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Review paper

Pregnancy outcome in women who survived genital or extragenital cancer

By
Anis Cerovac Orcid logo ,
Anis Cerovac
Contact Anis Cerovac

Department of Gynaecology and Obstetrics, General Hospital Tešanj , Tešanj , Bosnia and Herzegovina

Department of Anatomy, School of Medicine, University of Tuzla , Tuzla , Bosnia and Herzegovina

Dženita Ljuca ,
Dženita Ljuca

Clinic for Gynaecology and Obstetrics, University Clinical Centre Tuzla , Tuzla , Bosnia and Herzegovina

Gordana Bogdanović ,
Gordana Bogdanović

Clinic for Gynaecology and Obstetrics, University Clinical Centre Tuzla , Tuzla , Bosnia and Herzegovina

Gordana Grgić ,
Gordana Grgić
Haris Zukić
Haris Zukić

Clinic for Gynaecology and Obstetrics, University Clinical Centre Tuzla , Tuzla , Bosnia and Herzegovina

Abstract

Aim
To investigate clinical and obstetrical characteristics, an outcome and a prognosis for pregnant women with diagnosed and treated genital or extragenital cancer and their newborns.
Methods
This retrospective cohort study included pregnant and childbearing women with a history of cancer diagnosed before pregnancy during the period between 1 January 2014 and 31 December 2018. Data related to the course of pregnancy and childbirth were collected from medical records (mothers' disease history and partogram). The analysis covered clinical and histopathological characteristics of cancers, type of the treatment (surgery, chemotherapy, radiotherapy), demographic data, obstetric characteristics, comorbidities of women, and outcome of the newborns.
Results
The study recorded 18 414 deliveries, of which 30 (0.16%) were pregnancies in women who had been diagnosed and treated earlier for genital or extragenital cancer. The average age of the women at the time of delivery was 29.43±5.97 years. There were six (20%) women with genital and 24 (80%) with extragenital cancer. The most frequent extra genital cancer was Hodgkin lymphoma, in eight (26.6%) cases; ovarian cancer was the most frequent genital cancer, in four (13.3%) cases. The average time span from the cancer diagnosis and start of the treatment to the delivery was 59.2±44.4 months (5 years) (range 12 months-15 years). Two (6.6%) women died.
Conclusion
Our data demonstrate a favourable obstetric and neonatal outcome for women who have survived cancer.

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