Contraception, fertility and inflammatory bowel disease (IBD): a survey of the perspectives of patients, gastroenterologists and women's healthcare providers.

IF 3.3 Q2 GASTROENTEROLOGY & HEPATOLOGY
Guillaume Le Cosquer, Cyrielle Gilletta, Florian Béoletto, Barbara Bournet, Louis Buscail, Emmeline di Donato
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Abstract

Objective: Despite guidelines indicating no contraindications for contraceptives in women with inflammatory bowel disease (IBD), this population shows increased voluntary childlessness and lower contraceptive use. Knowledge gaps among healthcare providers on IBD's impact on fertility and contraception may drive these trends. This survey assessed knowledge discrepancies among IBD patients, gastroenterologists (GEs), and women's healthcare providers (WHPs) regarding fertility and contraception.

Methods: An anonymous survey was conducted between August and December 2023, targeting IBD patients of childbearing age, GEs and WHPs. The questionnaire was offered consecutively to all patients consulting or hospitalised in our department. Additionally, the survey link was shared with healthcare professionals during dedicated training sessions. It assessed awareness of IBD-related fertility and contraception impacts.

Results: Two hundred twenty-two participants fulfilled the survey (100 patients, 50 GEs and 72 WHPs). Among patients (63% with Crohn's disease), 95% were on biologic or immunosuppressant therapy. Nearly half (47%) of women had not discussed fertility or contraception with their GE, and only 22% had done so on request. A majority (80% of women, 54% of GEs) were unsure if IBD affects contraception efficacy, and 50% of WHPs believed oral contraceptives to be less effective for IBD patients. Key concerns influencing patients' fertility decisions included the impact of IBD medication on pregnancy (51%), risk of passing IBD to offspring (47%) and potential flare-ups during pregnancy (39%).

Conclusion: Significant knowledge gaps on fertility and contraception in IBD persist among patients, GEs and WHPs.

避孕、生育和炎症性肠病 (IBD):对患者、肠胃病学家和妇女医疗服务提供者观点的调查。
目的:尽管指南指出炎症性肠病(IBD)妇女没有避孕禁忌症,但这一人群显示出自愿不生育的增加和避孕药具使用的减少。医疗保健提供者之间关于IBD对生育和避孕影响的知识差距可能会推动这些趋势。本调查评估了IBD患者、胃肠病学家(GEs)和妇女保健提供者(WHPs)在生育和避孕方面的知识差异。方法:于2023年8月至12月进行匿名调查,针对育龄、GEs和whp的IBD患者。问卷连续发放给所有在我科就诊或住院的患者。此外,调查链接在专门的培训会议期间与医疗保健专业人员共享。它评估了人们对ibd相关生育和避孕影响的认识。结果:共222人完成调查(100例患者,50例ge, 72例WHPs)。在克罗恩病患者(63%)中,95%接受生物或免疫抑制剂治疗。近一半(47%)的女性没有与她们的GE讨论过生育或避孕问题,只有22%的女性在被要求时这样做了。大多数(80%的女性,54%的女性)不确定IBD是否会影响避孕效果,50%的whp认为口服避孕药对IBD患者效果较差。影响患者生育决定的主要问题包括IBD药物对妊娠的影响(51%)、将IBD遗传给后代的风险(47%)和妊娠期间潜在的发作(39%)。结论:IBD患者、ge和WHPs在生育和避孕方面存在明显的知识差距。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
BMJ Open Gastroenterology
BMJ Open Gastroenterology GASTROENTEROLOGY & HEPATOLOGY-
CiteScore
5.90
自引率
3.20%
发文量
68
审稿时长
2 weeks
期刊介绍: BMJ Open Gastroenterology is an online-only, peer-reviewed, open access gastroenterology journal, dedicated to publishing high-quality medical research from all disciplines and therapeutic areas of gastroenterology. It is the open access companion journal of Gut and is co-owned by the British Society of Gastroenterology. The journal publishes all research study types, from study protocols to phase I trials to meta-analyses, including small or specialist studies. Publishing procedures are built around continuous publication, publishing research online as soon as the article is ready.
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