MUMMIBODIES. Eating Disorders, Pregnancy and Post Partum Period.

NCT04550364 | Completed Results DMC

• 1 other identifier: MUMMIEBODIES
• Study Type: observational
• Target: 24
• Locations: 1 country
• Sites: 1

Brief Summary

MUMMIEBODIES is a research study when women with eating disorders encounter pregnancy, childbirth and postpartum. These are some condensed months that represent major challenges for this group. There are both a scientific and clinical basis for the mother's mental health to influence care and interaction with the child. In the case of eating disorders, there is also a risk of harmful consequences for the fetus as well as for more complicated pregnancies and births. This is a very important field of knowledge, but also a field about which there is far too little scientific knowledge. There is too little scientific knowledge about how women with eating disorders physically and mentally relate to their bodies and food during and after pregnancy. There is a great need for research that promotes expertise in how to help and meet women with eating disorders in these important phases of life. The aim of the study is to bring out the users' experiences. The investigators interview face-to-face pregnant women and mothers with eating disorders about their subjective experiences both during pregnancy and during childbirth. Recruitment of participants will be via health stations. The investigators will identify the course, experiences and solutions when women with eating disorders encounter pregnancy, childbirth and postpartum. The investigators focus on three themes: 1) experience of course and change, 2) experience of emotional, cognitive and relational core experiences, and 3) women's own perceptions of what is the best help. The three themes have in common that they are fundamental for later development of help for this vulnerable group. The investigators have a clear idea that some of the best preventive work can be done before life really starts.

Conditions

Mental Health Disorder; Eating Disorders; Pregnancy Related; Post Partum

Outcome Measures

Primary Outcomes (3)

• Number of Participants With Each Type of Personal Features Associated With Worsening or Relapse of Eating Disorder Symptoms During Pregnancy (Time Point 1)

  How do women with a history of eating disorders experience being pregnant? How do they understand and describe worsening and relapse and perceived triggers in such eventual changes? Delivery: Categorization, characterization, identification of possible dimensions and experiential descriptions of assumed critical, typical and atypical experiences. Ideal type analysis indicate seven different personal features associated with worsening or relapse: chaotic, rigid, perfect, worried, shameful, motherhood fearing and lost identity. Perceived triggers of worsening or relapse were: loss of control, unpredictability, competition, change of appearance, shame and nausea and loss of identity. All women included in the study reported DSM-5 diagnosis at time point 1.

  During pregnancy, Interview between week 9 and week 40.

• Core Experiences Among 7 Women With a History of Severe Eating Disorders That Have Gone Through IVF-induced Pregnancy and Become Mothers. Time Point 1 and 2 for 7 Participants.

  How do women with a history of severe eating disorders who have undergone IVF experience the process of becoming a mother through IVF, pregnancy and the postpartum period? The two time points are summed together in core experiences from pregnancy to brith and after birth. There were four core phenomena that were reported that were strikingly similar across all participants: "anxiousness and fear", "Shame and guilt", "sexual aladjustment" and "Non-disclosure of eating problems".

  Two time points is summed together and included both. interview timepoints (interview between week 9 and week 40 during pregnancy and Postpartum, on average 4-6 months following birth).

• Trajectories of Severe Eating Disorders Through Pregnancy and Early Motherhood.Number of Participants in Different Trajectories Associated With Symptoms of Eating Disorder

  This study was based on interviews conducted with 24 participants during both pregnancy and postpartum. Additionaly, both diagnostic descriptions (DSM 5) and self-report (EDE-Q) were reported at both time points (Pregnancy and postpartum). How they experienced pregnancy and postpartum were summed up in five different trajectories. How do women with a history of severe ED experience their ED pathology during the process from pregnancy to postpartum? Is it possible to identify trajectories through pregnancy and early motherhood? Delivery: Empirically based hypothetical model for prototypical processes. Elements of Grounded theory were employed. Diagnosis (DSM-5) were summarized for both time points and symptoms (EDE-Q) were averaged from both time points.

  Through study completion, an average of 14 months. Both time points (During pregnancy between week 9 and 40. Postpartum, on average 4-6 months following birth) were summed up in five trajectories from pregnancy to postpartum.

Secondary Outcomes (1)

• Eating Disorder Symptoms Reported Through Self Report EDE-Q.

  Mean scores collected during pregnancy and postpartum

Eligibility Criteria

• Age: 20 Years - 40 Years
• Gender Eligibility Details: Women experience of pregnancy and post partum period.
• Healthy Volunteers: Yes
• Age Groups: Adult (18-64)
• Sampling Method: Non-Probability Sample

Study Population

Women with eating disorders who are pregnant and in labor (the child's first year of life). In this round, we seek to identify different experiences one may have.

You may qualify if:

• Woman
• age between 20-40 years
• Diagnostic diagnosis anorexia nervosa or bulimia nervosa
• Must be pregnant
• Must have been interviewed in pregnancy and be in labor/post partum.

You may not qualify if:

• Ongoing psychosis
• Drug addiction
• Organic brain damage / disease.

Sponsors & Collaborators

• Bente Sommerfeldt: lead
• University of Oslo: collaborator

Study Sites (1)

Institute of Eating Disorders

Oslo, 0263, Norway

Location

MeSH Terms

Conditions

Mental Disorders; Feeding and Eating Disorders

Condition Hierarchy (Ancestors)

Signs and Symptoms, Digestive; Signs and Symptoms; Pathological Conditions, Signs and Symptoms

Limitations and Caveats

Representative of women with ED. Past history of ED, including diangosis severity, as well as treatment history was self-reported with no verification with health records. Multi-diagnostic approach. The same person have conducted the semi-structured interview and EDE clinical interviews that might have influenced the respons or outcome of the diagnosis. Different interview points during pregnancy. Lack of corroborating information.

Results Point of Contact

• Title: Psychologist and PhD Bente Sommerfeldt
• Organization: Universoty of Oslo

bsommerfeldt@gmail.com

004793221280

Study Officials

• INGELA LUNDIN KVALEM, PROFESSOR

  University of Oslo

  STUDY CHAIR

Publication Agreements

• PI is Sponsor Employee: No
• Restrictive Agreement: No

Study Design

• Study Type: observational
• Observational Model: OTHER
• Time Perspective: OTHER
• Target Duration: 6 Months
• Sponsor Type: OTHER
• Responsible Party: SPONSOR INVESTIGATOR
• PI Title: Specialist in clinical psychology

Study Record Dates

• First Submitted: August 24, 2020
• First Posted: September 16, 2020
• Study Start: May 20, 2020
• Primary Completion: January 31, 2022
• Study Completion: February 11, 2022
• Last Updated: May 2, 2025
• Results First Posted: May 2, 2025

Record last verified: 2025-04

Locations

NO (1)