Planned and unplanned pregnancies in breast cancer survivors

Julia Kopeika; Mahua Bhaduri; Anija Kugadas; Nivedita Reddy; Amanda Shewbridge; Deborah Mukherji; Ines Sandri; Janine Mansi

doi:10.1016/j.breast.2019.05.004

Planned and unplanned pregnancies in breast cancer survivors

Julia Kopeika, Mahua Bhaduri, Anija Kugadas, Nivedita Reddy, Amanda Shewbridge, Deborah Mukherji, Ines Sandri, Janine Mansi

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Abstract

Background: Nearly 20% of women presenting with breast cancer in the UK are of reproductive age. Theaim of our study was to assess fertility outcome in relation to intent to conceive in patients who had completed breast cancer treatment.Methods:Between July 2011 and December 2013, women, aged less than 43 years at the time of diagnosis, were asked during their follow-up in breast cancer clinic, to complete a questionnaire on intentions to conceive and pregnancy outcome.Results:A total of 175 women completed the questionnaire at a median time of 6 years from time of diagnosis. Their median age at the time of diagnosis was 37 years and at the time of the survey was 43 years. At the time of the survey, 42% (72/175) had completed their family, 41% (72/175) reported that they would like to have children and 4% (7/175) did not wish to have children. Twenty-seven respondents had actively tried to conceive, and of those 13 (48%) had a live birth. There were 12 unintended pregnancies;the majority of which were terminated (58% (7/12)) with only 3 live births. Among those who did not wish to conceive, only 32% (36/111) reported using contraception.Conclusion:This is a retrospective study investigating menstrual function, contraceptive methods and fertility outcomes of young breast cancer survivors. This study highlights the need for healthcare professionals to provide long-term contraceptive advice to women who do not wish to conceive.

Original language	English
Pages (from-to)	75-80
Number of pages	6
Journal	BREAST
Volume	46
Early online date	8 May 2019
DOIs	https://doi.org/10.1016/j.breast.2019.05.004
Publication status	Published - 1 Aug 2019

Keywords

Breast cancer survivors
Contraception
Pregnancy rate
Unplanned pregnancies

UN SDGs

This output contributes to the following UN Sustainable Development Goals (SDGs)

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10.1016/j.breast.2019.05.004

Planned and unplanned pregnancies_KOPEIKA_Accepted2May2019Publishedonline8May2019_GREEN AAM (CC BY-NC-ND)Accepted author manuscript, 2.03 MBLicence: CC BY-NC-ND

Cite this

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title = "Planned and unplanned pregnancies in breast cancer survivors",

abstract = "Background: Nearly 20% of women presenting with breast cancer in the UK are of reproductive age. Theaim of our study was to assess fertility outcome in relation to intent to conceive in patients who had completed breast cancer treatment.Methods:Between July 2011 and December 2013, women, aged less than 43 years at the time of diagnosis, were asked during their follow-up in breast cancer clinic, to complete a questionnaire on intentions to conceive and pregnancy outcome.Results:A total of 175 women completed the questionnaire at a median time of 6 years from time of diagnosis. Their median age at the time of diagnosis was 37 years and at the time of the survey was 43 years. At the time of the survey, 42% (72/175) had completed their family, 41% (72/175) reported that they would like to have children and 4% (7/175) did not wish to have children. Twenty-seven respondents had actively tried to conceive, and of those 13 (48%) had a live birth. There were 12 unintended pregnancies;the majority of which were terminated (58% (7/12)) with only 3 live births. Among those who did not wish to conceive, only 32% (36/111) reported using contraception.Conclusion:This is a retrospective study investigating menstrual function, contraceptive methods and fertility outcomes of young breast cancer survivors. This study highlights the need for healthcare professionals to provide long-term contraceptive advice to women who do not wish to conceive.",

keywords = "Breast cancer survivors, Contraception, Pregnancy rate, Unplanned pregnancies",

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AU - Kopeika, Julia

AU - Bhaduri, Mahua

AU - Kugadas, Anija

AU - Reddy, Nivedita

AU - Shewbridge, Amanda

AU - Mukherji, Deborah

AU - Sandri, Ines

AU - Mansi, Janine

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N2 - Background: Nearly 20% of women presenting with breast cancer in the UK are of reproductive age. Theaim of our study was to assess fertility outcome in relation to intent to conceive in patients who had completed breast cancer treatment.Methods:Between July 2011 and December 2013, women, aged less than 43 years at the time of diagnosis, were asked during their follow-up in breast cancer clinic, to complete a questionnaire on intentions to conceive and pregnancy outcome.Results:A total of 175 women completed the questionnaire at a median time of 6 years from time of diagnosis. Their median age at the time of diagnosis was 37 years and at the time of the survey was 43 years. At the time of the survey, 42% (72/175) had completed their family, 41% (72/175) reported that they would like to have children and 4% (7/175) did not wish to have children. Twenty-seven respondents had actively tried to conceive, and of those 13 (48%) had a live birth. There were 12 unintended pregnancies;the majority of which were terminated (58% (7/12)) with only 3 live births. Among those who did not wish to conceive, only 32% (36/111) reported using contraception.Conclusion:This is a retrospective study investigating menstrual function, contraceptive methods and fertility outcomes of young breast cancer survivors. This study highlights the need for healthcare professionals to provide long-term contraceptive advice to women who do not wish to conceive.

AB - Background: Nearly 20% of women presenting with breast cancer in the UK are of reproductive age. Theaim of our study was to assess fertility outcome in relation to intent to conceive in patients who had completed breast cancer treatment.Methods:Between July 2011 and December 2013, women, aged less than 43 years at the time of diagnosis, were asked during their follow-up in breast cancer clinic, to complete a questionnaire on intentions to conceive and pregnancy outcome.Results:A total of 175 women completed the questionnaire at a median time of 6 years from time of diagnosis. Their median age at the time of diagnosis was 37 years and at the time of the survey was 43 years. At the time of the survey, 42% (72/175) had completed their family, 41% (72/175) reported that they would like to have children and 4% (7/175) did not wish to have children. Twenty-seven respondents had actively tried to conceive, and of those 13 (48%) had a live birth. There were 12 unintended pregnancies;the majority of which were terminated (58% (7/12)) with only 3 live births. Among those who did not wish to conceive, only 32% (36/111) reported using contraception.Conclusion:This is a retrospective study investigating menstrual function, contraceptive methods and fertility outcomes of young breast cancer survivors. This study highlights the need for healthcare professionals to provide long-term contraceptive advice to women who do not wish to conceive.

KW - Breast cancer survivors

KW - Contraception

KW - Pregnancy rate

KW - Unplanned pregnancies

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Planned and unplanned pregnancies in breast cancer survivors

Abstract

Keywords

UN SDGs

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