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Master Thesis

Le vécu de la grossesse chez les femmes ayant une histoire de troubles du comportement alimentaire

Abstract : Aim: Women suffering from an actual eating disorder (ED) or women with a past history of ED can more and more easily access to motherhood. Due to the increasing rate of ED in our occidental countries and the possibility to access to assisted reproductive technologies: perinatality practitioners, thus in first place midwives, will have to deal with pregnant women with ED. The aim of this study was to explore the impact of an actual or past ED on the experience of motherhood, and to determine if the pregnancy can be responsible of a resurgence of a past ED. We studied the experience of physical and eating changes during pregnancy and the need for support of women with a, actual or past, history of ED. We compared them to a group of women without any history of ED.
Methods: The SCOFF-F was employed to identify women who were likely to have an actual or past ED. When it was positive, women were interviewed. The semi-structured interview helped us to determine the presence of an actual or past ED and to explore their experience of motherhood. After the interview, two groups were created: the ED group (n=9) and the control group (n=20). We used the method of thematic analysis to study the interview.
Results and Discussion: The qualitative analysis of the speeches showed us a continuity between the ED group and the control group. Yet, women with ED are more emotionally unsettled by changes induced by pregnancy and require more psychological support. Women with past ED seem to employ similar defense mechanisms that they used during puberty. However, our results are not enoughly consistent to affirm a recrudescence of an eating pathology. Further studies are necessary on this topic.
Conclusion: Women with ED have a bad experience of pregnancy changes and require support from health practitioners. Midwives have an important role in the detection of actual and past ED and in the organization to help these women.
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  • HAL Id : dumas-01196218, version 1


Anne-Lise Sinapi. Le vécu de la grossesse chez les femmes ayant une histoire de troubles du comportement alimentaire. Gynécologie et obstétrique. 2015. ⟨dumas-01196218⟩



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