Department of Obstetrics and Gynecology, Duke University, Durham, NC, USA.
Department of Obstetrics and Gynecology, Columbia University College of Physicians and Surgeons, New York, NY, USA.
Contraception. 2024 Oct;138:110511. doi: 10.1016/j.contraception.2024.110511. Epub 2024 Jun 4.
This study aimed to characterize pregnancy outcomes and the incidence of induced abortion among pregnant people with a diagnosis of malignancy.
We conducted a retrospective cohort study among privately insured people aged 12 to 55 years from the fourth quarter of 2015-2020 using US claims data from Merative MarketScan Research Databases. We included pregnancies from seven states with favorable policies for private insurance coverage of abortion.
There were 1471 of 183,685 (0.8%) pregnancies with a cancer diagnosis. Among those receiving anticancer therapy, 21.6% (95% CI: 14.4-30.4%) underwent induced abortion compared with 10.9% (95% CI: 10.8-11.1%) of pregnant patients without a cancer diagnosis.
Abortion restrictions may affect many pregnant women requiring cancer treatment in early pregnancy.
本研究旨在描述患有恶性肿瘤的孕妇的妊娠结局和人工流产发生率。
我们使用 Merative MarketScan Research Databases 中来自 2015 年第四季度至 2020 年的美国索赔数据，对年龄在 12 至 55 岁之间的私人保险人群进行了回顾性队列研究。我们纳入了来自七个对私人保险涵盖堕胎政策有利的州的妊娠病例。
在 183685 例妊娠中，有 1471 例（0.8%）诊断为癌症。在接受抗癌治疗的患者中，21.6%（95%CI：14.4-30.4%）行人工流产，而无癌症诊断的孕妇中这一比例为 10.9%（95%CI：10.8-11.1%）。
堕胎限制可能会影响许多在妊娠早期需要接受癌症治疗的孕妇。
