Transition to motherhood in women with eating disorders: A qualitative study.
The aim of this study was to examine in depth the individual experience of transition from pregnancy to motherhood, among women with current eating disorders (EDs), focusing on differences between the first and subsequent pregnancies.



We analysed the narratives of 12 women with severe ED during pregnancy using interpretative phenomenological analysis. We employed a sequential structure, and the emerging themes were ordered according to consecutive pregnancy stages.



Our results indicate that experiences of pregnancy vary across pregnancy stages and in the first pregnancy compared to subsequent pregnancies. In particular, during their first pregnancy women with an ED seem to experience an inner conflict and questioned the continuity of their ED identity leading them to be more open to change.



The first pregnancy, during its early stages, should be considered a potentially unique window for intervention for women with current ED.



Eating disorders (EDs) are known to seriously affect fertility, pregnancy, and pregnancy outcomes. Our research sheds a light on experiences of pregnancy in women with ED and ultimately helps to define a window for intervention. Our findings have important implications in understanding mechanisms of relapse in the post-partum period and consequently could help in tailoring an adequate intervention for women with ED and in preventing ED relapse.
Behavioural and Brain Sciences Unit, Institute of Child Health, University College of London, UK.
Emma
E
Taborelli
Behavioural and Brain Sciences Unit, Institute of Child Health, University College of London, UK.
Abigail
A
Easter
Behavioural and Brain Sciences Unit, Institute of Child Health, University College of London, UK.
Rosalind
R
Keefe
Eating Disorders Research Unit, Institute of Psychiatry, King's College London, UK.
Ulrike
U
Schmidt
Eating Disorders Research Unit, Institute of Psychiatry, King's College London, UK.
Janet
J
Treasure
Behavioural and Brain Sciences Unit, Institute of Child Health, University College of London, UK.
Nadia
N
Micali
D000328:Adult; D001068:Feeding and Eating Disorders / Q000523:psychology* / Q000628:therapy*; D005260:Female; D006801:Humans; D007407:Interviews as Topic; D008016:Life Change Events; D008131:London; D049590:Postpartum Period / Q000523:psychology*; D011247:Pregnancy / Q000523:psychology*; D011613:Psychotherapy / Q000379:methods; D036301:Qualitative Research; D055502:Secondary Prevention / Q000379:methods; D055815:Young Adult
anorexia; eating disorder; interpretative phenomenological analysis; motherhood; pregnancy