P1584 - Managing IBD in Pregnancy: Healthcare Professionals Involvement, Knowledge and Decision Making – A Cross-Sectional Study

Eleanor Liu, MBChB, MRCP¹, Robyn Laube, BMed MD, MPH², Rupert Leong, MBBS, MD², Aileen Fraser, MSc³, Jimmy K. Limdi, FRCP, FACG⁴, Christian Selinger, MRCP, MD, MSc^5
1Pennine Acute Hospitals NHS Trust, Manchester, Bury, England, United Kingdom; ²Macquarie University, Sydney, New South Wales, Australia; ³University Hospitals Bristol NHS Foundation Trust, Bristol, UK., Bristol, England, United Kingdom; ⁴Pennine Acute Hospitals NHS Trust, Manchester; University of Manchester, Bury, England, United Kingdom; ⁵Leeds Teaching Hospital NHS Trust, Leeds, England, United Kingdom

Introduction: The management of pregnant women with inflammatory bowel disease (IBD) is complex. Our aim was to assess healthcare professionals’ (HCP) theoretical and applied knowledge of pregnancy-related IBD issues.

Methods: This was a cross-sectional international survey (comprising 32 questions), distributed via email to HCPs involved in IBD care between October 2020 and March 2021. Knowledge was assessed using the validated Crohn’s and Colitis Pregnancy Knowledge Score (CCPKnow; range 0 – 17), and decision making assessed by free text responses to 3 clinical scenarios scored against pre-determined scoring criteria (total maximum score 70).

Results: Among 81 participants, 34 (42%) reported having a specialist team managing pregnant women with IBD, and 15 (18.5%) were part of that team. Median CCPKnow score was 16 (range 8 to 17) and median total scenario score was 29 (range 9 to 51).


HCP who treat >10 IBD patients per week (CCPKnow p=0.03; scenarios p=0.03) and are more regularly involved in pregnancy care (CCPKnow p=0.005; scenarios p=0.005) had significantly better scores. While CCPKnow scoring was consistently high (median score ≥15) across all groups, consultants scored better than trainees and IBD nurses (p=0.008 and p=0.022). Median scenario scores were higher for consultants (32) and IBD nurses (33) compared to trainees (24; p=0.018 and p=0.022).

Median scenario score for HCPs never involved in the care of pregnant IBD patients (n=7; 8.6%) was 17, very little involvement (n=27; 33.3%) 26, occasional involvement (n=21; 25.9%) 29, and regular involvement (n=26; 32.1%) 35. There was a significant positive correlation between caring for greater numbers of pregnant IBD patients and higher CCPKnow (p=0.001, r=0.358) and scenario scores (p=0.001, r=0.377).

While there was significant correlation between CCPKnow and scenario scores, the effect was modest (r=0.356; p< 0.001). Self-rated knowledge (CCPKnow p< 0.001, r=0.416; scenarios p=0.002, r=0.340) and self-rated comfort in treating pregnant women (CCPKnow p< 0.001, r=0.404; scenarios p< 0.001, r=0.374) correlated modestly with CCPKnow and scenario scores.



Discussion: CCPKnow scores were generally high among HCPs with small differences in scores while we found significant variations in scenario scores. Despite “good” theoretical pregnancy-related IBD knowledge, applied knowledge amongst HCPs is less consistent. There is need for further HCP education to achieve optimal standardised care for IBD in pregnancy.


Disclosures:


Eleanor Liu, MBChB, MRCP¹, Robyn Laube, BMed MD, MPH², Rupert Leong, MBBS, MD², Aileen Fraser, MSc³, Jimmy K. Limdi, FRCP, FACG⁴, Christian Selinger, MRCP, MD, MSc⁵. P1584 - Managing IBD in Pregnancy: Healthcare Professionals Involvement, Knowledge and Decision Making – A Cross-Sectional Study, ACG 2021 Annual Scientific Meeting Abstracts. Las Vegas, Nevada: American College of Gastroenterology.