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Identifying Patient Priorities for Preconception and Pregnancy Counseling in IBD

Digestive diseases and sciences, 2021-06, Vol.66 (6), p.1829-1835 [Peer Reviewed Journal]

Springer Science+Business Media, LLC, part of Springer Nature 2020 ;COPYRIGHT 2021 Springer ;Springer Science+Business Media, LLC, part of Springer Nature 2020. ;ISSN: 0163-2116 ;EISSN: 1573-2568 ;DOI: 10.1007/s10620-020-06480-3

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  • Title:
    Identifying Patient Priorities for Preconception and Pregnancy Counseling in IBD
  • Author: Aboubakr, Aiya ; Riggs, Alexa Rae ; Jimenez, Darwin ; Mella, Maria Teresa ; Dubinsky, Marla C.
  • Subjects: Biochemistry ; Counseling ; Fertility ; Gastroenterology ; Gastrointestinal diseases ; Hepatology ; Inflammatory bowel disease ; Medical colleges ; Medical research ; Medicine ; Medicine & Public Health ; Medicine, Experimental ; Oncology ; Original Article ; Patient compliance ; Patients ; Pregnancy ; Pregnant women ; Transplant Surgery ; Womens health
  • Is Part Of: Digestive diseases and sciences, 2021-06, Vol.66 (6), p.1829-1835
  • Description: Background Inflammatory bowel disease (IBD) commonly affects women of reproductive age. Many patients lacking knowledge about IBD and reproduction make uninformed decisions, such as voluntary childlessness and medication cessation. Education should be individualized to the patient’s knowledge base and include topics of most importance to the patient. Our study aimed to describe the priority rankings of topics selected by patients seeking preconception and pregnancy counseling. Methods As part of an ongoing prospective study, patients with IBD were asked to rank, in order of importance, nine a priori preconception, pregnancy, and postpartum topics they would like addressed by our specialized care team, which includes an IBD physician and a high-risk obstetrician. χ 2 and Fisher’s exact tests were used to assess associations between clinical and demographic characteristics and priority rankings, and a p value cutoff for significance was set as .05. Results One hundred and fifty-eight women with IBD (mean (IQR) age; 32 (28–37) years) were seen in consultation, and 116 (70 (60%) CD, 43 (37%) UC, and 3 (3%) IBD-U) completed intake forms were analyzed. There were 78 (68%) women seen in the preconception stage, median age 31 (IQR 28–34), and 38 women (32%) were pregnant, median age 32 (IQR 28–33). Safety of IBD medications during pregnancy was most commonly ranked as top priority (40%) for all patients regardless of pregnancy status, followed by control of IBD disease activity and impact on pregnancy (31%), impact of IBD and surgery on fertility (19%), pregnancy outcomes for the baby (18%), mode of delivery (6%), inheritance of IBD (4%), breastfeeding (2%), nutritional health (2%), and vaccines and newborn care (1%). The impact of IBD and surgery on fertility was ranked as the number one priority more often in the preconception group ( p value < 0.01) and mode of delivery in the pregnancy group ( p value 0.04). Conclusion: Safety of IBD medications remains a priority topic for patients seeking preconception and pregnancy counseling.
  • Publisher: New York: Springer US
  • Language: English
  • Identifier: ISSN: 0163-2116
    EISSN: 1573-2568
    DOI: 10.1007/s10620-020-06480-3
  • Source: ProQuest Central
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