Experiences From Pregnancy and Post-partum Period in Women With a History of Eating Disorders.
- Conditions
- Eating DisordersBulimia NervosaPost Partum DepressionBinge-Eating DisorderPregnancy Related
- Interventions
- Other: PregnancyOther: Post-Partum
- Registration Number
- NCT04815044
- Lead Sponsor
- Ostfold University College
- Brief Summary
Women with the eating disorder bulimia nervosa (BN) have been found to have a higher risk of unplanned pregnancies than healthy women, and experience greater miscarriage, premature birth, birth complications, and postpartum depression. Other studies have found that women with eating disorders seem to find motivation to refrain from the eating disordered behavior for the sake of the fetus, but that it is highly different whether this gives sustained or only a temporary remission.
Eating disorders are rarely detected in the primary health care service, nor during pregnancy or during follow-up in fertility clinics. Meeting a health care provider in the pregnancy care service who does not know about the eating disorder or who does not understand the disease well enough, can also make the management and experience of pregnancy and weight gain extra difficult.
The aim of this study is to increase the knowledge on how women with a history of eating disorder experience their bodily changes, and how they experience the health service in pregnancy care and post-partum period.
- Detailed Description
Women with the eating disorder bulimia nervosa (BN) have been found to have a higher risk of unplanned pregnancies than healthy women, and experience greater miscarriage, premature birth, birth complications, and postpartum depression. Having a disorder in which the overevaluation of the need to control body weight and food intake is pertinent, may cause a tremendous mental challenge to accept the bodily change through a pregnancy. Other studies have found that women with eating disorders seem to find motivation to refrain from the eating disordered behavior for the sake of the fetus, but that it is highly different whether this gives sustained or only a temporary remission.
Eating disorders are rarely detected in the primary health care service, nor during pregnancy or during follow-up in fertility clinics. Meeting a health care provider in the pregnancy care service who does not know about the eating disorder or who does not understand the disease well enough, can also make the management and experience of pregnancy and weight gain extra difficult.
The aim of this study is to increase the knowledge on how women with a hisory of eating disorders experience bodily changes through pregnancy, and how the pregnancy care service is experienced. The purpose of this data collection is to help design preparatory information for women with eating disorders who become pregnant, and to promote best practice guidelines for the health service in the meeting with, and follow-up of, pregnant women with a history of eating disorders.
Recruitment & Eligibility
- Status
- ENROLLING_BY_INVITATION
- Sex
- Female
- Target Recruitment
- 32
- previous participant in the PED-t project
- previous/current diagnosis of bulimia nervosa or binge eating disorder
- has accepted to take part in the long-term follow up study in the PED-t project
- has been/are pregnant
- not matching the above criteria
Study & Design
- Study Type
- OBSERVATIONAL
- Study Design
- Not specified
- Arm && Interventions
Group Intervention Description Women from the PED-t study Pregnancy Women who participated in the PED-t study in 2016-2018 who report previous (or in future time) pregnancy. Women from the PED-t study Post-Partum Women who participated in the PED-t study in 2016-2018 who report previous (or in future time) pregnancy.
- Primary Outcome Measures
Name Time Method Quality of prenatal care January 2021 - December 2026 Questionnaire rating (Likert scale 0, don't agree - 5, totaly agree) different aspects in the prenatal care service
Experiences of bodily changes in pregnancy and post-partum period January 2021 - December 2026 What are the experiences of bodily changes in pregnancy and post-partum period in women with a history of eating disorders? (semistructured interviews)
Experiences with pregnancy health care- and post-partum service January 2021 - December 2026 What are the experiences of pregnancy health care service in women with a history of eating disorders? (semistructured interviews)
- Secondary Outcome Measures
Name Time Method Current symptoms of depression January 2021 - December 2026 Measuring current symptoms of depression at time of interview. Using the Beck Depression inventory.
Planning of pregnancy January 2021 - December 2026 Number of pregnancy that was (un)planned, and whether the female was using hormonal contraceptives at time of conception.
Help in becoming pregnant January 2021 - December 2026 Number of women in need of fertility assistance/treatment
Supplementation and drugs during pregnancy January 2021 - December 2026 Number of women who regularly consumed tobacco/were smoking, drank alcohol, or used prescribed drugs during pregnancy
Frequency and type of pregnancy complication January 2021 - December 2026 Numbers experiences different pregnancy complications (chosing from a list of alternatives: abortion, bleedings, edema, gestational diabetes, preeclampsia, pelvic pain)
Current symptoms of eating disorders January 2021 - December 2026 Measuring current symptoms of eating disorders at time of interview. Using the eating disorder examination questionnaire by Fairburn.
Body weight during pregnancy January 2021 - December 2026 Change in body weight during pregnancy
Blood pressure in pregnancy January 2021 - December 2026 Change in blood pressure during pregnancy
Fetus heart rate January 2021 - December 2026 Change in fetus heart rate during pregnancy
Symphysis measure January 2021 - December 2026 Change in symphysis measure during pregnancy
Birth delivery method January 2021 - December 2026 Frequency of different birth delivery methods
Trial Locations
- Locations (1)
Therese Fostervold Mathisen
🇳🇴Fredrikstad, Norway