Dow K H
Cancer Pract. 1994 Nov-Dec;2(6):407-13.
Having children after breast cancer is an important clinical issue. Evidence from clinical studies on pregnancy subsequent to breast cancer has not shown a survival disadvantage. Clinical experience suggests that desire for children, support from family, and quality of life issues are also important factors in decisions about pregnancy. This qualitative study was done (1) to identify reasons why young women decide to become pregnant after breast cancer; (2) to describe concerns about subsequent pregnancy; (3) to describe helpful behaviors in decision making; and (4) to explore the meaning of having children after breast cancer. Twenty-three women were identified who had early-stage breast cancer and became pregnant after breast-conserving surgery and radiation therapy. Sixteen women participated in a semi-structured interview. Qualitative data were analyzed for content. Results indicate that pregnancy subsequent to breast cancer is a powerful stimulus for young women to "get well" again. Reasons for subsequent pregnancy were related to the women's developmental age. Young women expressed concerns about the potential for future disease recurrence, about breast self-examination and mammography during pregnancy, and about surviving to see their children grow up. Perceived helpful behaviors included developing a realistic perspective, living with uncertainty, love and support of spouse, and delineating differences between personal and medical decision making.
乳腺癌后生育是一个重要的临床问题。乳腺癌后妊娠的临床研究证据并未显示出生存劣势。临床经验表明，对子女的渴望、家庭支持和生活质量问题也是妊娠决策中的重要因素。本定性研究旨在：（1）确定年轻女性乳腺癌后决定怀孕的原因；（2）描述对后续妊娠的担忧；（3）描述决策过程中的有益行为；（4）探索乳腺癌后生育的意义。研究确定了23名患有早期乳腺癌且在保乳手术和放射治疗后怀孕的女性。16名女性参与了半结构化访谈。对定性数据进行了内容分析。结果表明，乳腺癌后妊娠是年轻女性再次“康复”的强大动力。后续妊娠的原因与女性的发育年龄有关。年轻女性表达了对未来疾病复发可能性的担忧，对孕期乳房自我检查和乳房X光检查的担忧，以及对活到看到孩子长大的担忧。被认为有益的行为包括树立现实的观念、接受不确定性、配偶的爱与支持，以及区分个人决策和医疗决策的差异。
