Women's reflections on fertility and motherhood after breast cancer and its treatment
Women's reflections on fertility and motherhood after breast cancer and its treatment
复制标题
DOI：
10.1111/ecc.12163
复制
发表时间：
2014-07-01
影响因子：
2.1
通讯作者：
Fisher, J. R. W.
中科院分区：
文献类型：
--
作者：
Kirkman, M.;Winship, I.;Fisher, J. R. W.
乳腺癌及其治疗对育龄妇女有复杂的影响，包括生育力下降。为了更好地了解在诊断出乳腺癌后的几年里，管理生育和为人母对妇女的意义，对10名年龄在26-45岁、居住在澳大利亚维多利亚州、被诊断为25-41岁乳腺癌的妇女进行了深入的定性访谈。在叙事学理论的指导下，对文本进行了主题分析和解读。将乳腺癌与生育和为母联系起来的六个主题被确定为：诊断是关键的人生事件，被剥夺了时间和选择，生育的重要性，作为母亲，叙事理由，以及乳腺癌治疗后的生活。没有孩子的妇女描述了对失去生育力的主要悲痛。妇女的叙述提供了叙事意义的证据，包括为她们在生存、治疗和生育方面的决定和行动辩护，以及通过制定安慰情节来应对逆境。乳腺癌、生育和生殖健康以不同的方式相互关联，具有直接和长期的后果。即使妇女正在接受最佳的生育管理，显然，一些育龄妇女仍需要持续的癌症后护理，以管理和改善生育力下降或丧失的后果。
Breast cancer and its treatment have complex ramifications for women of reproductive age, including reduced fertility. With the aim of increasing understanding of what it means to women to manage fertility and motherhood in the years after a diagnosis of breast cancer, in-depth qualitative interviews were conducted with 10 women aged 26-45 years, living in Victoria, Australia, who had been diagnosed with breast cancer aged 25-41. Transcripts were analysed thematically and interpreted within narrative theory. Six themes linking breast cancer to fertility and motherhood were identified: diagnosis as a pivotal life event, robbed of time and choice, significance of fertility, being a mother, narrative justification, and life after breast cancer treatment. Women without children described a preoccupying sorrow about lost fertility. Women's accounts yielded evidence of narrative meaning-making, including justifying their decisions and actions in relation to survival, treatment and fertility, and coping with adversity by developing consoling plots. Breast cancer, fertility and reproductive health are inter-linked in diverse ways which have immediate and long-term consequences. Even if women are receiving optimum fertility management, it is evident that some women of reproductive age will need continuing post-cancer care to manage and ameliorate ramifications of diminished or lost fertility.