A systematic review of the clinical practice guidelines for the assessment, management and treatment of eating disorders during the perinatal period
Abstract Background Eating disorders during the perinatal period can pose significant risks to both the mother and the baby. Clinical practice guidelines include statements of expected practice intending to improve effectiveness and quality of care within health care services. This systematic review...
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| Format: | Article |
| Language: | English |
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BMC
2025-01-01
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| Series: | BMC Pregnancy and Childbirth |
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| Online Access: | https://doi.org/10.1186/s12884-024-06995-x |
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| author | Chantelle Ecob Debbie M. Smith Zoe Tsivos Noora Hossain Sarah Peters |
| author_facet | Chantelle Ecob Debbie M. Smith Zoe Tsivos Noora Hossain Sarah Peters |
| author_sort | Chantelle Ecob |
| collection | DOAJ |
| description | Abstract Background Eating disorders during the perinatal period can pose significant risks to both the mother and the baby. Clinical practice guidelines include statements of expected practice intending to improve effectiveness and quality of care within health care services. This systematic review aimed to identify and synthesise current clinical practice guideline recommendations on the assessment, management and treatment of eating disorders during the perinatal period. Methods Three bibliographic databases and five guideline repository databases were searched alongside the grey literature. Guidelines were screened against eligibility criteria and recommendations for the assessment, management or treatment of eating disorders during the perinatal period were extracted. All included guidelines were assessed for quality using the AGREE-II tool. Recommendations were analysed and summarised using narrative synthesis. Results From the 242 records screened, 17 met inclusion criteria. Guideline quality ranged from three out of seven to seven out of seven. Six overall recommendations were formed from the narrative synthesis of data: 1) Early detection: recognising the signs and symptoms, 2) Assessment and screening: a three-pronged approach, 3) Educating and supporting the mother: the importance of knowledge, 4) Cross-system collaboration, 5) Psychological, pharmacological and medical treatment, and 6) Continued monitoring. Conclusion Perinatal eating disorder guideline recommendations were fairly consistent but showed considerable variability in quality and depth of recommendations. Recommendations require further contextualisation, to allow them to be operationalised and implemented within services. The review findings provide an initial framework for health care professionals responsible for supporting women with eating disorders during the perinatal period, and have several implications for policy, service delivery and health outcomes for women and their families. |
| format | Article |
| id | doaj-art-cdb14cd042164b27921f56e23d2e45e0 |
| institution | Kabale University |
| issn | 1471-2393 |
| language | English |
| publishDate | 2025-01-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Pregnancy and Childbirth |
| spelling | doaj-art-cdb14cd042164b27921f56e23d2e45e02025-02-02T12:46:52ZengBMCBMC Pregnancy and Childbirth1471-23932025-01-0125111910.1186/s12884-024-06995-xA systematic review of the clinical practice guidelines for the assessment, management and treatment of eating disorders during the perinatal periodChantelle Ecob0Debbie M. Smith1Zoe Tsivos2Noora Hossain3Sarah Peters4Division of Psychology and Mental Health, School of Health Sciences, Faculty of Biology, Medicine and Health, The University of ManchesterDivision of Psychology and Mental Health, School of Health Sciences, Faculty of Biology, Medicine and Health, The University of ManchesterManchester Mental Health NHS Foundation TrustManchester Mental Health NHS Foundation TrustDivision of Psychology and Mental Health, School of Health Sciences, Faculty of Biology, Medicine and Health, The University of ManchesterAbstract Background Eating disorders during the perinatal period can pose significant risks to both the mother and the baby. Clinical practice guidelines include statements of expected practice intending to improve effectiveness and quality of care within health care services. This systematic review aimed to identify and synthesise current clinical practice guideline recommendations on the assessment, management and treatment of eating disorders during the perinatal period. Methods Three bibliographic databases and five guideline repository databases were searched alongside the grey literature. Guidelines were screened against eligibility criteria and recommendations for the assessment, management or treatment of eating disorders during the perinatal period were extracted. All included guidelines were assessed for quality using the AGREE-II tool. Recommendations were analysed and summarised using narrative synthesis. Results From the 242 records screened, 17 met inclusion criteria. Guideline quality ranged from three out of seven to seven out of seven. Six overall recommendations were formed from the narrative synthesis of data: 1) Early detection: recognising the signs and symptoms, 2) Assessment and screening: a three-pronged approach, 3) Educating and supporting the mother: the importance of knowledge, 4) Cross-system collaboration, 5) Psychological, pharmacological and medical treatment, and 6) Continued monitoring. Conclusion Perinatal eating disorder guideline recommendations were fairly consistent but showed considerable variability in quality and depth of recommendations. Recommendations require further contextualisation, to allow them to be operationalised and implemented within services. The review findings provide an initial framework for health care professionals responsible for supporting women with eating disorders during the perinatal period, and have several implications for policy, service delivery and health outcomes for women and their families.https://doi.org/10.1186/s12884-024-06995-xEating disordersPerinatalPregnancyPostpartumClinical practice guidelinesGuidance |
| spellingShingle | Chantelle Ecob Debbie M. Smith Zoe Tsivos Noora Hossain Sarah Peters A systematic review of the clinical practice guidelines for the assessment, management and treatment of eating disorders during the perinatal period BMC Pregnancy and Childbirth Eating disorders Perinatal Pregnancy Postpartum Clinical practice guidelines Guidance |
| title | A systematic review of the clinical practice guidelines for the assessment, management and treatment of eating disorders during the perinatal period |
| title_full | A systematic review of the clinical practice guidelines for the assessment, management and treatment of eating disorders during the perinatal period |
| title_fullStr | A systematic review of the clinical practice guidelines for the assessment, management and treatment of eating disorders during the perinatal period |
| title_full_unstemmed | A systematic review of the clinical practice guidelines for the assessment, management and treatment of eating disorders during the perinatal period |
| title_short | A systematic review of the clinical practice guidelines for the assessment, management and treatment of eating disorders during the perinatal period |
| title_sort | systematic review of the clinical practice guidelines for the assessment management and treatment of eating disorders during the perinatal period |
| topic | Eating disorders Perinatal Pregnancy Postpartum Clinical practice guidelines Guidance |
| url | https://doi.org/10.1186/s12884-024-06995-x |
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