Factors associated with pregnancy-related knowledge in women of reproductive age with inflammatory bowel disease |
| |
Authors: | Ko Eun Lee Hyuk Yoon Sang Hyoung Park Chang Mo Moon Eun Soo Kim |
| |
Affiliation: | 1. Department of Internal Medicine, Ewha Womans University School of Medicine, Seoul, Republic of Korea;2. Department of Internal Medicine, Seoul National University Bundang Hospital, Seongnam, Gyeonggi-do, Republic of Korea;3. Department of Gastroenterology, University of Ulsan College of Medicine, Seoul, Republic of Korea;4. Department of Internal Medicine, Kyungpook National University School of Medicine, Daegu, Republic of Korea;5. Department of Internal Medicine, Keimyung University School of Medicine, Daegu, Republic of Korea |
| |
Abstract: | Objective: Inflammatory bowel disease (IBD) usually develops at a young age, and many women experience marriage, pregnancy, and delivery during the disease course. We aimed to evaluate the pregnancy-related knowledge of women with IBD in Korea and investigate the associated factors.Material and methods: A total of 270 women with IBD, aged 19–45 years, from four tertiary hospitals in Korea were administered a questionnaire comprising 17 questions from the validated Crohn’s and Colitis Pregnancy Knowledge Score (CCPKnow) that were translated into Korean.Results: The average CCPKnow score of the 270 patients was 7.47?±?3.07; and most of the patients (51.5%) exhibited a poor knowledge level. Younger age at diagnosis, Crohn’s disease rather than ulcerative colitis, longer disease duration, anti-TNF-α medication history, higher household income, and delivery after diagnosis were associated with an appropriate level of pregnancy-related knowledge. Younger age at diagnosis (odds ratio [OR], 1.87; p?=?.036), anti-TNF-α therapy (OR, 1.87; p?=?.047), and delivery while suffering from IBD (OR, 3.07; p?=?.002) were independent factors affecting the pregnancy-related knowledge level. Approximately 69.6% of patients acquired related knowledge from their gastroenterology doctor, whereas 19.4% of patients intended to remain childless.Conclusions: To our knowledge, this is the first study to assess the pregnancy-related knowledge of women of reproductive-age with IBD and their perceptions by using a questionnaire in Asia. As more than half of the patients showed a poor knowledge level of IBD, a general education program should be conducted by gastroenterology doctors. |
| |
Keywords: | Inflammatory bowel disease knowledge pregnancy women |
|
|