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There is a need for a rapid, sensitive, and specific screening tool that can be used to identify a potential ED in pregnancy. We started with a set of 25 questions, developed from our qualitative work along with other ED screening tools, and tested on a development (<jats:italic>n<\/jats:italic>\u2009=\u2009190) and validation sample (<jats:italic>n<\/jats:italic>\u2009=\u2009167). Statistical analysis included factor analysis and logistic regressions with ROC curves. Development and validation samples were combined for trimester analysis (<jats:italic>n<\/jats:italic>\u2009=\u2009357). Refining the tool to 12 items demonstrated strong internal reliability (development alpha\u2009=\u20090.95, validation alpha\u2009=\u20090.91). With correlated errors, questions demonstrated acceptable CFA fit (development: GFI: 0.91, RMSEA: 0.10, NNFI: 0.95; validation: GFI: 0.85, RMSEA: 0.14, NNFI: 0.86). Similar fits were seen by trimester: first trimester <jats:italic>n<\/jats:italic>\u2009=\u2009127, GFI: 0.89, RMSEA: 0.12, NNFI: 0.94; second trimester <jats:italic>n<\/jats:italic>\u2009=\u2009150, GFI: 0.83, RMSEA: 0.14, NNFI: 0.88; third trimester <jats:italic>n<\/jats:italic>\u2009=\u200980, GFI: 0.99, NNFI: 0.99. Validation against current ED diagnosis demonstrated acceptable sensitivity and specificity using a cutoff of 39 (development sensitivity\u2009=\u200980.7%, specificity\u2009=\u200979.7%, OR\u2009=\u200916.42, 95% CI: 7.51, 35.88; validation sensitivity\u2009=\u200969.2%, specificity\u2009=\u200986.5%, OR: 17.43, 95% CI: 6.46, 47.01). Findings suggest the PEBS tool can reliably and sensitively detect EDs across pregnancy trimesters with 12 questions. A further implication of this work is to reduce health and mental health treatment disparities through this standard and rapid screening measure to ensure early identification and treatment.<\/jats:p>","DOI":"10.1007\/s00737-022-01230-y","type":"journal-article","created":{"date-parts":[[2022,5,2]],"date-time":"2022-05-02T10:02:59Z","timestamp":1651485779000},"page":"705-716","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":23,"title":["Development and validation across trimester of the Prenatal Eating Behaviors Screening tool"],"prefix":"10.1007","volume":"25","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-8153-5132","authenticated-orcid":false,"given":"Elizabeth A.","family":"Claydon","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0009-0638","authenticated-orcid":false,"given":"Christa L.","family":"Lilly","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jordan X.","family":"Ceglar","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1663-8415","authenticated-orcid":false,"given":"Omar F.","family":"Due\u00f1as-Garcia","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2022,5,2]]},"reference":[{"issue":"6","key":"1230_CR1","doi-asserted-by":"publisher","first-page":"e205","DOI":"10.1097\/AOG.0000000000002652","volume":"131","author":"ACOG Committee Opinion No","year":"2018","unstructured":"ACOG Committee Opinion No (2018) 740: Gynecologic care for adolescents and young women with eating disorders. 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