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Maternal death by cancer in pregnancy: A descriptive study of the International Network on Cancer, Infertility and Pregnancy
JH. Heimovaara, EA. Huis In 't Veld, CAR. Lok, AC. Garcia, MJ. Halaska, I. Boere, MM. Gziri, R. Fruscio, RC. Painter, E. Cardonick, MM. van den Heuvel-Eibrink, B. Masturzo, K. Van Calsteren, L. van Zuylen, F. Amant, International Network on...
Jazyk angličtina Země Anglie, Velká Británie
Typ dokumentu časopisecké články
Grantová podpora
13192
CRADLE-II
ZKD6005
Kom op tegen Kanker
PubMed
38923226
DOI
10.1111/1471-0528.17894
Knihovny.cz E-zdroje
- MeSH
- dospělí MeSH
- lidé MeSH
- mateřská mortalita * MeSH
- nádorové komplikace v těhotenství * mortalita MeSH
- nádory mortalita MeSH
- novorozenec MeSH
- registrace * MeSH
- smrt matky statistika a číselné údaje etiologie MeSH
- těhotenství MeSH
- výsledek těhotenství epidemiologie MeSH
- Check Tag
- dospělí MeSH
- lidé MeSH
- novorozenec MeSH
- těhotenství MeSH
- ženské pohlaví MeSH
- Publikační typ
- časopisecké články MeSH
OBJECTIVE: To characterise pregnant women diagnosed with primary or recurrent cancer who died during pregnancy, during delivery or within 1 year postpartum. DESIGN: A descriptive study. SETTING: The registry of the International Network on Cancer, Infertility and Pregnancy (INCIP). POPULATION: Women diagnosed with cancer during pregnancy between 2000 and 2022. METHODS: Using the INCIP registry database, we compared the characteristics of all women with cancer who died during pregnancy, delivery or within 1 year postpartum with those of all women with cancer who survived the first year postpartum. MAIN OUTCOME MEASURES: Maternal and tumour characteristics and obstetrical and neonatal outcomes. RESULTS: Of the 2359 women registered in INCIP, there were 131 cases (5.6%) of maternal mortality. Lung cancer (9/14, 64.3% of all registered women with lung cancer), gastro-oesophageal cancer (13/21, 61.9%) and acute leukaemia (17/105, 16.2%) had the highest rates of maternal mortality. Maternal mortality was associated with fewer live births compared with the control group without maternal mortality (99/131, 75.6%, vs 1952/2163, 90.0%; P < 0.001), more elective caesarean sections (64/104, 60.4%, vs 756/1836, 41.2%; P < 0.001) and a lower gestational age at (induced) delivery (34.0 vs 37.1 weeks; P < 0.001), resulting in more preterm births. CONCLUSIONS: Maternal mortality occurred in 5.6% of cancer-in-pregnancy cases and is associated with adverse perinatal outcomes.
Amsterdam Reproduction and Development Amsterdam the Netherlands
Department of Development and Regeneration Unit of Woman and Child KU Leuven Leuven Belgium
Department of Medical Oncology Erasmus MC Cancer Institute Rotterdam the Netherlands
Department of Obstetrics and Gynaecology Cooper University Health Care Camden New Jersey USA
Department of Obstetrics Cliniques Universitaires St Luc UCL Sint Lambrechts Woluwe Belgium
Department of Oncology KU Leuven Leuven Belgium
Division of Fetomaternal Medicine Department of Obstetrics and Gynaecology UZ Leuven Leuven Belgium
Princess Máxima Centre for Paediatric Oncology Utrecht the Netherlands
University Medical Centre Wilhelmina Children's Hospital Utrecht the Netherlands
Citace poskytuje Crossref.org
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- $a OBJECTIVE: To characterise pregnant women diagnosed with primary or recurrent cancer who died during pregnancy, during delivery or within 1 year postpartum. DESIGN: A descriptive study. SETTING: The registry of the International Network on Cancer, Infertility and Pregnancy (INCIP). POPULATION: Women diagnosed with cancer during pregnancy between 2000 and 2022. METHODS: Using the INCIP registry database, we compared the characteristics of all women with cancer who died during pregnancy, delivery or within 1 year postpartum with those of all women with cancer who survived the first year postpartum. MAIN OUTCOME MEASURES: Maternal and tumour characteristics and obstetrical and neonatal outcomes. RESULTS: Of the 2359 women registered in INCIP, there were 131 cases (5.6%) of maternal mortality. Lung cancer (9/14, 64.3% of all registered women with lung cancer), gastro-oesophageal cancer (13/21, 61.9%) and acute leukaemia (17/105, 16.2%) had the highest rates of maternal mortality. Maternal mortality was associated with fewer live births compared with the control group without maternal mortality (99/131, 75.6%, vs 1952/2163, 90.0%; P < 0.001), more elective caesarean sections (64/104, 60.4%, vs 756/1836, 41.2%; P < 0.001) and a lower gestational age at (induced) delivery (34.0 vs 37.1 weeks; P < 0.001), resulting in more preterm births. CONCLUSIONS: Maternal mortality occurred in 5.6% of cancer-in-pregnancy cases and is associated with adverse perinatal outcomes.
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