Does Inflammatory Bowel Disease (IBD) affect fertility?  Do people with IBD have more adverse outcomes in pregnancy?   Are biologics, for example, Infliximab and Adalimumab, safe to use in pregnancy? How do you treat a flare in pregnancy?  If you work in primary care and you want to know the answer to these questions and lots more, this is the podcast for you.

 

 In this episode, GP, Dr Charles Andrews, discusses contraception, pregnancy and breastfeeding in people with IBD with Dr Aarthi Mohan, an experienced Obstetrician at St Michael's hospital in Bristol, who runs a quaternary level service for pregnant women with concurrent medical conditions.  She shares a wealth of experience with Dr Andrews about all aspects of fertility and pregnancy in patients with IBD.

 

According to a study by Tavernier et al., infertility rates in people with IBD is mainly due to voluntary childlessness rather than infertility contributed to by the disease itself (Tavernier et al. Systematic review: fertility in non-surgically treated inflammatory bowel disease, Alimentary pharmacology and therapeutics, Oct. 2013).  This voluntary childlessness is significantly higher than those not affected by IBD (14-18% vs. 6%) and this is mainly due to incorrect beliefs about how their disease may affect their fertility and outcomes in pregnancy. Therefore having a good knowledge of these issues is important for both primary care and secondary care clinicians looking after patients with IBD so that these patients can have accurate advice when planning their family.

 

On this podcast, they discuss:

You can access the IBD toolkit on the RCGP website.

The Crohns and Colitis UK website has an excellent patients' guide to IBD and pregnancy, 

 

NB. This episode was recorded in a busy maternity hospital, so there is some background noises because of this. 

RCGP and Marie Curie Clinical Champion for End of Life Care, Dr Catherine Millington-Sanders talks to Dr Elizabeth Phillips about developing compassionate communities culture and leadership best practice. 

RCGP and Marie Curie Clinical Champion for End of Life Care, Dr Catherine Millington-Sanders talks to Professor Gunn Grande and Dr Gail Ewing about how to support family and carers in end of life care. 

One in four women of reproductive age in the UK are affected by heavy menstrual bleeding. In this podcast, Dr Anne Connolly, RCGP Clinical Champion for Menstrual Wellbeing, speaks to patient, Jilly, who suffers from heavy menstrual bleeding, about how women experiencing heavy menstrual bleeding can be supported by GPs and primary care teams. 

RCGP Vice Chair for Membership, Professor Mike Holmes talks to RCGP Clinical Support Fellow for Collaborative General Practice, Dr Alka Patel about motivations in general practice, Don Berwick’s Triple Aim, which includes, improving the experience of care for patients, improve healthcare outcomes and reducing costs. They also support the need for a fourth aim, the Quadruple Aim, which focuses on improving the experience of delivery of care.

RCGP Vice Chair for Membership, Professor Mike Holmes talks to RCGP Clinical Support Fellow for Collaborative General Practice, Dr Alka Patel about his journey of working at scale and what at scale general practice has been able to deliver. Professor Holmes also shares how he envisages Primary Care Networks building on this work.

RCGP TARGET Antibiotics Project Clinical Champion Dr Graham Duce talks to Professor Cliodna McNulty, TARGET Clinical Lead at Public Health England about using antibiotics to treat upper respiratory infections, including evidence based clinical scoring tools and information available for patients. 

RCGP TARGET Antibiotics Project Clinical Champion Dr Graham Duce talks to Professor Cliodna McNulty, TARGET Clinical Lead at Public Health England, about self care measures and using antibiotics to treat recurrent urinary tract infections. 

RCGP TARGET Antibiotics Project Clinical Champion Dr Graham Duce talks to Professor Cliodna McNulty, TARGET Clinical Lead at Public Health England, about antimicrobial resistance and why it presents a risk to public health. 

Chris Lynch, Lived Experience Adviser for Equally Well and Emma Bailey from the Centre for Mental Health join our RCGP Clinical Champions for Physical Activity and Lifestyle in a discussion about Chris’ experience in navigating the health system as a patient with physical and mental health problems. 

Equally Well is an initiative from New Zealand which seeks to promote and support collaborative action to improve physical health among people with a mental illness. More than 100 organisations have come together to do their part to address this health inequality and to share intelligence and ideas. The RCGP is a funding member of an Equally Well UK. Visit the web of Equall Well to find out more about the initiative.

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