Evidence map›Paper›PMID 41524887›Full record

SynthesisEuropean journal of epidemiology2026

Maternal hormonal contraception use and childhood cancer risk: a systematic review and meta-analysis.

Sif E Carlsen, Emily Jarden, Caroline H Hemmingsen, Lone Schmidt, Sarah Hjorth, Maarit K Leinonen, Ulrika Nörby, Lina S Mørch, Susanne K Kjaer, Hedvig Nordeng and 1 more

Abstract readSystematic ReviewMeta-Analysis
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In one paragraph

Synthesis in European journal of epidemiology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

11 authors.

Sif E CarlsenVirus, Lifestyle and Genes, Danish Cancer Institute, DK-2100, Copenhagen, Denmark.
Emily JardenVirus, Lifestyle and Genes, Danish Cancer Institute, DK-2100, Copenhagen, Denmark.
Caroline H HemmingsenVirus, Lifestyle and Genes, Danish Cancer Institute, DK-2100, Copenhagen, Denmark.
Lone SchmidtDepartment of Public Health, University of Copenhagen, Copenhagen, Denmark.
Sarah HjorthPharmacoEpidemiology and Drug Safety Research Group, Department of Pharmacy, Faculty of Mathematics and Natural Sciences, University of Oslo, Oslo, Norway.
Maarit K LeinonenDepartment of Data and Analytics, Finnish Institute for Health and Welfare, Helsinki, Finland.
Ulrika NörbyHealth and Medical Care Administration, Stockholm, Region Stockholm, Sweden.
Lina S MørchCancer and Medicine, Danish Cancer Institute, Copenhagen, Denmark.
Susanne K KjaerVirus, Lifestyle and Genes, Danish Cancer Institute, DK-2100, Copenhagen, Denmark.
Hedvig NordengPharmacoEpidemiology and Drug Safety Research Group, Department of Pharmacy, Faculty of Mathematics and Natural Sciences, University of Oslo, Oslo, Norway.
Marie HargreaveVirus, Lifestyle and Genes, Danish Cancer Institute, DK-2100, Copenhagen, Denmark. mariehar@cancer.dk.ORCID http://orcid.org/0000-0001-6821-9242

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Observational studies have linked maternal hormonal contraception use to childhood cancer risk, but findings are inconsistent. A systematic review was conducted of this potential relationship. A systematic search was performed in PubMed, Embase, Scopus, Cochrane, and Web of Science databases until April 9, 2025. Studies reporting maternal hormonal contraception use before or during pregnancy and childhood cancer risk (0-19 years) were eligible. We included studies providing risk estimates in English or Scandinavian languages. Newcastle-Ottawa Scale was used to assess study quality. Meta-analysis using fixed and random effects was used to pool relative risks (RRs) with 95% confidence intervals (CIs) for childhood cancer according to maternal hormonal contraception use (1) up to or during pregnancy, and (2) exclusively during pregnancy. We included 27 studies (24 case-control and 3 cohort), totaling 11,067 childhood cancer cases. Maternal hormonal contraception use up to and during pregnancy increased risk of any childhood cancer (RR = 1.18; 95% CI = 1.10-1.26), leukemia (RR = 1.24; 95% CI = 1.06-1.45), and lymphoid leukemia (RR = 1.17; 95% CI = 1.06-1.28). Exposures during pregnancy showed higher risk estimate for any cancer (RR = 1.32; 95% CI = 1.12-1.56) and leukemia (RR = 1.63; 95% CI = 1.07-2.49). Most studies were moderate (70%) or high (26%) quality. Maternal hormonal contraception use may increase childhood cancer risk, particularly for leukemia, and during pregnancy. Further prospective studies are needed, focusing on specific hormonal contraception substances and exposure timing.

Indexed as

Contraceptives, Oral, HormonalHormonal ContraceptionNeoplasmsPrenatal Exposure Delayed EffectsAdolescentChildChild, PreschoolFemaleHumansInfantInfant, NewbornPregnancyRisk FactorsContraceptives, Oral, HormonalChildhood cancerHormonal contraceptionMeta-analysisPregnancy exposureSystematic review

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.