{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,15]],"date-time":"2026-04-15T23:25:05Z","timestamp":1776295505757,"version":"3.50.1"},"reference-count":23,"publisher":"BMJ","issue":"4","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["J Fam Plann Reprod Health Care"],"accepted":{"date-parts":[[2015,3,19]]},"published-print":{"date-parts":[[2015,10]]},"abstract":"<jats:sec>\n                  <jats:title>Background<\/jats:title>\n                  <jats:p>Women with inflammatory bowel diseases (IBD) endorse disease-related pregnancy concerns that influence parity. Improvements in IBD management have potentially altered reproductive planning. Additionally, the proportion of American women who choose not to have children is increasing.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Aim<\/jats:title>\n                  <jats:p>To explore the effect of disease-related pregnancy concerns on parity and reproductive planning in a subset of women with IBD.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Design and setting<\/jats:title>\n                  <jats:p>Cross-sectional qualitative phone survey in an academic gastroenterology practice.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Methods<\/jats:title>\n                  <jats:p>Questions included demographics, medical and reproductive history, future pregnancy plans, and if IBD affected pregnancy decision-making. Qualitative data were coded and frequencies and proportions calculated.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Results<\/jats:title>\n                  <jats:p>The 129 female participants (31% response rate) were predominately white (85%), had at least some college education (97%) and a mean age of 34.3\u2005years [standard deviation 6.2]. Some 60% had Crohn's disease and 30% had undergone IBD-related surgery. Half were nulliparae, 53% reported IBD-related pregnancy concerns and 57% desired future pregnancy. Women who desired a future pregnancy and had IBD-related concerns had higher parity than those without concerns (<jats:italic>p<\/jats:italic>=0.02). Women desiring a future pregnancy and those with Crohn's disease had increased IBD-related concerns. Only four (3.1%) women identified IBD-related concerns that led to a smaller family size than desired.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Conclusions<\/jats:title>\n                  <jats:p>IBD-related concerns appear to be less likely to affect a woman's planned family size than previously reported. Concern about adverse pregnancy outcomes is more common in women with Crohn's disease and those desiring future pregnancy, suggesting a need for targeted counselling to moderate risk perception.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1136\/jfprhc-2014-101000","type":"journal-article","created":{"date-parts":[[2015,4,22]],"date-time":"2015-04-22T22:51:19Z","timestamp":1429743079000},"page":"272-277","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":15,"title":["Disease-related pregnancy concerns and reproductive planning in women with inflammatory bowel diseases"],"prefix":"10.1136","volume":"41","author":[{"given":"Lori M","family":"Gawron","sequence":"first","affiliation":[{"name":"Assistant Professor, Department of Obstetrics and Gynecology, University of Utah, Salt Lake City, UT, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Adina R","family":"Goldberger","sequence":"additional","affiliation":[{"name":"Medical Student, Northwestern University Feinberg School of Medicine, Chicago, IL, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Andrew J","family":"Gawron","sequence":"additional","affiliation":[{"name":"Assistant Professor, Division of Gastroenterology, University of Utah, Salt Lake City, UT, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Cassing","family":"Hammond","sequence":"additional","affiliation":[{"name":"Associate Professor, Department of Obstetrics and Gynecology, Northwestern University Feinberg School of Medicine, Chicago, IL, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Laurie","family":"Keefer","sequence":"additional","affiliation":[{"name":"Associate Professor, Division of Gastroenterology and Hepatology, Northwestern University Feinberg School of Medicine, Chicago, IL, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2015,4,22]]},"reference":[{"key":"2025090511123419000_41.4.272.1","doi-asserted-by":"publisher","DOI":"10.1111\/apt.12449"},{"key":"2025090511123419000_41.4.272.2","doi-asserted-by":"publisher","DOI":"10.1053\/j.gastro.2011.10.001"},{"key":"2025090511123419000_41.4.272.3","doi-asserted-by":"publisher","DOI":"10.1111\/j.1572-0241.2006.00602.x"},{"key":"2025090511123419000_41.4.272.4","doi-asserted-by":"publisher","DOI":"10.1111\/j.1572-0241.1998.00698.x"},{"key":"2025090511123419000_41.4.272.5","first-page":"B4360","article-title":"Birth outcome in women with ulcerative colitis and Crohn's disease, and pharmacoepidemiological aspects of anti-inflammatory drug therapy","volume":"58","author":"Norgard","year":"2011","journal-title":"Dan Med Bull"},{"key":"2025090511123419000_41.4.272.6","doi-asserted-by":"publisher","DOI":"10.1016\/j.cgh.2010.02.014"},{"key":"2025090511123419000_41.4.272.7","doi-asserted-by":"crossref","first-page":"435","DOI":"10.1038\/jp.2014.41","article-title":"Association between maternal inflammatory bowel disease and adverse perinatal outcomes","volume":"34","author":"Getahun","year":"2014","journal-title":"J Perinatol"},{"key":"2025090511123419000_41.4.272.8","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-2036.2007.03397.x"},{"key":"2025090511123419000_41.4.272.9","doi-asserted-by":"publisher","DOI":"10.1111\/apt.12478"},{"key":"2025090511123419000_41.4.272.10","doi-asserted-by":"publisher","DOI":"10.1007\/s00384-011-1274-9"},{"key":"2025090511123419000_41.4.272.11","doi-asserted-by":"publisher","DOI":"10.1002\/ibd.20082"},{"key":"2025090511123419000_41.4.272.12","doi-asserted-by":"publisher","DOI":"10.1002\/ibd.20839"},{"key":"2025090511123419000_41.4.272.13","doi-asserted-by":"publisher","DOI":"10.3109\/00365521.2013.772229"},{"key":"2025090511123419000_41.4.272.14","doi-asserted-by":"crossref","first-page":"787","DOI":"10.1016\/j.dld.2013.02.001","article-title":"Update on pregnancy and breastfeeding in the era of biologics","volume":"45","author":"Yarur","year":"2013","journal-title":"Dig Liver Dis"},{"key":"2025090511123419000_41.4.272.15","unstructured":"Pew Research Center. 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