pregnancy (But Absolutely Should)
Eating disorders can complicate fertility and pregnancy, yet they remain an uncomfortable subject for many moms-to-be. Research even shows that women undergoing fertility treatments are six times more likely to struggle with an eating disorder than other pregnant women, but these conditions often go undiagnosed.
Moreover, there’s evidence that eating disorders during pregnancy could increase the risk of disordered eating in offspring later on. Stress during pregnancy, birth complications like premature labor, and being small for gestational age are linked to a higher risk of EDs in children and maternal postpartum depression.
The good news? Eating disorders are treatable—even during pregnancy and postpartum. However, many women don’t seek help due to barriers like stigma, a preference for self-management, or the misconception that they can “handle it” on their own. Improving awareness and communication around these issues, especially in prenatal care, is essential for better support.
Nurturing Nutrition During Pregnancy
Managing nutrition while in recovery from an eating disorder can feel overwhelming, but it doesn’t have to be about perfection. The focus should be on balance, fueling your body with love, and ensuring you and your baby get the nutrients needed for a healthy start to life. Here are some key nutrients to keep on your radar: Carbohydrates, proteins, fats, fiber and vitamins and minerals like folate, the B vitamins, iron, omega 3s, calcium, vitamin D, vitamin A, iodine, magnesium, antioxidants, and choline.
But remember, it’s not about getting the perfect diet. The goal is consistency and variety—keeping yourself nourished without the pressure to hit every nutrient goal perfectly.
Action Steps: How to Manage an ED During Pregnancy or Postpartum
If you’re finding it hard to manage eating disorder thoughts or behaviors during pregnancy or after giving birth, there are ways to support your recovery:
Reach Out for Help: Don’t wait—whether it’s confiding in a loved one or seeking help from a healthcare professional, opening up is the first step.
Find a Specialist: Work with a registered dietitian who understands both eating disorders and perinatal health and a licensed perinatal PSI-certified therapist. They can guide you through nourishing your body without the stress of perfection.
Practice Self-Compassion: Your body is healing. Instead of fixating on weight, focus on what your body needs today. Be kind to yourself—you just created life!
Build a Support System: Whether it’s an in-person group, virtual meetups, or close friends, surrounding yourself with supportive people is essential.
Ditch the Comparisons: Scrolling through social media or reminiscing about your pre-pregnancy self can be dangerous. Focus on how your body feels now, and honor its current needs.
Healing Is Possible—and You Deserve It
Pregnancy and postpartum are some of the most profound changes you’ll experience, both physically and emotionally. If you’re managing an eating disorder during this period, give yourself grace. This journey isn’t about “fixing” yourself—it’s about supporting your body and mind through one of life’s most intense transitions.
You deserve care, patience, and support—from others and from yourself. Seeking help is not a sign of weakness; it’s a sign of strength. There’s no one-size-fits-all solution, but with compassionate care, whether through therapy, nutritional guidance, or simply creating a safe space for yourself, you can heal.
You and your body are doing amazing things. Together, you’ve got this.
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