Advanced search
Publication Cover
The Journal of Maternal-Fetal & Neonatal Medicine Volume 17, 2005 - Issue 4
Submit an article Journal homepage
116
Views
17
CrossRef citations to date
0
Altmetric
Original Article

Pregnancy-associated cervical cancer: Obstetric outcomes

John L Dalrymple Department of Obstetrics and Gynecology, University of California at Davis, School of Medicine, California, USACorrespondence[email protected]
,
William M Gilbert Department of Obstetrics and Gynecology, University of California at Davis, School of Medicine, California, USA
,
Gary S Leiserowitz Department of Obstetrics and Gynecology, University of California at Davis, School of Medicine, California, USA
,
Rosemary Cress California Cancer Registry, Sacramento, California, USA
,
Guibo Xing Department of Obstetrics and Gynecology, University of California at Davis, School of Medicine, California, USA
,
Beate Danielsen Health Information Solutions, Sacramento, California, USA
&
Lloyd H Smith Department of Obstetrics and Gynecology, University of California at Davis, School of Medicine, California, USA
 show all
Pages 269-276 | Published online: 07 Jul 2009
 
Sample our Medicine, Dentistry, Nursing & Allied Health journals, sign in here to start your FREE access for 14 days

Abstract

Objective. Describe the obstetric outcomes among women in California with pregnancy associated cervical cancer.

Methods. Cases were identified utilizing computer-linked infant birth/death certificates, discharge records, and cancer registry files, and then assigned to a prenatal or post-partum cancer diagnosis group. Outcomes included cesarean delivery, hospitalizations, birth weight, prematurity, and infant mortality.

Results. Among 434 cases identified, those diagnosed prenatally (136 cases) had higher rates of cesarean section (odds ratio 3.7; 95% CI 2.6, 5.2), hospitalization > 5 days (maternal: odds ratio 14.1; 95% CI 9.2, 21.5 neonatal: odds ratio 5.2; 95% CI 3.6, 7.5), low birth weight (LBW) (odds ratio 5.5; 95% CI 3.7, 8.1), very LBW (odds ratio 6.9; 95% CI 3.7, 12.8), prematurity (odds ratio 4.7; 95% CI 3.2, 6.7), and fetal deaths (odds ratio 5.5; 95% CI 2.0, 14.8) compared to non-cancer pregnant controls. Very LBW (odds ratio 2.6; 95% CI 1.4, 4.8), prematurity (odds ratio 1.5; 95% CI 1.1, 2.1), and fetal death rates (odds ratio 3.0; 95% CI 1.2, 7.4) remained elevated among those diagnosed post-partum. No neonatal deaths were attributable to elective premature delivery.

Conclusions. We observed higher rates of fetal death and spontaneous prematurity among women with pregnancy-associated cervical cancer.

Log in via your institution

Access through your institution

Log in to Taylor & Francis Online

Restore content access

Restore content access for purchases made as guest
Purchase options * Save for later
PDF download + Online access
  • 48 hours access to article PDF & online version
  • Article PDF can be downloaded
  • Article PDF can be printed
USD 65.00 Add to cart
* Local tax will be added as applicable

Related Research

People also read lists articles that other readers of this article have read.

Recommended articles lists articles that we recommend and is powered by our AI driven recommendation engine.

Cited by lists all citing articles based on Crossref citations.
Articles with the Crossref icon will open in a new tab.