Barriers to identifying eating disorders in pregnancy and in the postnatal period: a qualitative approach

BMC Pregnancy and Childbirth
Amanda ByeNadia Micali

Abstract

Eating Disorders (ED) are mental health disorders that typically effect women of childbearing age and are associated with adverse maternal and infant outcomes. UK healthcare guidance recommends routine enquiry for current and past mental illness in antenatal and postnatal care for all women, and that pregnant women with a known ED are offered enhanced monitoring and support. Midwives and health visitors are ideally placed to identify and support women with ED as they are often the primary point of contact during the antenatal and postnatal periods. However, research on the barriers to identifying ED in the perinatal period is limited. This study aimed to understand the barriers to disclosure and identification of ED in pregnancy and postnatally as perceived by women with past or current ED, and midwives and health visitors working in the UK National Health Service. Two studies were undertaken: mixed-measures survey of pregnant and postnatal women with current or past ED; focus groups with student and qualified midwives and health visitors. Five themes emerged on the barriers to disclosure in pregnancy as perceived by women: stigma, lack of opportunity, preference for self-management, current ED symptomatology and illness awaren...Continue Reading

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Citations

Jan 29, 2020·European Eating Disorders Review : the Journal of the Eating Disorders Association·Amanda ByeNadia Micali
May 16, 2019·The British Journal of Psychiatry : the Journal of Mental Science·Yu Wei ChuaFrancesca Solmi
Oct 13, 2020·Frontiers in Pediatrics·Giorgia SebastianiOscar García-Algar
Sep 4, 2021·Current Opinion in Psychiatry·Amanda ByeNadia Micali

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