Pregnancy and child health outcomes in pediatric and young adult leukemia and lymphoma survivors: a systematic review

Ksenya Shliakhtsitsava, Sally A.D. Romero, Samantha Rose Dewald, H. Irene Su

Research output: Contribution to journalArticle

7 Scopus citations

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.

Original languageEnglish (US)
Pages (from-to)381-397
Number of pages17
JournalLeukemia and Lymphoma
Volume59
Issue number2
DOIs
StatePublished - Feb 1 2018
Externally publishedYes

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Keywords

  • cancer survivorship
  • child health
  • Leukemia
  • lymphoma
  • pregnancy

ASJC Scopus subject areas

  • Hematology
  • Oncology
  • Cancer Research

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