Factors associated with pregnancy-related knowledge in women of reproductive age with inflammatory bowel disease. (3rd August 2017)

• Record Type: Journal Article
• Authors: Lee, Ko Eun; Jung, Sung-Ae; Yoon, Hyuk; Park, Sang Hyoung; Moon, Chang Mo; Kim, Eun Soo; Kim, Seong-Eun; Yang, Suk-Kyun
• Is Part Of: Scandinavian journal of gastroenterology. Volume 52:Number 8(2017)
• Page Start: 833
• Page End: 839
• Publication Date: 2017-08-03
• Subjects: Inflammatory bowel disease -- knowledge -- pregnancy -- women; Gastroenterology -- Periodicals; Digestive organs -- Diseases -- Periodicals; 616.33
• DOI: 10.1080/00365521.2017.1310288
• Languages: English
• ISSNs: 0036-5521

Abstract

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.