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2000
Volume 21, Issue 5
  • ISSN: 1573-4048
  • E-ISSN: 1875-6581

Abstract

Background

An increasing incidence of breast cancer (BC) among young women aged<40 and also a growing pattern of delay in childbearing decision-making among couples in developed and developing countries leads to considerable concerns regarding the possibility of pregnancy for young BC survivors without children. These women may have had different experiences and needs during pregnancy, which were not assessed in previous studies.

Objective

This study was carried out to explore the experiences of pregnancy and perceived needs through the lens of Iranian BC survivors.

Methods

In this qualitative conventional content analysis, sixteen BC survivors at two referral centers in Sari, Mazandaran, Northern Iran, were selected through purposive sampling. Data were collected through in-depth semi-structured interviews, and the content analysis of the interviews was carried out according to Graneheim and Landman's strategies using MAXQDA 2018 software.

Results

The participant's age mean ± standard deviation was 31.94 ± 3.90 years, and also, the age of participants at BC diagnosis time ranged from 20-33 years (mean ± SD= 25.81 ± 3.50 years). 14 out of 16 participants had one pregnancy after cancer treatment, one survivor had two, and one had three pregnancies experienced after surviving. The result of data analysis led to the extraction of six main categories, including “pregnancy and childbirth problems”, ” mental health problems,” “social problems”, “marital instability”, “need to support,” “need to resort to spirituality,” and 13 subcategories.

Conclusion

The results of this study provide significant information regarding the experiences and needs of BC survivors during pregnancy. As pregnancy considered as a stressful occurrence in women's life especially in BC survivors, attention to their concerns and needs is an important issue which should be addressed. These women need to a special attention and follow up during pregnancy by their midwife or gynecologist. In addition, promoting the healthcare providers' information regarding the pregnancy consequences among these women is vital to providing high-quality maternal care to them.

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2024-10-22
2025-04-06
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References

  1. AssiH.A. KhouryK.E. DboukH. KhalilL.E. MouhieddineT.H. El SaghirN.S. Epidemiology and prognosis of breast cancer in young women.J. Thorac. Dis.20135Suppl 1S2S823819024
    [Google Scholar]
  2. FaccioF. MascheroniE. IonioC. PravettoniG. Alessandro PeccatoriF. PisoniC. CassaniC. ZambelliS. ZilioliA. NastasiG. GiuntiniN. BonassiL. Motherhood during or after breast cancer diagnosis: A qualitative study.Eur. J. Cancer Care (Engl.)2020292e1321410.1111/ecc.1321431904906
    [Google Scholar]
  3. IddrisuM. AziatoL. DedeyF. A qualitative study on coping strategies of young women living with breast cancer in Ghana.Int. J. Afr. Nurs. Sci.20191110017310.1016/j.ijans.2019.100173
    [Google Scholar]
  4. Boatemaa BensonR. CobboldB. Opoku BoamahE. AkuokoC.P. BoatengD. Challenges, coping strategies, and social support among breast cancer patients in Ghana.Adv. Public Health20202020111110.1155/2020/4817932
    [Google Scholar]
  5. KaurN. MiglaniR. GroverR.K. Information and rehabilitation needs of Indian breast cancer patients: Report of a cross-sectional study.Indian J. Cancer201451326226610.4103/0019‑509X.14676825494119
    [Google Scholar]
  6. RanaP. RatcliffeJ. SussmanJ. ForbesM. LevineM. HodgsonN. Young women with breast cancer: Needs and experiences.Cogent Med.201741127883610.1080/2331205X.2017.1278836
    [Google Scholar]
  7. AzimH.A.Jr PeccatoriF.A. de AzambujaE. PiccartM.J. Motherhood after breast cancer: searching for la dolce vita.Expert Rev. Anticancer Ther.201111228729810.1586/era.10.20821342046
    [Google Scholar]
  8. KasumM. Beketić-OreškovićL. PeddiP.F. OreškovićS. JohnsonR.H. Fertility after breast cancer treatment.Eur. J. Obstet. Gynecol. Reprod. Biol.2014173131810.1016/j.ejogrb.2013.11.00924315568
    [Google Scholar]
  9. ArdabilyH.E. MoghadamZ.B. SalsaliM. RamezanzadehF. NedjatS. Prevalence and risk factors for domestic violence against infertile women in an Iranian setting.Int. J. Gynaecol. Obstet.20111121151710.1016/j.ijgo.2010.07.03020961542
    [Google Scholar]
  10. LambertiniM. KromanN. AmeyeL. CordobaO. PintoA. BenedettiG. JensenM.B. GelberS. Del GrandeM. IgnatiadisM. de AzambujaE. PaesmansM. PeccatoriF.A. AzimH.A.Jr Long-term safety of pregnancy following breast cancer according to estrogen receptor status.J. Natl. Cancer Inst.2018110442642910.1093/jnci/djx20629087485
    [Google Scholar]
  11. StensheimH. CvancarovaM. MøllerB. FossåS.D. Pregnancy after adolescent and adult cancer: A population‐based matched cohort study.Int. J. Cancer201112951225123610.1002/ijc.2604521387311
    [Google Scholar]
  12. Mangiardi-VeltinM. SebbagC. Rousset-JablonskiC. Ray-CoquardI. BerkachC. LaotL. WangY. AbdennebiI. LabrosseJ. SautterC. ToussaintA. SabloneL. LaasE. KhallouchS. CoussyF. SantulliP. ChapronC. BobrieA. JacotW. SellaN. DumasE. Sénéchal-DavinC. EspieM. GiacchettiS. MaitrotL. Plu-BureauG. CoutantC. GuerinJ. AsselainB. FumoleauP. RodriguesM. DecanterC. MailliezA. DelrieuL. LemoineA. JouannaudC. HoudreD. ReyalF. HamyA.S. Pregnancy, fertility concerns and fertility preservation procedures in a national study of French breast cancer survivors.Reprod. Biomed. Online20224461031104410.1016/j.rbmo.2021.12.01935525718
    [Google Scholar]
  13. AlipourS. OmranipourR. Diseases of the Breast during Pregnancy and Lactation.Springer202010.1007/978‑3‑030‑41596‑9
    [Google Scholar]
  14. DieciM.V. GhiottoC. BarbieriC. GriguoloG. SaccardiC. GangemiM. PluchinottaA. Di LisoE. GiorgiC.A. GiarratanoT. TascaG. VernaciG. FaggioniG. ConteP. GuarneriV. Patterns of fertility preservation and pregnancy outcome after breast cancer at a large comprehensive cancer center.J. Womens Health (Larchmt.)201928454455010.1089/jwh.2018.698629963941
    [Google Scholar]
  15. RaphaelJ. TrudeauM.E. ChanK. Outcome of patients with pregnancy during or after breast cancer: a review of the recent literature.Curr. Oncol.20152211Suppl. 181810.3747/co.22.233825848342
    [Google Scholar]
  16. ZaamiS. MelcarneR. PatroneR. GulloG. NegroF. NapoletanoG. MontiM. AcetiV. PanareseA. BorceaM.C. ScorzielloC. VentroneL. MamedovS.N. MeggioriniM.L. VergineM. GiacomelliL. Oncofertility and reproductive counseling in patients with breast cancer: a retrospective study.J. Clin. Med.2022115131110.3390/jcm1105131135268402
    [Google Scholar]
  17. MatthewsM.L. HurstB.S. MarshburnP.B. UsadiR.S. PapadakisM.A. SarantouT. Cancer, fertility preservation, and future pregnancy: a comprehensive review.Obstet. Gynecol. Int.20122012111110.1155/2012/95393722529860
    [Google Scholar]
  18. DahhanT. van der VeenF. BosA.M.E. GoddijnM. DancetE A F. The experiences of women with breast cancer who undergo fertility preservation.Hum. Reprod. Open202120212hoab01810.1093/hropen/hoab01833959685
    [Google Scholar]
  19. Behboodi-MoghadamZ. SalsaliM. Eftekhar-ArdabilyH. VaismoradiM. RamezanzadehF. Experiences of infertility through the lens of Iranian infertile women: A qualitative study.Jpn. J. Nurs. Sci.2013101414610.1111/j.1742‑7924.2012.00208.x23735088
    [Google Scholar]
  20. LambertiniM. AmeyeL. HamyA.S. ZingarelloA. PoorvuP.D. CarrascoE. GrinshpunA. HanS. Rousset-JablonskiC. FerrariA. Paluch-ShimonS. CortesiL. SenechalC. MioloG. PogodaK. Pérez-FidalgoJ.A. De MarchisL. PonzoneR. LivraghiL. Estevez-DizM.D.P. Villarreal-GarzaC. DieciM.V. ClatotF. BerlièreM. GraffeoR. TeixeiraL. CórdobaO. SonnenblickA. Luna PaisH. IgnatiadisM. PaesmansM. PartridgeA.H. CaronO. SauleC. Del MastroL. PeccatoriF.A. AzimH.A.Jr Pregnancy after breast cancer in patients with germline BRCA mutations.J. Clin. Oncol.202038263012302310.1200/JCO.19.0239932673153
    [Google Scholar]
  21. PoorvuP.D. GelberS.I. ZhengY. RuddyK.J. TamimiR.M. PeppercornJ. SchapiraL. BorgesV.F. ComeS.E. LambertiniM. RosenbergS.M. PartridgeA.H. Pregnancy after breast cancer: Results from a prospective cohort of young women with breast cancer.Cancer202112771021102810.1002/cncr.3334233259061
    [Google Scholar]
  22. PattonM.Q. Qualitative research.In: Encyclopedia of Statistics in Behavioral Science2005
    [Google Scholar]
  23. PolitD.F. BeckC.T. Nursing research: Generating and assessing evidence for nursing practice.Lippincott Williams & Wilkins2008
    [Google Scholar]
  24. AziziM. EbrahimiE. MoghadamZ.B. ShahhosseiniZ. ModarresM. Pregnancy through the lens of breast cancer survivors: A qualitative study in an Iranian setting.Res Sq.202210.21203/rs.3.rs‑2051421/v1
    [Google Scholar]
  25. GraneheimU.H. LundmanB. Qualitative content analysis in nursing research: Concepts, procedures and measures to achieve trustworthiness.Nurse Educ. Today200424210511210.1016/j.nedt.2003.10.00114769454
    [Google Scholar]
  26. Alinejad-NaeiniM. PeyroviH. ShoghiM. Childbearing culture: a prominent context in the process of maternal role attainment in Iranian mothers with preterm neonates.J. Biosoc. Sci.202111234643173
    [Google Scholar]
  27. KeshavarzZ. GhaemiS.Z. TahmasebiS. AkramiM. HeydariS. Conflicts women with breast cancer face with: A qualitative study.J. Family Med. Prim. Care201981273610.4103/jfmpc.jfmpc_272_1830911477
    [Google Scholar]
  28. GormanJ.R. UsitaP.M. MadlenskyL. PierceJ.P. Young breast cancer survivors: their perspectives on treatment decisions and fertility concerns.Cancer Nurs.2011341324010.1097/NCC.0b013e3181e4528d20697269
    [Google Scholar]
  29. NejatisafaA-A FaccioF NaliniR Psychological Aspects of Pregnancy and Lactation in Patients with Breast Cancer.Adv Exp Med Biol.2020125219920710.1007/978‑3‑030‑41596‑9_28
    [Google Scholar]
  30. LiowK.H.F. NgT.R.P. ChooC.H. KohS.S.L. ShoreyS. The Experiences and Support Needs of Women With Gestational Breast Cancer in Singapore.Cancer Nurs.2022451E263E26910.1097/NCC.000000000000091233252405
    [Google Scholar]
  31. StopenskiS. AslamA. ZhangX. CardonickE. After chemotherapy treatment for maternal cancer during pregnancy, is breastfeeding possible?Breastfeed. Med.2017122919710.1089/bfm.2016.016628170295
    [Google Scholar]
  32. SchwabR. AnicK. HasenburgA. Cancer and pregnancy: A comprehensive review.Cancers (Basel)20211312304810.3390/cancers1312304834207252
    [Google Scholar]
  33. PumoV. MiloneG. IaconoM. GiulianoS.R. Di MariA. LopianoC. BordonaroS. TralongoP. Psychological and sexual disorders in long-term breast cancer survivors.Cancer Manag. Res.20124616522427732
    [Google Scholar]
  34. BreidenbachC. HeidkampP. HiltropK. PfaffH. EndersA. ErnstmannN. KowalskiC. Prevalence and determinants of anxiety and depression in long-term breast cancer survivors.BMC Psychiatry202222110110.1186/s12888‑022‑03735‑335139815
    [Google Scholar]
  35. MasoomiT ShafaroudiN KamaliM Psychological responses to breast cancer: A qualitative study.Journal of Sabzevar University of Medical Sciences20132018492
    [Google Scholar]
  36. VanstoneR.N. FergusK. LadhaniN.N.N. WarnerE. Reproductive concerns and fear of cancer recurrence: a qualitative study of women’s experiences of the perinatal period after cancer.BMC Pregnancy Childbirth202121173810.1186/s12884‑021‑04208‑334717568
    [Google Scholar]
  37. WarmothK. CheungB. YouJ. YeungN.C.Y. LuQ. Exploring the social needs and challenges of Chinese American immigrant breast cancer survivors: a qualitative study using an expressive writing approach.Int. J. Behav. Med.201724682783510.1007/s12529‑017‑9661‑428585073
    [Google Scholar]
  38. BosqueF.D. DeticioB.A. UrbinaR.C. BulanP.M. A Qualitative Study on Promoting Maternal Occupations and Health: Lived Experiences of Breast Cancer Survivors Within the Workforce.Archives of Breast Cancer20229338639310.32768/abc.202293386‑393
    [Google Scholar]
  39. MushtaqN. AliR. Marital satisfaction of breast cancer patients and their spouses: A qualitative study: Breast cancer. Pakistan Journal of Women’s Studies.Alam-e-Niswan.20192626587
    [Google Scholar]
  40. ThewesB. ButowP. GirgisA. PendleburyS. The psychosocial needs of breast cancer survivors; A qualitative study of the shared and unique needs of younger versus older survivors.Psychooncology200413317718910.1002/pon.71015022153
    [Google Scholar]
  41. DsouzaS.M. VyasN. NarayananP. ParsekarS.S. GoreM. SharanK. A qualitative study on experiences and needs of breast cancer survivors in Karnataka, India.Clin. Epidemiol. Glob. Health201862697410.1016/j.cegh.2017.08.001
    [Google Scholar]
  42. KaraözB. AksuH. KüçükM. A qualitative study of the information needs of premenopausal women with breast cancer in terms of contraception, sexuality, early menopause, and fertility.Int. J. Gynaecol. Obstet.2010109211812010.1016/j.ijgo.2009.11.02720152978
    [Google Scholar]
  43. PeteetJ.R. BalboniM.J. Spirituality and religion in oncology.CA Cancer J. Clin.201363428028910.3322/caac.2118723625473
    [Google Scholar]
  44. LeãoDCMR PereiraER Pérez-MarfilMN SilvaRMCRA MendonçaAB RochaRCNP The importance of spirituality for women facing breast cancer diagnosis: a qualitative study.Int J Environ Res Public Health202118126415
    [Google Scholar]
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  • Article Type:
    Research Article
Keyword(s): breast cancer; experience; perceived needs; Pregnancy; qualitative research; survivors
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