CONFERENCE PROCEEDING
Examining women's eating disorders in relation to the intention, initiation and
duration of breastfeeding: A literature review
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Laboratory of Midwifery Care During Antenatal and Post-Natal, University of West Attica, Athens, Greece
Publication date: 2025-10-24
Eur J Midwifery 2025;9(Supplement 1):A103
ABSTRACT
Abstract overview:
Pregnancy is a special period in a woman's life and some difficulties or problems may arise.
One of these may be the control of food intake. Anorexia nervosa and bulimia nervosa are
included in the eating disorders. The former is related to extremely reduced food intake, low
body weight, intense fear of weight gain, and distorted body image. While the latter is related
to repeated periods of uncontrolled food consumption followed by compensatory behaviors
to prevent weight gain. Mothers with a history of eating disorders or existing eating disorders
may experience difficulties with breastfeeding. These difficulties are also indirectly related to
the existence of maternal anxiety and depression.
Aims and objectives:
To investigate women's eating disorders in relation to the intention, initiation and duration of
breastfeeding.
Method:
To find articles relevant to the literature review, electronic databases such as PubMed and
Scopus were searched using keywords from December to February 2025. All selected articles
were screened for English language and full text accessibility.
Results:
The literature review search identified 564 studies. Fifty-eight studies were reviewed in full
text. Eight studies were included. All participants were described as female before, during
and after pregnancy. Also, some participants were women’s partners. The survey participants
were mostly from hospitals, online or the local community. All studies examined the
association of maternal history of eating disorders with breastfeeding practices. It appears
that breastfeeding self-efficacy in women with a history of eating disorders or pre-existing
disorders is somewhat complex. There were studies that had eating disorders as a predictive
factor for the initiation or not as well as the duration of breastfeeding and other studies that
did not correlate these two variables at all (eating disorders-breastfeeding), according to their
results.
Conclusion:
In conclusion, it was observed that psychosocial factors, the role of the father or a pre-
existing history of eating disorders are related to initiation and duration of breastfeeding.
However, the conclusions of this review were based on a small number of studies, so it is
important to consider any limitations. Further research is needed to find other factors that
may influence women’s intention to breastfeed.