{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,8]],"date-time":"2026-01-08T00:29:14Z","timestamp":1767832154849,"version":"3.49.0"},"reference-count":23,"publisher":"MDPI AG","issue":"13","license":[{"start":{"date-parts":[[2023,6,26]],"date-time":"2023-06-26T00:00:00Z","timestamp":1687737600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["JCM"],"abstract":"<jats:p>Background: Women with Inflammatory Bowel Diseases (IBD) have fewer children and stay childless more often. The decision-making process around family planning choices remains incompletely understood. Methods: We examined family status in women who at recruitment to the UK IBD Bioresource had not had children yet via an electronic survey. The primary outcome was the proportion of women with voluntary childlessness. Secondary outcomes were factors associated with family planning status. Results: Of 326 responders, 10.7% had either given birth, were currently pregnant or were currently trying to conceive; 12.6% were planning to conceive within 12 months; 54.4% were contemplating conception in the distant future (vague plans); and 22.3% were voluntarily childless. Factors associated with family planning status fell into three areas: general background (age, household income, perceived support to raise a child), relationship status (sexual orientation, being single, not cohabiting, perception of being \u2018in the right relationship to raise a child\u2019, perception of a good sex life) and the expression of having a child as a goal in life. On binary logistics regression analysis with voluntary childlessness versus vague family plans as the outcomes of choice, having a household income of &lt;\u00a330,000 (p = 0.046), not seeing a child as a life goal (p &lt; 0.0001) and identifying as lesbian or bisexual (p = 0.047) were independent predictors of voluntary childlessness. Conclusions: Clinicians should consider sexual orientation, income, younger age, current relationship and lack of expression of having a child as a life goal as important factors for family planning when providing care. Pre-pregnancy advice should be made widely available for women with IBD.<\/jats:p>","DOI":"10.3390\/jcm12134267","type":"journal-article","created":{"date-parts":[[2023,6,26]],"date-time":"2023-06-26T05:11:54Z","timestamp":1687756314000},"page":"4267","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":4,"title":["Factors Associated with Family Planning Status and Voluntary Childlessness in Women of Childbearing Age with Inflammatory Bowel Diseases"],"prefix":"10.3390","volume":"12","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-2022-5859","authenticated-orcid":false,"given":"Christian P.","family":"Selinger","sequence":"first","affiliation":[{"name":"Leeds Gastroenterology Institute, Leeds Teaching Hospitals, Leeds LS9 7TF, UK"},{"name":"Leeds Institute of Medical Research at St James\u2019s, University of Leeds, Leeds LS9 7TF, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5202-9273","authenticated-orcid":false,"given":"Helen","family":"Steed","sequence":"additional","affiliation":[{"name":"Department of Gastroenterology, Royal Wolverhampton Hospital, Wolverhampton WV10 0QP, UK"},{"name":"Gastroenterology, University of Wolverhampton, Wolverhampton WV1 1SG, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Satvinder","family":"Purewal","sequence":"additional","affiliation":[{"name":"Gastroenterology, University of Wolverhampton, Wolverhampton WV1 1SG, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Rebecca","family":"Homer","sequence":"additional","affiliation":[{"name":"Gastroenterology, University of Wolverhampton, Wolverhampton WV1 1SG, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"name":"NIHR BioResource","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8782-0292","authenticated-orcid":false,"given":"Matthew","family":"Brookes","sequence":"additional","affiliation":[{"name":"Department of Gastroenterology, Royal Wolverhampton Hospital, Wolverhampton WV10 0QP, UK"},{"name":"Gastroenterology, University of Wolverhampton, Wolverhampton WV1 1SG, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1968","published-online":{"date-parts":[[2023,6,26]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"s1","DOI":"10.1136\/gutjnl-2019-318484","article-title":"British Society of Gastroenterology consensus guidelines on the management of inflammatory bowel disease in adults","volume":"68","author":"Lamb","year":"2019","journal-title":"Gut"},{"key":"ref_2","doi-asserted-by":"crossref","first-page":"922","DOI":"10.1111\/apt.15701","article-title":"Changing patterns in the epidemiology and outcomes of inflammatory bowel disease in the United Kingdom: 2000\u20132018","volume":"51","author":"King","year":"2020","journal-title":"Aliment. 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