Association between reproductive cancer and fetal outcomes: A population-based study

Mulubrhan F. Mogos, Hamisu M. Salihu, Muktar H. Aliyu, Valerie E. Whiteman, Dawood H. Sultan

Research output: Contribution to journalArticle

4 Citations (Scopus)

Abstract

Purpose: This study aimed to evaluate the impact of maternal reproductive cancer diagnosis on fetal birth outcomes. Materials and Methods: We conducted a retrospective population-based cohort study among women with a singleton live birth and diagnosed with reproductive cancer in the state of Florida (cases). We matched cases to cancer-free controls using selected sociodemographic and pregnancy-related clinical conditions.We applied logistic regression with correction for intracluster correlation using generalized estimating equations. Results: Overall, 3212 (0.21%) of pregnant women had a diagnosis of reproductive cancer. Affected women had a 24% and 33% elevated risk for low birth weight (LBW) and preterm birth (PTB) infants, respectively. Compared to their white counterparts, black women with reproductive cancer had a greater risk for LBW [odds ratio (OR), 1.83; 95% confidence interval (CI), 1.37-2.44], small for gestational age (SGA) [OR, 1.64; 95% CI, 1.23-2.17], and PTB (OR, 1.47; 95% CI, 1.12-192) infants. Black women with breast cancer demonstrated significantly higher risks of LBW [adjusted odds ratio (AOR), 2.37; 95% CI, 1.56-3.60], PTB (AOR, 1.71; 95% CI, 1.15-2.56), and SGA (AOR, 1.72; 95% CI, 1.12- 2.64) when compared to women of their racial group with no reproductive cancer. Conclusions: Diagnosis of reproductive cancer before or during pregnancy and within 30 days after birth is associated with adverse fetal outcomes (LBW, PTB, and SGA). These results highlight the importance of preconception and intraconception care of women with reproductive cancer diagnosis.

Original languageEnglish (US)
Pages (from-to)218-226
Number of pages9
JournalInternational Journal of Gynecological Cancer
Volume23
Issue number2
DOIs
StatePublished - Feb 2013
Externally publishedYes

Fingerprint

Odds Ratio
Premature Birth
Low Birth Weight Infant
Confidence Intervals
Population
Neoplasms
Gestational Age
Preconception Care
Parturition
Pregnancy
Live Birth
Premature Infants
Pregnant Women
Cohort Studies
Logistic Models
Mothers
Breast Neoplasms

Keywords

  • Low birth weight
  • Pregnancy
  • Preterm birth
  • Reproductive cancer
  • Small size for gestational age

ASJC Scopus subject areas

  • Obstetrics and Gynecology
  • Oncology

Cite this

Association between reproductive cancer and fetal outcomes : A population-based study. / Mogos, Mulubrhan F.; Salihu, Hamisu M.; Aliyu, Muktar H.; Whiteman, Valerie E.; Sultan, Dawood H.

In: International Journal of Gynecological Cancer, Vol. 23, No. 2, 02.2013, p. 218-226.

Research output: Contribution to journalArticle

Mogos, Mulubrhan F. ; Salihu, Hamisu M. ; Aliyu, Muktar H. ; Whiteman, Valerie E. ; Sultan, Dawood H. / Association between reproductive cancer and fetal outcomes : A population-based study. In: International Journal of Gynecological Cancer. 2013 ; Vol. 23, No. 2. pp. 218-226.
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AU - Mogos, Mulubrhan F.

AU - Salihu, Hamisu M.

AU - Aliyu, Muktar H.

AU - Whiteman, Valerie E.

AU - Sultan, Dawood H.

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AB - Purpose: This study aimed to evaluate the impact of maternal reproductive cancer diagnosis on fetal birth outcomes. Materials and Methods: We conducted a retrospective population-based cohort study among women with a singleton live birth and diagnosed with reproductive cancer in the state of Florida (cases). We matched cases to cancer-free controls using selected sociodemographic and pregnancy-related clinical conditions.We applied logistic regression with correction for intracluster correlation using generalized estimating equations. Results: Overall, 3212 (0.21%) of pregnant women had a diagnosis of reproductive cancer. Affected women had a 24% and 33% elevated risk for low birth weight (LBW) and preterm birth (PTB) infants, respectively. Compared to their white counterparts, black women with reproductive cancer had a greater risk for LBW [odds ratio (OR), 1.83; 95% confidence interval (CI), 1.37-2.44], small for gestational age (SGA) [OR, 1.64; 95% CI, 1.23-2.17], and PTB (OR, 1.47; 95% CI, 1.12-192) infants. Black women with breast cancer demonstrated significantly higher risks of LBW [adjusted odds ratio (AOR), 2.37; 95% CI, 1.56-3.60], PTB (AOR, 1.71; 95% CI, 1.15-2.56), and SGA (AOR, 1.72; 95% CI, 1.12- 2.64) when compared to women of their racial group with no reproductive cancer. Conclusions: Diagnosis of reproductive cancer before or during pregnancy and within 30 days after birth is associated with adverse fetal outcomes (LBW, PTB, and SGA). These results highlight the importance of preconception and intraconception care of women with reproductive cancer diagnosis.

KW - Low birth weight

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KW - Preterm birth

KW - Reproductive cancer

KW - Small size for gestational age

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