关键词: Inflammatory bowel disease Pregnancy Reproductive health

来  源:   DOI:10.1016/j.heliyon.2024.e31954   PDF(Pubmed)

Abstract:
UNASSIGNED: Inflammatory Bowel Disease (IBD) affects many women of childbearing age. High levels of voluntary childlessness and high levels of pregnancy-related fears have been reported amongst these patients in several quantitative studies. We investigated the lived experiences of pregnant patients to better understand decision-making processes around family planning.
UNASSIGNED: Nine participants between 7 and 34 weeks pregnant (6 Crohn\'s Disease/3 Ulcerative Colitis), with an age range of 22-39 were recruited prospectively from three United Kingdom hospitals. Semi-structured interviews were conducted, and audio recorded. Interpretative phenomenological analysis was used to interpret the data.
UNASSIGNED: Two main themes emerged: 1) IBD is perceived as a threat to family planning; and 2) healthcare professional advice, support, and reassurance was important. IBD was viewed as a potential threat to fertility and reproductive health. Consequently, women\'s lived experience of pregnancy is shaped by anxiety and pregnancy-related worries for mother and baby. Mothers actively sought out expert medical assurances to alleviate some of the perceived fears.
UNASSIGNED: Previous research has repeatedly found that women with IBD exhibit high levels of pregnancy-related worries and anxieties. Our findings find that high levels of anxiety are due to patients\' perceptions that IBD is a threat to their reproductive health and their offspring. Women relied on a medicalized discourse to understand their IBD experiences during pregnancy and actively sought biomedical resources for assistance before and during pregnancy. Consultants should be aware that when dealing with pregnant patients, some women may experience anxiety and require extra support.
摘要:
炎症性肠病(IBD)影响许多育龄妇女。在一些定量研究中,这些患者中已经报告了高水平的自愿无子女和高水平的与怀孕相关的恐惧。我们调查了怀孕患者的生活经历,以更好地了解围绕计划生育的决策过程。
九名参与者怀孕7至34周(6克罗恩病/3溃疡性结肠炎),我们前瞻性地从英国三家医院招募了年龄范围为22~39岁的患者.进行了半结构化访谈,和录音。使用解释现象学分析来解释数据。
出现了两个主要主题:1)IBD被视为对计划生育的威胁;2)医疗保健专业建议,支持,放心很重要。IBD被视为对生育和生殖健康的潜在威胁。因此,女性怀孕的生活经历是由母亲和婴儿的焦虑和与怀孕相关的担忧形成的。母亲们积极寻求专家医疗保证,以减轻一些感知到的恐惧。
先前的研究一再发现,IBD女性表现出高水平的与妊娠相关的担忧和焦虑。我们的发现发现,高水平的焦虑是由于患者认为IBD对他们的生殖健康和后代构成威胁。妇女依靠医学话语来了解她们在怀孕期间的IBD经历,并在怀孕前和怀孕期间积极寻求生物医学资源寻求帮助。顾问应该意识到,在处理怀孕患者时,有些女性可能会感到焦虑,需要额外的支持。
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