2024-07-25 06:00:00
A growing body of research is examining the impact of childhood cancer on future fertility. But little research has been done on the obstetric impact of cancer on adolescents or young women planning pregnancy. A recent British study showed that Increased risk of obstetric complications after cervical cancer or leukemia. Watch for the results of this first-of-its-kind study.
Cancer: What are the obstetric implications for young women?
A growing body of research is examining the impact of childhood cancer on future fertility. But so far, few scientists have studied Impact of cancer on obstetrics Teenagers or young women planning to become pregnant.
This was accomplished through a recent UK cohort study called TYACSS. What is the purpose of such a study? Assessing the risk of obstetric complications after cancer Teen or young adult.
To carry out the work, researchers gathered 200,945 British women aged 15 to 39 who had survived cancer five years after being diagnosed. After pairing the data with data from the UK Health Database, the researchers were able to analyze 17 different types of cancer:
birth rate. Also read – The impact of cancer treatment on women’s quality of life.
Cancer survivors have lower birth rates and obstetric complications
Regarding birth rates, 1997-2022:
Among 13,886 women who survived cancer as teenagers or young adults, 21,437 women were observed to have given birth. The expected fertility rate for women who are cancer survivors reaches 68% of the general population.
within the globe, So survivors have lower fertility rates Higher than among women in the general population, particularly among female survivors of genitourinary cancer (35% of expected births), cervical cancer (42% of expected births), and breast cancer (49% of expected births).
As for obstetric complications, they affected a total of 96,947 women and included 27 different types of complications. Therefore, they behave differently depending on the type of cancer a patient is surviving. with a Several serious obstetric complications are at greater risk Cervical cancer or leukemia survivors:
For women who survive cervical cancer: Risk of poor fetal presentation, delivery complications, amniotic fluid abnormalities, premature rupture of membranes, preterm labor, placental disorders including placenta previa and antepartum hemorrhage. For women who survive leukemia: Risk of prematurity, delivery complications, postpartum hemorrhage, and retained placenta.
Note that women who survive all other types of cancer do not develop more than two obstetric complications. These are primarily gestational hypertension in survivors of renal or ovarian cancer, antepartum hemorrhage in survivors of another genitourinary cancer, and failed induction of labor in survivors of breast cancer.
Also Read – Is having a baby after breast cancer possible?
Need to strengthen monitoring of “high-risk” pregnancies
Published in Lancet Oncologythe results of this study show that Overall poor obstetric prognosis Suitable for all types of cancer. in particular, Pregnancy considered ‘high risk’ Women with cervical cancer or leukemia.
For researchers, this observation raises awareness of the need to establish dedicated information campaigns and networks. Specific monitoring Patients who are cancer survivors and planning pregnancy.
Also read – Diet and pregnancy: Mediterranean diet reduces risk of preeclampsia
Déborah L., Pharm.D.
source
– Women are at higher risk of obstetric complications after developing cancer. www.lequotidiendumedecin.fr. Date viewed: July 14, 2024.
– Risk of adverse obstetric outcomes in adolescent and young adult female cancer survivors in the UK (TYACSS): a retrospective population-based cohort study. www.thelancet.com. Date viewed: July 14, 2024.
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