Knowledge and Attitudes Towards Pregnancy in Females with Inflammatory Bowel Disease: An International, Multi-centre Study

Laube R 1 , Yau Y 1 , Selinger CP 2 , Seow CH 3 , Thomas A 1 , Wei Chuah S 4 Show all authors , Hilmi I 5 , Mao R 6 , Ong D 7 , Ng SC 8 , Chen Wei S 9 , Banerjee R 10 , Ahuja V 11 , Alharbi O 12 , Leong RW 1

Affiliations 

  • 1 Department of Gastroenterology and Hepatology, Concord Repatriation General Hospital, Sydney, Australia
  • 2 Department of Gastroenterology, Leeds Teaching Hospitals NHS Trust, Leeds, UK
  • 3 Division of Gastroenterology and Hepatology, Department of Medicine, University of Calgary, Alberta, Canada
  • 4 Department of Gastroenterology and Hepatology, Singapore General Hospital, Singapore
  • 5 Division of Gastroenterology and Director of Endoscopy, University of Malaya Medical Centre, Kuala Lumpur, Malaysia
  • 6 Department of Gastroenterology, The First Affiliated Hospital of Sun Yat-sen University, Guangzhou, China
  • 7 Division of Gastroenterology and Hepatology, National University Hospital System, Singapore
  • 8 Department of Medicine and Therapeutics, Institute of Digestive Disease, State Key Laboratory of Digestive Diseases, Li Ka Shing Institute of Health Science, The Chinese University of Hong Kong, Hong Kong, China
  • 9 Department of Internal Medicine, National Taiwan University Hospital, Taiwan
  • 10 Department of Gastroenterology, Asian Institute of Gastroenterology, Hyderabad, India
  • 11 Department of Gastroenterology, All India Institute of Medical Sciences, New Delhi, India
  • 12 King Saud University, College of Medicine, King Khalid University Hospital, Riyadh, Saudi Arabia
J Crohns Colitis, 2020 Sep 16;14(9):1248-1255.
PMID: 32191292 DOI: 10.1093/ecco-jcc/jjaa047

Abstract

BACKGROUND AND AIMS: Poor knowledge of inflammatory bowel disease [IBD] in pregnancy underlies unwarranted voluntary childlessness [VC], and risks poorer obstetric outcomes and adverse fetal outcomes. IBD is increasing worldwide but education on IBD issues might be heterogeneous based on cultural differences and variations in models of care.

METHODS: Consecutive female IBD subjects aged 18-45 years were prospectively recruited from two dedicated IBD-pregnancy clinics, two multidisciplinary IBD clinics and nine general gastroenterology clinics. Subjects completed the validated CCPKnow [score 0-17] with questions on demographics, medical history and pregnancy knowledge. The primary outcome was knowledge per clinic-type and per geographical region.

RESULTS: Surveys were completed by 717 subjects from 13 hospitals across ten countries. Dedicated IBD-pregnancy clinics had the highest knowledge, followed by multidisciplinary IBD clinics then general IBD clinics (median CCPKnow 10.0 [IQR: 8.0-11.0], 8.0 [IQR: 5.0-10.5] and 4.0 [IQR:2.0-6.0]; p 

* Title and MeSH Headings from MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine.

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