This is a tough one. If it was me, for the sake of my child, I would hope that you would call child services and make a report. Maybe they can force her to get treatment? Our ED's are stubborn and hard to shut down at times and push people away who interfere with them. But maybe someday your friend will be grateful. Her baby needs food, I hope she realizes how severe her ED is and gets help. Sending you and your friend blessings.

I would talk to her about it. Calling child services wont do anything. It is not abuse to the child directly, and the state still considers the fetus not a life till birth.
Just talk to her. Approach her out of concern. That's the only thing you can do. Also, approach her with resources that are written down and give her the paper. SHe might get angry, mad,hurt, pissed, embarrassed but when she has time to chew on what you say, she will want to reach out. No one wants to hurt their baby. I was struggling with my eating disorder with my kids. I had counseling and a nutritionist working with me. I can say that I only had a few behaviors. It is hard. Be there for her, because she needs support

she is very intelligent thinks she has googled it all, i shudder to think if their are complications, let alone feeling she will be alone and in pain, even if her partner is there, they still are inexperienced.

no one can inform someone what labour and delivery is really all about and they don't call it labour for nothing.

my understanding is if you eventually need to go to hospital and you show up without a doctor they are not happy about it. I don't know if children services would get involved.

She says she doesn't want anyone touching her body? is this part of ED?

I feel like my comment was a little harsh. I did not mean to call child services as a punishment. I have worked with them and I guess I've seen the supportive services they offer to try to support parents and educate parents to improve the situation, not to take the child or cause more harm. I know this is not always the case though. So, I agree with the other two, maybe it wouldn't do anything for your friend but cause resentment and pain. I am sure she is doing her best to protect her baby but just so caught up in the ED. She must be willing to get help, and it sounds like you've already expressed your concern. Keep doing so, in a loving way. Its all you can do.

very hard situation, but as a friend be prepared for a lot of backlash, but writing down resources and ways to get help is on paper and real, not the internet. as intelligent as she may be the ED voice is stronger. being there for her is huge and all you can do at this point.

This is a hugely difficult situation and I cant really add anything to whats already been said. However about your friend not wanting anyone touching her body - I think that may well be linked to the same roots as her eating disorder. At least Id have felt that way when I was younger. )ve never given birth but the idea of anyone touching me, especially in my intimate area would have felt very upsetting - almost like rape.In that respect I understand your friend very well. I also understand her wanting to keep other "busybodies" out too and do this all by herself. This need to stay in control of out own bodies is a central part of eating disorder mentality and it is difficult to challenge with any kind of rationality.

Im glad youre concerned - about your friend and about the baby. Its not appropriate to pre-judge a stranger but even if the birth goes well its not impossible that your friend will have some strange ideas about child nutrition. But lets not go jumping guns.