What are the experiences of pregnancy for women living with Inflammatory Bowel Disease?

IF 2.6 3区医学 Q1 NURSING Midwifery Pub Date : 2024-10-11 DOI:10.1016/j.midw.2024.104204

Helen Janiszewski , Jane Coad , Joanne Cooper , Gordon W Moran , Debra Bick , Lisa Younge , Claire Greenaway , Elizabeth Bailey

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Abstract

Background

Inflammatory Bowel Disease (IBD) is a long-term condition affecting the digestive tract and is an umbrella term for two main conditions: ulcerative colitis (UC) and Crohn's Disease (CD), which can cause diarrhoea, anaemia, weight loss, rectal bleeding and abdominal pain. Approximately 500,000 people live with IBD in the UK, with half being diagnosed before the age of 35 years (Ferguson, Mahsud-Dornan, and Patterson 2008). IBD increases the risk of pregnancy complications, with symptoms being unpredictable during pregnancy.

Methods

A mixed methods study was undertaken exploring what shaped the experiences of pregnancy for women living with IBD, including an on-line survey and one-to-one interviews. Data from the interviews were analysed using Interpretative Phenomenological Analysis.

Findings

Expectations, control and care emerged as key themes which shape the experiences of pregnancy. These included expectations about pregnancy and of those providing care during pregnancy, the positive and negative impact of experienced lack of control and the effects of primary care providers during pregnancy.

Conclusion

This novel study enabled women living with IBD to share what shaped their experiences of pregnancy and recommendations about midwifery care to be made. Midwives need to be mindful of the additional risks for women and their babies, and ensure care involves multidisciplinary specialists.

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患有炎症性肠病的妇女在怀孕期间有哪些经历？

背景炎症性肠病（IBD）是一种影响消化道的长期疾病，是两种主要疾病的总称：溃疡性结肠炎（UC）和克罗恩病（CD），可引起腹泻、贫血、体重减轻、直肠出血和腹痛。在英国，约有 50 万人患有 IBD，其中一半在 35 岁之前被诊断出来（Ferguson、Mahsud-Dornan 和 Patterson，2008 年）。IBD会增加妊娠并发症的风险，而妊娠期间的症状又是不可预测的。研究方法：我们采用了混合方法进行研究，包括在线调查和一对一访谈，探讨是什么影响了患有 IBD 的妇女的妊娠经历。研究结果期望、控制和护理是影响怀孕经历的关键主题。这些主题包括对怀孕和孕期护理人员的期望、缺乏控制的积极和消极影响以及孕期初级护理人员的影响。助产士需要注意妇女及其婴儿的额外风险，并确保护理涉及多学科专家。

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

Midwifery 医学-护理

CiteScore

4.50

自引率

7.40%

发文量

221

审稿时长

13.4 weeks

期刊介绍： Midwifery publishes the latest peer reviewed international research to inform the safety, quality, outcomes and experiences of pregnancy, birth and maternity care for childbearing women, their babies and families. The journal’s publications support midwives and maternity care providers to explore and develop their knowledge, skills and attitudes informed by best available evidence. Midwifery provides an international, interdisciplinary forum for the publication, dissemination and discussion of advances in evidence, controversies and current research, and promotes continuing education through publication of systematic and other scholarly reviews and updates. Midwifery articles cover the cultural, clinical, psycho-social, sociological, epidemiological, education, managerial, workforce, organizational and technological areas of practice in preconception, maternal and infant care. The journal welcomes the highest quality scholarly research that employs rigorous methodology. Midwifery is a leading international journal in midwifery and maternal health with a current impact factor of 1.861 (© Thomson Reuters Journal Citation Reports 2016) and employs a double-blind peer review process.