The role of a midwife during perinatal anorexia nervosa care: A narrative review.

Anorexia nervosa primarily affects women of reproductive age, with prevalence significantly increasing during pregnancy. Identifying optimal ways to support this population during the perinatal period is essential. This narrative review examines the role of midwives in perinatal care of women with anorexia nervosa, the challenges they encounter, and the effectiveness of midwifery-led care in this context. As part of this narrative review, a literature search was conducted across PubMed, CINAHL, Embase, Web of Science, and PsycINFO. Reference lists of included studies were screened for additional sources. Two researchers independently performed screening and data extraction using a structured form. Findings were thematically analyzed and reported narratively. Sixteen articles published between 2000 and 2022, primarily from the United Kingdom and the United States, were included. Four key themes related to the midwife's role were identified: early and continuous screening, continuity of care, building a trusted relationship, and nutrition counseling and breastfeeding support. Midwives frequently overlook lifetime eating disorder diagnoses, underscoring the need for routine screening. Challenges arise from limited knowledge and awareness among midwifery professionals. Midwives might have an added value for women with anorexia nervosa during perinatal time. Early screening, individualized support, and strong interprofessional collaboration - including timely specialist referral - are essential. Education and training are key to improving identification, management, and communication. A midwifery-led care model holds promise for fostering the trusting relationships this population requires. The absence of clinical guidelines highlights an urgent need for further research and guideline development.