In Utero Exposure to Hormonal Contraception and Mortality in Offspring with and without Cancer: A Nationwide Cohort Study
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In Utero Exposure to Hormonal Contraception and Mortality in Offspring with and without Cancer : A Nationwide Cohort Study. / Mørch, Lina Steinrud; Gamborg, Mads; Hemmingsen, Caroline Hallas; Skovlund, Charlotte Wessel; Kjær, Susanne Krüger; Hargreave, Marie.
In: Cancers, Vol. 15, No. 12, 3163, 2023.Research output: Contribution to journal › Journal article › Research › peer-review
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TY - JOUR
T1 - In Utero Exposure to Hormonal Contraception and Mortality in Offspring with and without Cancer
T2 - A Nationwide Cohort Study
AU - Mørch, Lina Steinrud
AU - Gamborg, Mads
AU - Hemmingsen, Caroline Hallas
AU - Skovlund, Charlotte Wessel
AU - Kjær, Susanne Krüger
AU - Hargreave, Marie
N1 - Publisher Copyright: © 2023 by the authors.
PY - 2023
Y1 - 2023
N2 - Approximately 400 million women of reproductive age use hormonal contraceptives worldwide. Eventually, pregnancy sometimes occurs due to irregular use. Use in early pregnancy is found to be associated with child morbidities including cancer, the main reason for disease-related death in children. Here, we add the missing piece about in utero exposure to hormonal contraception and mortality in offspring, including assessments of prognosis in children with cancer. In utero exposure to hormonal contraception may be associated with death since we found a hazard ratio (HR) of 1.22 (95% confidence interval (CI) 1.01–1.48) compared to children of mothers with previous use. The HRs were 1.22 (95% CI 0.99–1.13) for oral combined products and 2.92 (95% CI 1.21–7.04) for non-oral progestin-only products. A poorer prognosis was also found in exposed children with leukemia (3.62 (95% CI: 1.33–9.87)). If causal, hormonal contraception in pregnancy seems detrimental for offspring health and a marker of poorer prognosis in children with leukemia.
AB - Approximately 400 million women of reproductive age use hormonal contraceptives worldwide. Eventually, pregnancy sometimes occurs due to irregular use. Use in early pregnancy is found to be associated with child morbidities including cancer, the main reason for disease-related death in children. Here, we add the missing piece about in utero exposure to hormonal contraception and mortality in offspring, including assessments of prognosis in children with cancer. In utero exposure to hormonal contraception may be associated with death since we found a hazard ratio (HR) of 1.22 (95% confidence interval (CI) 1.01–1.48) compared to children of mothers with previous use. The HRs were 1.22 (95% CI 0.99–1.13) for oral combined products and 2.92 (95% CI 1.21–7.04) for non-oral progestin-only products. A poorer prognosis was also found in exposed children with leukemia (3.62 (95% CI: 1.33–9.87)). If causal, hormonal contraception in pregnancy seems detrimental for offspring health and a marker of poorer prognosis in children with leukemia.
KW - child mortality
KW - childhood cancer
KW - hormonal contraception
KW - in utero exposure
KW - pharmacoepidemiology
KW - prognosis
U2 - 10.3390/cancers15123163
DO - 10.3390/cancers15123163
M3 - Journal article
C2 - 37370773
AN - SCOPUS:85163886896
VL - 15
JO - Cancers
JF - Cancers
SN - 2072-6694
IS - 12
M1 - 3163
ER -
ID: 373548450