School of Medicine, Western Sydney University, Locked Bag 1797, Penrith, NSW, 2751, Australia.
Affiliate Ingham Institute for Applied Medical Research, Centre for Applied Nursing Research (CANR), Liverpool, NSW, 2170, Australia.
BMC Pregnancy Childbirth. 2018 May 2;18(1):121. doi: 10.1186/s12884-018-1762-9.
Pregnancy is a time of enormous body transformation. For those with an eating disorder during pregnancy this time of transformation can be distressing and damaging to both the mother and the child. In this meta-ethnographic study, we aimed to examine the experiences of women with an Eating Disorder in the perinatal period; that is during pregnancy and two years following birth.
A meta-ethnographic framework was used in this review. After a systematic online search of the literature using the keywords such as pregnancy, eating disorders, anorexia, bulimia, binge eating disorder, perinatal, postnatal and post-partum, 11 papers, involving 94 women, were included in the review.
A qualitative synthesis of the papers identified 2 key themes. The key theme that emerged during pregnancy was: navigating a 'new' eating disorder. The key that emerged in the perinatal period was return to the 'old' eating disorder.
Following a tumultuous pregnancy experience, many described returning to their pre-pregnancy eating behaviors and thoughts. These experiences highlight the emotional difficulty experienced having an eating disorder whilst pregnant but they also point to opportunities for intervention and a continued acceptance of body image changes. More research is needed on the experiences of targeted treatment interventions specific for pregnant and postpartum women with an eating disorder and the effectiveness of putative treatment interventions during this period.
怀孕是身体发生巨大变化的时期。对于那些在怀孕期间有饮食障碍的人来说，这段时间的变化可能会对母亲和孩子造成困扰和伤害。在这项元人种学研究中，我们旨在探讨患有饮食障碍的女性在围产期（即怀孕和产后两年）的经历；即怀孕和产后两年。
本综述采用元人种学框架。通过使用关键词（如怀孕、饮食障碍、厌食症、贪食症、暴食障碍、围产期、产后和产后）在线系统地搜索文献，包括 11 篇论文，涉及 94 名女性。
对这些论文进行定性综合，确定了 2 个关键主题。怀孕期间出现的主要主题是：应对“新”饮食障碍。在围产期出现的主要主题是：回到“旧”饮食障碍。
经历了一段动荡的怀孕期后，许多人描述说又回到了怀孕前的饮食习惯和想法。这些经历突出了怀孕期间患有饮食障碍的女性所经历的情感困难，但也为干预和继续接受身体形象变化提供了机会。需要更多的研究来了解针对怀孕期间和产后患有饮食障碍的女性的特定治疗干预措施的经验，以及在此期间可能的治疗干预措施的有效性。
