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What can qualitative studies tell us about the experiences of women who are pregnant that have an eating disorder?

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Tierney, Stephanie, McGlone, Carole and Furber, Christine (2013) What can qualitative studies tell us about the experiences of women who are pregnant that have an eating disorder? Midwifery, Volume 29 (Number 5). pp. 542-549. doi:10.1016/j.midw.2012.04.013

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Official URL: http://dx.doi.org/10.1016/j.midw.2012.04.013

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Abstract

Objective
pregnancy is a life-stage during which women undergo significant changes to their body and can feel acute responsibility for the development and well-being of the fetus. A synthesis of qualitative studies was conducted to increase our understanding of pregnancy experiences among women with an eating disorder.

Design
a systematic search of eight electronic databases was carried out to identify relevant investigations. Studies were appraised by two authors. Data were combined using framework analysis. From 459 references, seven papers were included in the review.

Findings
an overriding concept of inner turmoil transpired from the synthesis. This personal conflict related to the fear and guilt expressed by interviewees and stemmed from their association of self-worth with their body, concerns about their child's health and worries about others' response to their eating and weight control practices.

Key conclusions
participants reported vacillating between wanting to do the best for their child, being motivated by social pressures and feeling the need to control their body for self-preservation purposes. This created the inner turmoil they experienced while pregnant.

Implications for practice
midwives should be sensitive to the possibility of an eating disorder among pregnant women. In such cases, practitioners could act as a conduit for any assistance required, guiding these mothers towards appropriate nutritional and psychological support. To do this, professionals must have knowledge of such conditions and be aware of services available for women disclosing disordered eating behaviours.

Item Type: Journal Article
Divisions: Faculty of Medicine > Warwick Medical School > Health Sciences > Warwick Research in Nursing > Royal College of Nursing Research Institute (RCN) (- July 2017)
Faculty of Medicine > Warwick Medical School
Journal or Publication Title: Midwifery
Publisher: Elsevier Sci Ltd.
ISSN: 0266-6138
Official Date: May 2013
Dates:
DateEvent
May 2013Published
Volume: Volume 29
Number: Number 5
Page Range: pp. 542-549
DOI: 10.1016/j.midw.2012.04.013
Status: Peer Reviewed
Publication Status: Published
Access rights to Published version: Restricted or Subscription Access

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