{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,16]],"date-time":"2025-10-16T10:12:28Z","timestamp":1760609548868,"version":"build-2065373602"},"reference-count":24,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2024,1,24]],"date-time":"2024-01-24T00:00:00Z","timestamp":1706054400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100000925","name":"National Health and Medical Research Council","doi-asserted-by":"publisher","award":["2007957"],"award-info":[{"award-number":["2007957"]}],"id":[{"id":"10.13039\/501100000925","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["obgyn.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Aust NZ J Obst Gynaeco"],"published-print":{"date-parts":[[2024,8]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Aims<\/jats:title><jats:p>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.<\/jats:p><\/jats:sec><jats:sec><jats:title>Materials and Methods<\/jats:title><jats:p>A retrospective audit of women attending a \u2018high risk\u2019 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.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>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 (\u226537\u2009weeks gestation). Four neonates were preterm, and one was small\u2010for\u2010gestational\u2010age. Caesarean section delivery and post\u2010partum 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\u2010limiting conditions, and the length of stay was short (mean &lt;5.0\u2009days).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>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.<\/jats:p><\/jats:sec>","DOI":"10.1111\/ajo.13796","type":"journal-article","created":{"date-parts":[[2024,1,24]],"date-time":"2024-01-24T07:58:25Z","timestamp":1706083105000},"page":"308-313","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["An audit of the maternal medicine clinic: Cancer and pregnancy"],"prefix":"10.1111","volume":"64","author":[{"given":"Mia","family":"Harrison","sequence":"first","affiliation":[{"name":"Department of Obstetrics and Gynaecology Royal Women's Hospital  Melbourne Victoria Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mark P.","family":"Umstad","sequence":"additional","affiliation":[{"name":"Department of Maternal Fetal Medicine Royal Women's Hospital  Melbourne Victoria Australia"},{"name":"Department of Obstetrics and Gynaecology University of Melbourne  Melbourne Victoria Australia"},{"name":"Consultative Council on Obstetric and Paediatric Mortality and Morbidity Safer Care Victoria  Melbourne Victoria Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Wanda","family":"Cui","sequence":"additional","affiliation":[{"name":"Department of Oncology Peter MacCallum Cancer Centre  Melbourne Victoria Australia"},{"name":"Sir Peter MacCallum Department of Oncology University of Melbourne  Melbourne Victoria Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2632-353X","authenticated-orcid":false,"given":"Iniyaval","family":"Thevathasan","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynaecology Royal Women's Hospital  Melbourne Victoria Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7722-3171","authenticated-orcid":false,"given":"Sarah A.L.","family":"Price","sequence":"additional","affiliation":[{"name":"Department of Medicine University of Melbourne  Melbourne Victoria Australia"},{"name":"Department of Obstetric Medicine Royal Women's Hospital  Melbourne Victoria Australia"},{"name":"Frances Perry House  Melbourne Victoria Australia"},{"name":"Department of Diabetes and Endocrinology Royal Melbourne Hospital  Melbourne Victoria Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2024,1,24]]},"reference":[{"key":"e_1_2_7_2_1","doi-asserted-by":"publisher","DOI":"10.1200\/JCO.2008.17.4110"},{"volume-title":"Cancer in Adolescents and Young Adults in Australia","year":"2023","author":"Australian Institute of Health and Welfare","key":"e_1_2_7_3_1"},{"key":"e_1_2_7_4_1","doi-asserted-by":"publisher","DOI":"10.1001\/jamaoncol.2015.1883"},{"key":"e_1_2_7_5_1","doi-asserted-by":"publisher","DOI":"10.1097\/AOG.0b013e3182a057a2"},{"key":"e_1_2_7_6_1","doi-asserted-by":"publisher","DOI":"10.1001\/jamanetworkopen.2021.13180"},{"key":"e_1_2_7_7_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11912-020-0862-7"},{"key":"e_1_2_7_8_1","doi-asserted-by":"publisher","DOI":"10.1136\/ijgc-2018-000061"},{"key":"e_1_2_7_9_1","doi-asserted-by":"publisher","DOI":"10.1111\/ajco.12761"},{"key":"e_1_2_7_10_1","doi-asserted-by":"publisher","DOI":"10.14740\/wjon1177"},{"key":"e_1_2_7_11_1","doi-asserted-by":"publisher","DOI":"10.1111\/ecc.12564"},{"key":"e_1_2_7_12_1","doi-asserted-by":"publisher","DOI":"10.1136\/ijgc-2020-001776"},{"key":"e_1_2_7_13_1","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMoa1508913"},{"key":"e_1_2_7_14_1","doi-asserted-by":"publisher","DOI":"10.2350\/08-03-0435.1"},{"key":"e_1_2_7_15_1","doi-asserted-by":"publisher","DOI":"10.1200\/OP.20.00077"},{"key":"e_1_2_7_16_1","doi-asserted-by":"publisher","DOI":"10.1111\/ecc.13425"},{"key":"e_1_2_7_17_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajog.2020.05.058"},{"key":"e_1_2_7_18_1","doi-asserted-by":"publisher","DOI":"10.1016\/S1470-2045(21)00525-8"},{"key":"e_1_2_7_19_1","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMoa2212856"},{"key":"e_1_2_7_20_1","doi-asserted-by":"crossref","DOI":"10.1371\/journal.pone.0202805","article-title":"Perinatal risks in female cancer survivors: A population\u2010based analysis","volume":"13","author":"Kooi ALF","year":"2018","journal-title":"PLoS One"},{"key":"e_1_2_7_21_1","doi-asserted-by":"publisher","DOI":"10.1001\/archpediatrics.2009.112"},{"key":"e_1_2_7_22_1","doi-asserted-by":"publisher","DOI":"10.1097\/AOG.0000000000001035"},{"key":"e_1_2_7_23_1","doi-asserted-by":"publisher","DOI":"10.1200\/JCO.2009.23.2801"},{"key":"e_1_2_7_24_1","unstructured":"Australian Institute of Health and Welfare.Australia's mothers and babies. 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