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Observational Study
. 2016 Sep 28;22(36):8219-25.
doi: 10.3748/wjg.v22.i36.8219.

Pregnancy and inflammatory bowel disease: Do we provide enough patient education? A British study of 1324 women

Isabel Carbery  1 , Jihane Ghorayeb  1 , Anna Madill  1 , Christian P Selinger  1
Affiliations
Observational Study

Pregnancy and inflammatory bowel disease: Do we provide enough patient education? A British study of 1324 women

Isabel Carbery et al. World J Gastroenterol. .

Abstract

Aim: To examine patient knowledge and factors influencing knowledge about pregnancy in British women with inflammatory bowel disease (IBD).

Methods: This is a post hoc analysis of a study of female members of Crohn's and Colitis United Kingdom, aged 18-45 years who were sent an online questionnaire recording patient demographics, education, employment, marital status, and disease characteristics. Disease related pregnancy knowledge was recorded using Crohn's and colitis pregnancy knowledge score (CCPKnow).

Results: Of 1324 responders, 776 (59%) suffered from Crohn's disease, 496 (38%) from ulcerative colitis and 52 (4%) from IBD-uncategorised. CCPKnow scores were poor (0-7) in 50.8%, adequate (8-10) in 23.6%, good (11-13) in 17.7% and very good (≥ 14) in 7.8%. Multiple linear regression analysis revealed that higher CCPKnow scores were independently associated with higher educational achievement (P < 0.001), younger age at diagnosis (P = 0.003) and having consulted a health care professional about pregnancy and IBD (P = 0.001).

Conclusion: Knowledge was poor in 50%. Speaking with health-care professionals was a modifiable factor associated with better knowledge. This illustrates the importance of disease related pregnancy education.

Keywords: Crohn’s disease; Inflammatory bowel disease; Patient knowledge; Pregnancy; Reproduction; Ulcerative colitis.

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Conflict of interest statement

Conflict-of-interest statement: Selinger CP has received unrestricted research grants from Warner Chilcott, and Abbvie, has provided consultancy to Warner Chilcott, Dr Falk, Abbvie and Takeda, and had speaker arrangements with Warner Chilcott, Dr Falk, Abbvie, MSD and Takeda. The other authors report no relevant conflict of interest.

Figures

Figure 1
Figure 1
Demonstrates effect of talking to healthcare professionals on Crohn’s and colitis pregnancy knowledge scores.
See this image and copyright information in PMC

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