{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,20]],"date-time":"2026-07-20T23:57:41Z","timestamp":1784591861000,"version":"3.55.0"},"reference-count":55,"publisher":"Oxford University Press (OUP)","issue":"6","license":[{"start":{"date-parts":[[2023,3,13]],"date-time":"2023-03-13T00:00:00Z","timestamp":1678665600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/pages\/standard-publication-reuse-rights"}],"funder":[{"DOI":"10.13039\/100000005","name":"U.S. Department of Defense","doi-asserted-by":"publisher","award":["CA181215"],"award-info":[{"award-number":["CA181215"]}],"id":[{"id":"10.13039\/100000005","id-type":"DOI","asserted-by":"publisher"}]},{"name":"The University of Texas Health Science Center at Houston Center for Clinical and Translational Sciences TL1 Program"},{"DOI":"10.13039\/100000002","name":"National Institutes of Health","doi-asserted-by":"publisher","award":["TL1 TR003169"],"award-info":[{"award-number":["TL1 TR003169"]}],"id":[{"id":"10.13039\/100000002","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2023,6,8]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:sec>\n                  <jats:title>Background<\/jats:title>\n                  <jats:p>We examined adverse birth outcomes among adolescent and young adult women diagnosed with cancer (AYA women, ages 15-39\u2009years) during pregnancy.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Methods<\/jats:title>\n                  <jats:p>We linked data from the Texas Cancer Registry, vital records, and Texas Birth Defects Registry to identify all singleton births to AYA women diagnosed during pregnancy from January 1999 to December 2016. We compared prevalence of adverse live birth outcomes between AYA women and women without cancer (matched 1:4 on age, race and ethnicity, and year). Among AYA women, we used log-binomial regression to identify factors associated with these outcomes. Statistical tests were 2-sided.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Results<\/jats:title>\n                  <jats:p>AYA women had 1271 singleton live births and 20 stillbirths. AYA women (n\u2009=\u20091291) were 33.3% Hispanic and 9.8% non-Hispanic Black and most commonly had breast (22.5%), thyroid (19.8%), and gynecologic (13.3%) cancers. Among live births, AYA women had a higher prevalence of low birth weight offspring (30.1% vs 9.0%), very preterm (5.7% vs 1.2%), and preterm birth (25.1% vs 7.2%); cesarean delivery (44.3% vs 35.2%); and low Apgar score (2.7% vs 1.5%), compared with women without cancer (n\u2009=\u20095084) (all P\u2009&amp;lt;\u2009.05). Prevalence of any birth defect by age 12\u2009months did not statistically differ (5.2% vs 4.7%; P\u2009=\u2009.48), but live births to AYA women more often had heart and circulatory system defects (2.2% vs 1.3%; P\u2009=\u2009.01). In adjusted models, cancer type and chemotherapy were associated with adverse live birth outcomes.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Conclusions<\/jats:title>\n                  <jats:p>AYA women diagnosed during pregnancy have higher prevalence of adverse birth outcomes and face difficult decisions in balancing treatment risks and benefits.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1093\/jnci\/djad044","type":"journal-article","created":{"date-parts":[[2023,3,13]],"date-time":"2023-03-13T16:03:48Z","timestamp":1678723428000},"page":"619-627","source":"Crossref","is-referenced-by-count":12,"title":["Adverse birth outcomes of adolescent and young adult women diagnosed with cancer during pregnancy"],"prefix":"10.1093","volume":"115","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-0884-6513","authenticated-orcid":false,"given":"Andrea C","family":"Betts","sequence":"first","affiliation":[{"name":"Department of Health Promotion and Behavioral Science, University of Texas Health Science Center at Houston, School of Public Health , Houston, TX, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1756-4294","authenticated-orcid":false,"given":"L Aubree","family":"Shay","sequence":"additional","affiliation":[{"name":"Department of Health Promotion and Behavioral Science, University of Texas Health Science Center at Houston, School of Public Health , Houston, TX, USA"},{"name":"Center for Health Promotion and Prevention Research , Houston, TX, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0978-5863","authenticated-orcid":false,"given":"Philip J","family":"Lupo","sequence":"additional","affiliation":[{"name":"Department of Pediatrics, Baylor College of Medicine , Houston, TX, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1007-9176","authenticated-orcid":false,"given":"Sandi L","family":"Pruitt","sequence":"additional","affiliation":[{"name":"Peter O\u2019Donnell Jr. School of Public Health, University of Texas Southwestern Medical Center , Dallas, TX, USA"},{"name":"Harold C. Simmons Comprehensive Cancer Center , Dallas, TX, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6411-8353","authenticated-orcid":false,"given":"Michael E","family":"Roth","sequence":"additional","affiliation":[{"name":"Department of Pediatrics, University of Texas MD Anderson Cancer Center , Houston, TX, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2114-6768","authenticated-orcid":false,"given":"Marlyn A","family":"Allicock","sequence":"additional","affiliation":[{"name":"Department of Health Promotion and Behavioral Science, University of Texas Health Science Center at Houston, School of Public Health , Houston, TX, USA"},{"name":"Center for Health Promotion and Prevention Research , Houston, TX, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9912-8447","authenticated-orcid":false,"given":"Barbara 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