Fear and fertility in inflammatory bowel disease: A mismatch of perception and reality affects family planning decisions

2009 ◽  
Vol 15 (5) ◽  
pp. 720-725 ◽  
Author(s):  
Réme Mountifield ◽  
Peter Bampton ◽  
Ruth Prosser ◽  
Kate Muller ◽  
Jane M. Andrews
Keyword(s):  
Inflammatory Bowel Disease ◽  
Family Planning ◽  
Bowel Disease ◽  
Planning Decisions ◽  
Inflammatory Bowel

scholarly journals P058 The lived experience of family planning of female patients diagnosed with inflammatory bowel disease and their partners during key reproductive stages: a qualitative study

2020 ◽  
Vol 14 (Supplement_1) ◽  
pp. S163-S164
Author(s):  
W Czuber-Dochan ◽  
R Homer ◽  
M Brookes ◽  
C Selinger ◽  
S Purewal ◽  
...  
Keyword(s):  
Inflammatory Bowel Disease ◽  
Family Planning ◽  
Lived Experience ◽  
Bowel Disease ◽  
Normal Population ◽  
Post Partum ◽  
Geographic Location ◽  
Sources Of Information ◽  
Inflammatory Bowel ◽  
The Impact

Abstract Background Inflammatory bowel disease (IBD) is a chronic illness affecting patients in their childbearing years. The physical effects of IBD on fertility and pregnancy in IBD in remission (e.g. disease is well controlled during conception and throughout pregnancy) are similar to the normal population. However, many women with IBD have high pregnancy-related anxieties and are more likely not to have children compared with women without IBD. The reasons cited for not having children include high levels of pregnancy-related anxieties have been insufficiently explored. The study aimed to explore the lived experience of family planning of women with inflammatory bowel disease (IBD) and their partners with or without IBD, during the reproductive stages of pre-conception, pregnancy and the postnatal period. Methods Descriptive phenomenology was used to conduct face-to-face in-depth individual interviews. Purposive sampling was used to select participants with a maximum variation of different demographic and clinical factors, e.g. age, sex, UC/CD diagnosis, disease duration, surgery and geographic location. The NVivo 12 software programme was used to manage the data and Colaizzi’s framework was utilised in thematic data analysis. Results Twenty-four participants (21 women 11CD/10UC and three partners) were recruited from out-patient clinics (22 participants) or through the Crohn’s and Colitis UK website (two participants). Women, average age 31 years old (range 27–38), were at different family planning stages: pre-conception six women (three actively planning family and three voluntarily childless); pregnant eight women and two partners; and postpartum seven women and one partner. Three women’s partners, age 32–39, were recruited allowing for additional perspective of the experience being captured. In total, 19 h of interviews data were collected. Six themes were identified: (1) being diagnosed and controlling IBD symptoms, (2) relationship and family planning, (3) sources of information, (4) worries and concerns about pregnancy, (5) post pregnancy care and problems and (6) ways of improving care. Women in pre-pregnancy stage and pregnant expressed a need for more information around these themes: (1) their medication and the impact of IBD on the baby, (2) the genetic risk of passing the disease on. While pregnant and during post-partum stage, women identified a greater need for practical advice and support in relation to breastfeeding and looking after the baby. Conclusion Information specific to family planning stages need to be provided, to help women and their partners make the informed decision about family planning. Those who decided not to go down the family route also expressed a need for counselling and support.

Family planning in inflammatory bowel disease

2018 ◽  
Vol 30 (3) ◽  
pp. 310-315 ◽  
Author(s):  
Jens Walldorf ◽  
Susanne Brunne ◽  
Fleur S. Gittinger ◽  
Patrick Michl
Keyword(s):  
Inflammatory Bowel Disease ◽  
Family Planning ◽  
Bowel Disease ◽  
Inflammatory Bowel

Sa1261 Association of Family Planning Issues and Quality of Life and in Inflammatory Bowel Disease

2012 ◽  
Vol 142 (5) ◽  
pp. S-257
Author(s):  
Ali S. Khan ◽  
Lindsay S. Robison ◽  
Sadie Cole ◽  
Robert A. Oster ◽  
Elizabeth Parrish ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Inflammatory Bowel Disease ◽  
Family Planning ◽  
Bowel Disease ◽  
Inflammatory Bowel

Family planning with inflammatory bowel disease: the challenge of childlessness and parent concerns

2021 ◽  
Author(s):  
Jens Walldorf ◽  
Emilia Pijan ◽  
Robin Greinert ◽  
Anica Riesner-Wehner ◽  
Patrick Michl
Keyword(s):  
Inflammatory Bowel Disease ◽  
Family Planning ◽  
Bowel Disease ◽  
Factual Knowledge ◽  
Multiple Choice Questions ◽  
Childbearing Age ◽  
Poor Knowledge ◽  
Voluntarily Childless ◽  
Inflammatory Bowel ◽  
Parent Concerns

Abstract Background In patients with inflammatory bowel disease (IBD), diagnosis is often established at the beginning of childbearing age. Accordingly, concerns about family planning and pregnancy (FPP) are common. Poor knowledge regarding FPP might contribute to increased childlessness in patients with IBD. Methods The Crohn’s and Colitis Pregnancy Knowledge Score (CCPKnow, 17 multiple-choice questions) was translated into German and then used for a web-based survey. Childlessness was analyzed with respect to socio-demographic and disease-related information, and the knowledge (CCPKnow) and concerns of IBD patients with children were compared to those of voluntarily childless (VC) and non-voluntarily childless (NVC) IBD patients. Results Childlessness was observed in 57.4 % of the 533 participants (90.6 % women, 63.0 % Crohn’s disease, 31.5 % ulcerative colitis, mean age 33.2 ± 8.6 years), voluntary childlessness in 9 %. The mean overall CCPKnow was adequate (9.38 ± 3.96). Poor knowledge was not associated with increased childlessness (CCPKnow of < 8 was found in 29.8 % of patients with children and 28.9 % of childless patients, p > 0.5). Instead, the patients’ education, medical advice, FPP-related concerns, impaired body image, and sexual dysfunction had a significant impact on childlessness. Frequent concerns included adverse effects of the patient’s medication on their child (36 % of the respondents), malformation (33 %), miscarriage (34.5 %), and the inheritability of IBD (57 %). Conclusions Factual knowledge does not reduce disease-related concerns or childlessness. Correct but possibly bothersome information on FPP might contribute to childlessness in patients with IBD. Our findings underline the need for qualified counseling of IBD patients regarding FPP by an experienced IBD physician.

scholarly journals Obstetrical and gynecological relevance of inflammatory bowel disease

2012 ◽  
Vol 153 (46) ◽  
pp. 1832-1838
Author(s):  
Judit Kálmán ◽  
Judit Bajor ◽  
János Gáll ◽  
László Harsányi ◽  
Henrik Csaba Horváth ◽  
...  
Keyword(s):  
Inflammatory Bowel Disease ◽  
Birth Weight ◽  
Preterm Birth ◽  
Family Planning ◽  
Menstrual Cycle ◽  
Bowel Disease ◽  
Stable Period ◽  
Before And After ◽  
Inflammatory Bowel ◽  
Positive Effect

Introduction: Inflammatory bowel disease may show a life long persistance, while female fertility is time-limited. Aim: The aim of the authors was to obtain more knowledge about the obstetrical-gynecological aspects of this disorder. Methods: The authors evaluated 100 patients with inflammatory bowel disease and 100 healthy women with a self-composed questionnaire. Results: Menarche occurred significantly earlier in patients than in controls (p = 0,03). Either the activity of the disease, or the therapy itself may initiate irregularities in the menstrual cycle. Patients used contraceptives less frequently than controls (p = 0,002), and the time from family-planning to conception was longer in patients. Symptoms of bowel disease during pregnancy were not as severe as before and after pregnancy (p<0,001). Excess weight had a beneficial effect on symptoms during pregnancy (p = 0,042) and on the frequency of complications. Preterm birth and low birth weight were more frequent in newborns of patients (p = 0,019). Conclusion: Pregnancy has positive effect on the symptoms of inflammatory bowel disease in case gestation occurs in a stable period of the inflammatory bowel disease. Orv. Hetil., 2012, 153, 1832–1838.

scholarly journals Does the Level of Reproductive Knowledge Specific to Inflammatory Bowel Disease Predict Childlessness among Women with Inflammatory Bowel Disease?

2015 ◽  
Vol 29 (2) ◽  
pp. 95-103 ◽  
Author(s):  
Vivian W Huang ◽  
Hsiu-Ju Chang ◽  
Karen I Kroeker ◽  
Karen J Goodman ◽  
Kathleen M Hegadoren ◽  
...  
Keyword(s):  
Inflammatory Bowel Disease ◽  
Family Planning ◽  
Bowel Disease ◽  
Lower Odds ◽  
Voluntarily Childless ◽  
Voluntary Childlessness ◽  
Childless Women ◽  
Knowledge Questionnaire ◽  
Point Increase ◽  
Inflammatory Bowel

BACKGROUND: Women with inflammatory bowel disease (IBD) may choose to remain childless due to a lack of IBD-specific reproductive knowledge.OBJECTIVES: To examine the effects of IBD-specific reproductive knowledge and discussion of family planning with a physician on childlessness among women with IBD.METHODS: Female IBD patients 18 to 45 years of age completed the Crohn’s and Colitis Pregnancy Knowledge questionnaire (CCPKnow), and answered questions regarding reproductive history, plans to have children and discussion of family planning with a physician. CCPKnow scores were grouped according to poor (0 to 7), adequate (8 to 10), good (11 to 13) and very good (14 to 17).RESULTS: Of 434 eligible women, 248 (57.1%) completed the questionnaires. Of these 248 women, 51.6% were childless and, among these, 12.9% were voluntarily childless and 12.1% were trying to become pregnant. Childless women had a lower median CCPKnow score than women with children (6.0 versus 8.0; P=0.001). After adjusting for current age and marital status, each one point increase in the CCPKnow score corresponded to 8% lower odds of childlessness (OR 0.92 [95% CI 0.86 to 0.99]), 9% lower odds of voluntary child-lessness (OR 0.91 [95% CI 0.79 to 1.0]) and 20% higher odds of trying to become pregnant (OR 1.2 [95% CI 1.0 to 1.4]). Discussion of family planning with a gastroenterologist corresponded to 72% lower odds of a poor CCPKnow score (OR 0.28 [95% CI 0.15 to 0.53]) and of voluntary childlessness (OR 0.28 [95% CI 0.057 to 1.3]).CONCLUSION: In the present study, higher IBD-specific reproductive knowledge lowered the odds of childlessness among women with IBD. Discussion of family planning with a physician was associated with higher CCPKnow scores and lower odds of voluntary childlessness.

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