Management of eating disorders during pregnancy: A survey of Australian dietitians in clinical practice
Eating disorders (EDs) are estimated to affect 5.2%-7.5% of pregnant women, equating to 15,800-23,000 births in Australia annually. In pregnancy, an ED increases the risk of complications for both mother and child. Heightened motivation and increased utilisation of healthcare services during pregnan...
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| Veröffentlicht in: | Journal of human nutrition and dietetics 2024-08, Vol.37 (4), p.968-977 |
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| container_title | Journal of human nutrition and dietetics |
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| creator | Parker, Tamara Angus, Rebecca |
| description | Eating disorders (EDs) are estimated to affect 5.2%-7.5% of pregnant women, equating to 15,800-23,000 births in Australia annually. In pregnancy, an ED increases the risk of complications for both mother and child. Heightened motivation and increased utilisation of healthcare services during pregnancy present an opportunity to identify and commence ED treatment. Dietetic management of EDs differs from nutrition guidelines for pregnancy. This study aimed to assess current practice, confidence and training needs of dietitians to manage EDs in pregnancy.
A cross-sectional survey of Australian dietitians with past year exposure to ED and/or antenatal fields was completed using Microsoft Forms between November 2022 and January 2023.
One hundred and seventeen responses were analysed. Confidence was less for assessment of a woman with an active ED in pregnancy than a pregnant woman with a history of an ED, pregnancy or an ED alone (p |
| doi_str_mv | 10.1111/jhn.13311 |
| format | Article |
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A cross-sectional survey of Australian dietitians with past year exposure to ED and/or antenatal fields was completed using Microsoft Forms between November 2022 and January 2023.
One hundred and seventeen responses were analysed. Confidence was less for assessment of a woman with an active ED in pregnancy than a pregnant woman with a history of an ED, pregnancy or an ED alone (p < 0.001). Greater than 5 years of experience as a dietitian, but without recent exposure to the patient population, was associated with increased confidence (p < 0.01). Almost half provided descriptions of treatments and interventions used to treat a pregnant woman with an ED, some of which conflict with ED or antenatal guidelines. Dietitians were more likely to weigh a person with an ED in pregnancy. Most respondents indicated further training (93%) and guidelines (98%) would be helpful.
This is the first investigation into the dietetic management of EDs in pregnancy, and it highlights a need for guidelines and training for dietitians.</description><identifier>ISSN: 0952-3871</identifier><identifier>ISSN: 1365-277X</identifier><identifier>EISSN: 1365-277X</identifier><identifier>DOI: 10.1111/jhn.13311</identifier><identifier>PMID: 38638031</identifier><language>eng</language><publisher>England: Blackwell Publishing Ltd</publisher><subject>Adult ; Australia ; Clinical practice guidelines ; Cross-Sectional Studies ; Dietetics - methods ; Dietitians ; Eating disorders ; Feeding and Eating Disorders - therapy ; Female ; Guidelines ; Health risks ; Health services ; Health services utilization ; Health surveys ; Humans ; Management ; Maternal & child health ; Medical screening ; Middle Aged ; Nutrition ; Nutritionists ; Patients ; Pregnancy ; Pregnancy complications ; Pregnancy Complications - therapy ; Prenatal Care - methods ; Surveys ; Surveys and Questionnaires ; Training</subject><ispartof>Journal of human nutrition and dietetics, 2024-08, Vol.37 (4), p.968-977</ispartof><rights>2024 British Dietetic Association.</rights><rights>2024 The British Dietetic Association Ltd.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c273t-cbed9337d7cde9e569cc3e229f17c160fe8b74528bc9ad5229e9d26e594bf8b33</cites><orcidid>0000-0002-1839-9641 ; 0009-0005-9718-3353</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27924,27925</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/38638031$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Parker, Tamara</creatorcontrib><creatorcontrib>Angus, Rebecca</creatorcontrib><title>Management of eating disorders during pregnancy: A survey of Australian dietitians in clinical practice</title><title>Journal of human nutrition and dietetics</title><addtitle>J Hum Nutr Diet</addtitle><description>Eating disorders (EDs) are estimated to affect 5.2%-7.5% of pregnant women, equating to 15,800-23,000 births in Australia annually. In pregnancy, an ED increases the risk of complications for both mother and child. Heightened motivation and increased utilisation of healthcare services during pregnancy present an opportunity to identify and commence ED treatment. Dietetic management of EDs differs from nutrition guidelines for pregnancy. This study aimed to assess current practice, confidence and training needs of dietitians to manage EDs in pregnancy.
A cross-sectional survey of Australian dietitians with past year exposure to ED and/or antenatal fields was completed using Microsoft Forms between November 2022 and January 2023.
One hundred and seventeen responses were analysed. Confidence was less for assessment of a woman with an active ED in pregnancy than a pregnant woman with a history of an ED, pregnancy or an ED alone (p < 0.001). Greater than 5 years of experience as a dietitian, but without recent exposure to the patient population, was associated with increased confidence (p < 0.01). Almost half provided descriptions of treatments and interventions used to treat a pregnant woman with an ED, some of which conflict with ED or antenatal guidelines. Dietitians were more likely to weigh a person with an ED in pregnancy. Most respondents indicated further training (93%) and guidelines (98%) would be helpful.
This is the first investigation into the dietetic management of EDs in pregnancy, and it highlights a need for guidelines and training for dietitians.</description><subject>Adult</subject><subject>Australia</subject><subject>Clinical practice guidelines</subject><subject>Cross-Sectional Studies</subject><subject>Dietetics - methods</subject><subject>Dietitians</subject><subject>Eating disorders</subject><subject>Feeding and Eating Disorders - therapy</subject><subject>Female</subject><subject>Guidelines</subject><subject>Health risks</subject><subject>Health services</subject><subject>Health services utilization</subject><subject>Health surveys</subject><subject>Humans</subject><subject>Management</subject><subject>Maternal & child health</subject><subject>Medical screening</subject><subject>Middle Aged</subject><subject>Nutrition</subject><subject>Nutritionists</subject><subject>Patients</subject><subject>Pregnancy</subject><subject>Pregnancy complications</subject><subject>Pregnancy Complications - therapy</subject><subject>Prenatal Care - methods</subject><subject>Surveys</subject><subject>Surveys and Questionnaires</subject><subject>Training</subject><issn>0952-3871</issn><issn>1365-277X</issn><issn>1365-277X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2024</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNpdkE9PwzAMxSMEYmNw4AugSlzg0JHEa9Nwmyb-SUNcQOJWpYk7MnXpSFqkfXsyNjjgiy37956sR8g5o2MW62b54cYMgLEDMmSQZykX4v2QDKnMeAqFYANyEsKSUpozSo_JAIocCgpsSBbPyqkFrtB1SVsnqDrrFomxofUGfUhM77eLtceFU05vbpNpEnr_hZstPu1D51VjlYsS7GwXp5BYl-jGOqtVE4VKd1bjKTmqVRPwbN9H5O3-7nX2mM5fHp5m03mquYAu1RUaCSCM0AYlZrnUGpBzWTOhWU5rLCoxyXhRaalMFg8oDc8xk5OqLiqAEbna-a59-9lj6MqVDRqbRjls-1ACnQAVrJjwiF7-Q5dt7138LlJFxoHKPI_U9Y7Svg3BY12uvV0pvykZLbfplzH98if9yF7sHftqheaP_I0bvgHmOICV</recordid><startdate>20240801</startdate><enddate>20240801</enddate><creator>Parker, Tamara</creator><creator>Angus, Rebecca</creator><general>Blackwell Publishing Ltd</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7T7</scope><scope>8FD</scope><scope>C1K</scope><scope>FR3</scope><scope>NAPCQ</scope><scope>P64</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0002-1839-9641</orcidid><orcidid>https://orcid.org/0009-0005-9718-3353</orcidid></search><sort><creationdate>20240801</creationdate><title>Management of eating disorders during pregnancy: A survey of Australian dietitians in clinical practice</title><author>Parker, Tamara ; 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In pregnancy, an ED increases the risk of complications for both mother and child. Heightened motivation and increased utilisation of healthcare services during pregnancy present an opportunity to identify and commence ED treatment. Dietetic management of EDs differs from nutrition guidelines for pregnancy. This study aimed to assess current practice, confidence and training needs of dietitians to manage EDs in pregnancy.
A cross-sectional survey of Australian dietitians with past year exposure to ED and/or antenatal fields was completed using Microsoft Forms between November 2022 and January 2023.
One hundred and seventeen responses were analysed. Confidence was less for assessment of a woman with an active ED in pregnancy than a pregnant woman with a history of an ED, pregnancy or an ED alone (p < 0.001). Greater than 5 years of experience as a dietitian, but without recent exposure to the patient population, was associated with increased confidence (p < 0.01). Almost half provided descriptions of treatments and interventions used to treat a pregnant woman with an ED, some of which conflict with ED or antenatal guidelines. Dietitians were more likely to weigh a person with an ED in pregnancy. Most respondents indicated further training (93%) and guidelines (98%) would be helpful.
This is the first investigation into the dietetic management of EDs in pregnancy, and it highlights a need for guidelines and training for dietitians.</abstract><cop>England</cop><pub>Blackwell Publishing Ltd</pub><pmid>38638031</pmid><doi>10.1111/jhn.13311</doi><tpages>10</tpages><orcidid>https://orcid.org/0000-0002-1839-9641</orcidid><orcidid>https://orcid.org/0009-0005-9718-3353</orcidid></addata></record> |
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| subjects | Adult Australia Clinical practice guidelines Cross-Sectional Studies Dietetics - methods Dietitians Eating disorders Feeding and Eating Disorders - therapy Female Guidelines Health risks Health services Health services utilization Health surveys Humans Management Maternal & child health Medical screening Middle Aged Nutrition Nutritionists Patients Pregnancy Pregnancy complications Pregnancy Complications - therapy Prenatal Care - methods Surveys Surveys and Questionnaires Training |
| title | Management of eating disorders during pregnancy: A survey of Australian dietitians in clinical practice |
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