Long‐term outcomes of children after prenatal exposure to maternal cancer and its treatment

Abstract The incidence of antenatal cancer is increasing, prompting a medical‐ethical evaluation. The International Network on Cancer, Infertility, and Pregnancy (INCIP) was established to study cancer treatment safety during pregnancy and its impact on maternal and child health. Pivotal research ha...

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Main Authors: Evangeline A. Huis in ’t Veld, Indra A. Van Assche, Frederic Amant
Format: Article
Language:English
Published: Wiley 2024-04-01
Series:Acta Obstetricia et Gynecologica Scandinavica
Subjects:
Online Access:https://doi.org/10.1111/aogs.14811
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author Evangeline A. Huis in ’t Veld
Indra A. Van Assche
Frederic Amant
author_facet Evangeline A. Huis in ’t Veld
Indra A. Van Assche
Frederic Amant
author_sort Evangeline A. Huis in ’t Veld
collection DOAJ
description Abstract The incidence of antenatal cancer is increasing, prompting a medical‐ethical evaluation. The International Network on Cancer, Infertility, and Pregnancy (INCIP) was established to study cancer treatment safety during pregnancy and its impact on maternal and child health. Pivotal research has led to a paradigm shift in clinical management, demonstrating the feasibility and safety of most antenatal oncological treatments. Short‐term outcomes reveal normal growth and cardiac function in the exposed offspring, but caution is advised against first‐trimester chemotherapy. Psychological impact studies highlight the elevated levels of distress in pregnant cancer patients, underscoring the need for personalized information and ongoing psychological support. Long‐term follow‐up studies address gaps in postnatal impacts, while research into specific chemotherapeutic agents continues. Despite generally reassuring outcomes, continued monitoring is crucial, especially in families, such as those where the child was born premature after cancer (treatment) during pregnancy or where mothers are frequently absent due to continued illness or have died from. The ongoing INCIP child follow‐up initiative aims to further elucidate knowledge gaps, emphasizing the importance of large‐scale studies and personalized patient care.
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series Acta Obstetricia et Gynecologica Scandinavica
spelling doaj-art-a48dbcf5614f445ea07940e9db19fd022025-08-20T02:36:39ZengWileyActa Obstetricia et Gynecologica Scandinavica0001-63491600-04122024-04-01103475776010.1111/aogs.14811Long‐term outcomes of children after prenatal exposure to maternal cancer and its treatmentEvangeline A. Huis in ’t Veld0Indra A. Van Assche1Frederic Amant2Center for Gynecological Oncology Netherlands Cancer Institute Amsterdam The NetherlandsDepartment of Development and Regeneration Unit of Woman and Child, KU Leuven Leuven BelgiumCenter for Gynecological Oncology Netherlands Cancer Institute Amsterdam The NetherlandsAbstract The incidence of antenatal cancer is increasing, prompting a medical‐ethical evaluation. The International Network on Cancer, Infertility, and Pregnancy (INCIP) was established to study cancer treatment safety during pregnancy and its impact on maternal and child health. Pivotal research has led to a paradigm shift in clinical management, demonstrating the feasibility and safety of most antenatal oncological treatments. Short‐term outcomes reveal normal growth and cardiac function in the exposed offspring, but caution is advised against first‐trimester chemotherapy. Psychological impact studies highlight the elevated levels of distress in pregnant cancer patients, underscoring the need for personalized information and ongoing psychological support. Long‐term follow‐up studies address gaps in postnatal impacts, while research into specific chemotherapeutic agents continues. Despite generally reassuring outcomes, continued monitoring is crucial, especially in families, such as those where the child was born premature after cancer (treatment) during pregnancy or where mothers are frequently absent due to continued illness or have died from. The ongoing INCIP child follow‐up initiative aims to further elucidate knowledge gaps, emphasizing the importance of large‐scale studies and personalized patient care.https://doi.org/10.1111/aogs.14811antenatal cancercounselingfollow‐uphealthimpactneurocognition
spellingShingle Evangeline A. Huis in ’t Veld
Indra A. Van Assche
Frederic Amant
Long‐term outcomes of children after prenatal exposure to maternal cancer and its treatment
Acta Obstetricia et Gynecologica Scandinavica
antenatal cancer
counseling
follow‐up
health
impact
neurocognition
title Long‐term outcomes of children after prenatal exposure to maternal cancer and its treatment
title_full Long‐term outcomes of children after prenatal exposure to maternal cancer and its treatment
title_fullStr Long‐term outcomes of children after prenatal exposure to maternal cancer and its treatment
title_full_unstemmed Long‐term outcomes of children after prenatal exposure to maternal cancer and its treatment
title_short Long‐term outcomes of children after prenatal exposure to maternal cancer and its treatment
title_sort long term outcomes of children after prenatal exposure to maternal cancer and its treatment
topic antenatal cancer
counseling
follow‐up
health
impact
neurocognition
url https://doi.org/10.1111/aogs.14811
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AT indraavanassche longtermoutcomesofchildrenafterprenatalexposuretomaternalcanceranditstreatment
AT fredericamant longtermoutcomesofchildrenafterprenatalexposuretomaternalcanceranditstreatment