Pregnancy-associated cervical cancer: obstetric outcomes.
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.
Dalrymple
John L
JL
Department of Obstetrics and Gynecology, University of California at Davis, School of Medicine, California 95817, USA. john.dalrymple@ucdmc.ucdavis.edu
Gilbert
William M
WM
Leiserowitz
Gary S
GS
Cress
Rosemary
R
Xing
Guibo
G
Danielsen
Beate
B
Smith
Lloyd H
LH
D002140:California / Q000453:epidemiology; D005260:Female; D005313:Fetal Death; D006801:Humans; D007231:Infant, Newborn; D007234:Infant, Premature; D011247:Pregnancy; D011252:Pregnancy Complications, Neoplastic / Q000453:epidemiology*; D011256:Pregnancy Outcome / Q000453:epidemiology; D002583:Uterine Cervical Neoplasms / Q000453:epidemiology*