Comparison of two methods of fetal heart rate interpretation using an ...

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Joseph Biggio1, Suhong Zhang1, Samuel Parry1, M. Esplin1,. Radek Bukowski1, Heping Zhang1, Michael Varner1,. William Andrews1, George Saade1, Hao ...
Poster Session I

ajog.org 99 Cervical cancer in pregnancy: management and outcomes 1

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Management of cervical cancer in pregnancy 2

Catherine Bigelow , Neil Horowitz , Annekathryn Goodman , Whitfield Growdon2, Marcela Del Carmen2, Anjali Kaimal2

1 Brigham & Women’s Hospital/Massachusetts General Hospital, Obstetrics & Gynecology, Boston, MA, 2Massachusetts General Hospital, Vincent Department of Obstetrics & Gynecology, Boston, MA, 3Brigham & Women’s Hospital, Obstetrics & Gynecology, Boston, MA

OBJECTIVE: To describe the management of patients with cervical cancer diagnosed in pregnancy and compare their outcomes to nonpregnant women with similar baseline characteristics. STUDY DESIGN: We conducted a retrospective chart review of all patients diagnosed with cervical cancer in pregnancy and matched them 1:2 with contemporaneous nonpregnant women of the same age diagnosed with cervical cancer of the same stage. Patients were identified using ICD-9 codes and the Dana-Farber/MGH Cancer Registry. Data were analyzed with STATA version 10.1. RESULTS: 28 cases of cervical cancer diagnosed in pregnancy were identified from 1997-2013. The majority were Stage IBI (Figure). 32% (9/28) of women terminated the pregnancy; these women were more likely to be diagnosed in the first trimester (11.6 vs 19.9 wks, p