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Abstract
As long-term survival is high for children and young adults diagnosed with leukemia and lymphoma, delineating maternal, fetal and offspring health risks is important to their family planning. This systematic review examined data comparing these health risks between leukemia and lymphoma survivors and women without a history of cancer. Following a search of Embase, PubMed, CINAHL, Cochrane, and Web of Science, 142 articles were screened and 18 were included in this review. No higher risks of spontaneous abortion, maternal diabetes and anemia, stillbirth, birth defects, or childhood cancer in offspring were observed in survivors compared to controls. Important to counseling and clinical care, live birth rates were lower, while preterm birth and low birth weight risks were modestly higher in survivors compared to controls. Findings were largely reassuring but highlight the lack of data on maternal cardiopulmonary risks, differential risk by cancer treatment type, and interventions to decrease these risks.
Acknowledgements
This study was supported in part by the Doris Howell Foundation Community Engagement Initiative, the California Breast Cancer Research Program Translational Award 200B-0 144, and National Institutes of Health grant HD080952-03. The content is solely the responsibility of the authors and does not necessarily represent official views of the funding organizations.
Potential conflict of interest
Disclosure forms provided by the authors are available with the full text of this article online at https://doi.org.10.1080/10428194.2017.1352097.