An audit of the maternal medicine clinic: Cancer and pregnancy

IF 1.4 4区 医学 Q3 OBSTETRICS & GYNECOLOGY Australian & New Zealand Journal of Obstetrics & Gynaecology Pub Date : 2024-01-24 DOI:10.1111/ajo.13796
Mia Harrison, Mark P. Umstad, Wanda Cui, Iniyaval Thevathasan, Sarah A.L. Price
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Abstract

Aims

To explore the incidence and complexity of women presenting for maternity care who require concurrent cancer care, and to report the birth outcomes of these women.

Materials and Methods

A retrospective audit of women attending a ‘high risk’ maternal medicine clinic at an Australian tertiary maternity hospital between 1 October 2021 and 30 April 2023 was conducted. The inclusion criteria were a diagnosis of cancer and a concurrent pregnancy, or a diagnosis of cancer prior to the current pregnancy. Clinic lists and coding data were screened via the electronic medical record to identify potential subjects. Data were collected from the individual maternity and neonatal records.

Results

Forty of 705 (5.7%) women attending the maternal medicine clinic met the inclusion criteria, of which ten had a new diagnosis of cancer in pregnancy and 30 presented for maternity care after a previous diagnosis of cancer. Cancer therapy during pregnancy included surgery and chemotherapy. Most pregnancies (92.5%) resulted in term deliveries (≥37 weeks gestation). Four neonates were preterm, and one was small-for-gestational-age. Caesarean section delivery and post-partum haemorrhage were more common than expected, but the rate of other adverse pregnancy outcomes was consistent with the background population. Over half of neonates required neonatal intensive care unit / special care nursery admission but the indications for admission were common, self-limiting conditions, and the length of stay was short (mean <5.0 days).

Conclusions

Approximately 6% of women attending the maternal medicine clinic had a current or previous diagnosis of cancer. Most pregnancies resulted in term deliveries and neonatal outcomes were excellent.

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孕产妇医学诊所审计:癌症与怀孕
目的:探讨需要同时接受癌症治疗的产妇的发病率和复杂性,并报告这些产妇的分娩结果:对 2021 年 10 月 1 日至 2023 年 4 月 30 日期间在澳大利亚一家三级妇产医院 "高风险 "孕产妇门诊就诊的妇女进行了回顾性审计。纳入标准为诊断出癌症并同时怀孕,或在本次怀孕前诊断出癌症。通过电子病历筛选门诊清单和编码数据,以确定潜在的受试者。数据收集自产妇和新生儿的个人记录:在 705 名孕产妇门诊中,有 40 名(5.7%)符合纳入标准,其中 10 名是在怀孕期间新诊断出癌症,30 名是在之前诊断出癌症后前来接受产科护理。孕期癌症治疗包括手术和化疗。大多数孕妇(92.5%)都是足月分娩(妊娠≥37周)。四名新生儿为早产儿,一名为小于胎龄儿。剖腹产和产后出血的发生率高于预期,但其他不良妊娠结局的发生率与背景人群一致。半数以上的新生儿需要入住新生儿重症监护室/特殊护理育婴室,但入院指征均为常见的自限性疾病,且住院时间较短(平均结论):约有 6% 的孕产妇目前或曾经被诊断患有癌症。大多数孕妇都能足月分娩,新生儿预后良好。
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来源期刊
CiteScore
3.40
自引率
11.80%
发文量
165
审稿时长
4-8 weeks
期刊介绍: The Australian and New Zealand Journal of Obstetrics and Gynaecology (ANZJOG) is an editorially independent publication owned by the Royal Australian and New Zealand College of Obstetricians and Gynaecologists (RANZCOG) and the RANZCOG Research foundation. ANZJOG aims to provide a medium for the publication of original contributions to clinical practice and/or research in all fields of obstetrics and gynaecology and related disciplines. Articles are peer reviewed by clinicians or researchers expert in the field of the submitted work. From time to time the journal will also publish printed abstracts from the RANZCOG Annual Scientific Meeting and meetings of relevant special interest groups, where the accepted abstracts have undergone the journals peer review acceptance process.
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