BACKGROUND: Women with past or current cancer diagnoses can benefit from planning pregnancies to optimize maternal health and birth outcomes. OBJECTIVES: The purpose of this systematic review is to identify unmet needs for family planning services among women with cancer by describing the prevalence of contraception counseling, contraception use, unintended pregnancy, and abortion. METHODS: Using the PRISMA ( Preferred Reporting Items for Systematic Reviews and Meta-Analyses) guidelines, 16 studies were included. FINDINGS: Women with cancer experience unintended pregnancy and abortion throughout their care. Not all women reported receiving contraception counseling, and many reported inconsistencies between contraception counseling desired and received. A prominent theme was uncertainty about fertility status. Use of highly effective contraceptive methods was low to moderate in eight patient populations.
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Univ Calif San Francisco, Sch Med, Dept Obstet Gynecol & Reprod Sci, San Francisco, CA 94143 USAUniv Calif San Francisco, Sch Med, Dept Obstet Gynecol & Reprod Sci, San Francisco, CA 94143 USA
Quinn, Molly M.
Letourneau, Joseph M.
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Univ N Carolina, Dept Obstet & Gynecol, Chapel Hill, NC 27514 USAUniv Calif San Francisco, Sch Med, Dept Obstet Gynecol & Reprod Sci, San Francisco, CA 94143 USA
Letourneau, Joseph M.
Rosen, Mitchell P.
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Univ Calif San Francisco, Sch Med, Dept Obstet Gynecol & Reprod Sci, San Francisco, CA 94143 USAUniv Calif San Francisco, Sch Med, Dept Obstet Gynecol & Reprod Sci, San Francisco, CA 94143 USA
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Florida Dept Hlth, Div Community Hlth Promot, 4052 Bald Cypress Way Bin A13, Tallahassee, FL 32399 USA
Ctr Dis Control & Prevent, Div Reprod Hlth, Atlanta, GA USAFlorida Dept Hlth, Div Community Hlth Promot, 4052 Bald Cypress Way Bin A13, Tallahassee, FL 32399 USA
Phillips-Bell, Ghasi S.
Sappenfield, William
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Univ S Florida, Coll Publ Hlth, Tampa, FL USAFlorida Dept Hlth, Div Community Hlth Promot, 4052 Bald Cypress Way Bin A13, Tallahassee, FL 32399 USA
Sappenfield, William
Robbins, Cheryl L.
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Ctr Dis Control & Prevent, Div Reprod Hlth, Atlanta, GA USAFlorida Dept Hlth, Div Community Hlth Promot, 4052 Bald Cypress Way Bin A13, Tallahassee, FL 32399 USA
Robbins, Cheryl L.
Hernandez, Leticia
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Florida Dept Hlth, Div Community Hlth Promot, 4052 Bald Cypress Way Bin A13, Tallahassee, FL 32399 USAFlorida Dept Hlth, Div Community Hlth Promot, 4052 Bald Cypress Way Bin A13, Tallahassee, FL 32399 USA
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Univ Sorbonne Paris Cite, DHU Risks Pregnancy, Obstetr Perinatal & Paediat Epidemiol EPOPe Res T, INSERM, Paris, France
Paris Descartes Univ, Paris St Joseph Hosp, Matern Unit, DHU Risks Pregnancy, Paris, FranceSorbonne Univ, INSERM, ERES, IPLESP, F-75012 Paris, France
Azria, Elie
Clergue-Duval, Virgile
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Hop Fernand Widal, Dept Psychiat & Med Addictol, AP HP, 200 Rue Faubourg St Denis, F-75010 Paris, France
Univ Sorbonne Paris Cite, Fac Med, Paris Diderot, Paris, FranceSorbonne Univ, INSERM, ERES, IPLESP, F-75012 Paris, France
Clergue-Duval, Virgile
Thurn, Marion
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Sorbonne Univ, INSERM, ERES, IPLESP, F-75012 Paris, France
Univ Paris 05, Cermes 3, CNRS, Inserm,U988,EHESS,UMR 8211, Paris, FranceSorbonne Univ, INSERM, ERES, IPLESP, F-75012 Paris, France