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


CONCLUSIONS
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.
Isabel Carbery, Christian P Selinger, Leeds Gastroenterology Institute, Leeds Teaching Hospitals NHS Trust, Leeds LS9 7TF, United Kingdom.
Isabel
I
Carbery
Isabel Carbery, Christian P Selinger, Leeds Gastroenterology Institute, Leeds Teaching Hospitals NHS Trust, Leeds LS9 7TF, United Kingdom.
Jihane
J
Ghorayeb
Isabel Carbery, Christian P Selinger, Leeds Gastroenterology Institute, Leeds Teaching Hospitals NHS Trust, Leeds LS9 7TF, United Kingdom.
Anna
A
Madill
Isabel Carbery, Christian P Selinger, Leeds Gastroenterology Institute, Leeds Teaching Hospitals NHS Trust, Leeds LS9 7TF, United Kingdom.
Christian P
CP
Selinger
D000293:Adolescent; D000328:Adult; D003093:Colitis, Ulcerative / Q000150:complications / Q000628:therapy; D003424:Crohn Disease / Q000150:complications / Q000628:therapy; D005260:Female; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D015212:Inflammatory Bowel Diseases / Q000150:complications* / Q000628:therapy*; D016014:Linear Models; D008875:Middle Aged; D010353:Patient Education as Topic / Q000379:methods*; D011247:Pregnancy; D011248:Pregnancy Complications; D011795:Surveys and Questionnaires; D006113:United Kingdom; D044465:White People; D055815:Young Adult
Crohn’s disease; Inflammatory bowel disease; Patient knowledge; Pregnancy; Reproduction; Ulcerative colitis
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