The Lived Experience of Seeking Pregnancy in a Woman with a History of Cancer

Tsorng-Yeh Lee
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Abstract

Myelodysplastic syndromes (MDS) are a rare form of cancer that affects the bone marrow's ability to produce mature blood cells. Several treatments are available, including chemotherapy using anticancer or cytotoxic drugs, blood or platelet transfusions, and stem cell transplants. In this study, a 33-year-old woman shares her experience of attempting to conceive while undergoing treatment for myelodysplastic syndromes. The study aimed to explore the psychosocial difficulties women with a history of cancer treatment may encounter when trying to get pregnant. Semi-structured qualitative interviews were undertaken, recorded, and transcribed verbatim. The transcript was analyzed by narrative analysis. Four themes were identified: 1) Support from loved ones, 2) Challenges in conceiving, 3) Emotional ups and downs during pregnancy, and 4) The joy of motherhood. A cancer diagnosis can devastate young women, primarily if the treatment affects their fertility. These women must have the support of their husbands. Fortunately, many methods are available to assist women in successfully conceiving, although the journey can be difficult and emotional. The ups and downs of the process are inevitable, but the desire to become a mother makes it all worth it in the end. Cancer treatment for myelodysplastic syndromes and related conditions can profoundly impact childbearing women. Such women may face significant challenges if they plan to have a child after treatment. Hence, further research with more women with the diagnosis of MDS is imperative in this critical area.
有癌症史的妇女寻求怀孕的生活经历
骨髓增生异常综合征(MDS)是一种罕见的癌症,会影响骨髓制造成熟血细胞的能力。目前有多种治疗方法,包括使用抗癌药物或细胞毒药物进行化疗、输血或血小板以及干细胞移植。在本研究中,一名 33 岁的女性分享了她在接受骨髓增生异常综合症治疗期间尝试怀孕的经历。该研究旨在探讨有癌症治疗史的女性在尝试怀孕时可能遇到的社会心理困难。研究人员进行了半结构化定性访谈,并进行了录音和逐字记录。访谈记录采用叙事分析法进行分析。确定了四个主题1)亲人的支持;2)怀孕的挑战;3)怀孕期间的情绪起伏;4)做母亲的喜悦。癌症诊断会给年轻女性带来巨大的打击,主要是如果治疗影响了她们的生育能力。这些女性必须得到丈夫的支持。幸运的是,有许多方法可以帮助妇女成功受孕,尽管这个过程可能是艰难和情绪化的。过程中的起伏是不可避免的,但成为母亲的渴望让一切最终都变得值得。骨髓增生异常综合症和相关疾病的癌症治疗会对育龄妇女产生深远的影响。如果这些妇女计划在治疗后生育,她们可能会面临巨大的挑战。因此,在这一关键领域对更多确诊为骨髓增生异常综合症的妇女开展进一步研究势在必行。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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