Pregnancy-Associated Breast Cancer

Kathleen Logue, RNC-OB, BSN

Disclosures

Clin J Oncol Nurs. 2009;13(1):25-27. 

In This Article

Care of the Fetus

The pregnancy should be monitored to evaluate fetal tolerance of the treatment. Confirmation of gestational age and due date are significant factors for determining the plan of care. Abortion may be considered if the diagnosis is made in the first trimester (Hahn & Theriault, 2008). An ultrasound should be done before each cycle of chemotherapy to assess fetal growth (Loibl et al., 2006). If preterm delivery is necessary, amniocentesis can be performed to assess lung maturity. A vaginal delivery is preferred to avoid treatment delay after delivery. If chemotherapy is needed after delivery, breastfeeding is not recommended because most medications are excreted in milk (Loibl et al.).

The most frequently reported short-term effects in the fetus are anemia, alopecia, and neutropenia, which all are reversible; completing the last chemotherapy treatment three to four weeks before delivery can minimize those effects (Dean, 2007). Complete blood count results should be obtained and appropriate care given to avoid infection or bleeding complications, particularly if premature delivery occurs less than three weeks after the last chemotherapy treatment (Loibl et al.).

Comments

3090D553-9492-4563-8681-AD288FA52ACE
Comments on Medscape are moderated and should be professional in tone and on topic. You must declare any conflicts of interest related to your comments and responses. Please see our Commenting Guide for further information. We reserve the right to remove posts at our sole discretion.

processing....