在怀孕相关癌症后评估后代:对新生儿结果的系统审查
Aida Petca1,2, Lucia Elena Niculae1,3, Raluca Tocariu1,3
1Department of Obstetrics and Gynecology, "Carol Davila" University of Medicine and Pharmacy, 8 Eroii Sanitari Blvd., 050474 Bucharest, Romania.
Cancers
|January 25, 2025
概括
怀孕相关癌症 (PAC) 增加了新生儿早产和低出生体重的风险. 早期,多学科的护理对于管理这些新生儿风险至关重要.
科学领域:
- 产科和妇科 产科和妇科
- 新生儿健康 新生儿健康
- 在瘤学瘤学.
背景情况:
- 怀孕相关癌症 (PAC) 对母亲和新生儿健康构成挑战.
- PAC对新生儿结局的影响需要进一步调查.
研究的目的:
- 系统地审查和评估与PAC相关的新生儿风险.
- 综合关于癌症复杂的怀孕中新生儿不良结果的证据.
主要方法:
- 在主要数据库 (PubMed,Embase,Scopus) 进行系统搜索,截至2024年11月.
- 包括观察性研究和对PAC和新生儿结局的随机对照试验.
- 对结果的分析,包括早产,低出生体重,Apgar分数和新生儿死亡率.
主要成果:
- 他们审查了11项涉及超过4600万例分娩的研究 (包括9953例PAC).
- PAC显著增加了早产 (OR 1.48-6.34) 和低出生体重 (OR 高达5.5) 的风险.
- 观察到低Apgar分数和新生儿死亡率的风险增加,通常与早产有关;妇科和乳腺癌的风险更高.
结论:
- 患有PAC的母亲所产生的新生儿面临着明显更高的不良结果风险.
- 定制的多学科管理对于优化PAC病例新生儿护理至关重要.
- 需要进一步的前性研究来阐明在怀孕期间特定癌症治疗的效果.
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