Grossesse après un cancer du sein : étude de la prise en charge de six patientes au sein de la maternité du Centre Hospitalier Régional Universitaire de Nancy entre 2002 et 2013

Abstract : Today, 10-15 % of women will get pregnant after breast cancer. This was a descriptive study from 2002 to 2013. Six gynaecological and obstetrical files were studied. This study's main objective was to explore the effects of cancer and its treatment on pregnancy monitoring and to learn about patient care in maternity hospitals. Nine spontaneous pregnancies were registered after a 4.75 years period. Apart from a miscarriage, all pregnancies were carried to full term. One patient had hight blood pressure during pregnancy, another after childbirth. A newborn had a lot of malformations and submitted a monitoring per and postnatal. Two patients actually breastfed. From a psychological point of view, 50% of the sample suffered of anxious disorders and 30 % were depressive. A patient with a high risk of cancer made a relapse during her pregnancy, another one 6 years after. Pregnancy is possible after breast cancer. The monitoring of pregnancy was the same as for a physiological pregnancy. Pregnancy requires close monitoring. The midwife isn't present during antenatal care yet, but she is present during patient's hospitalisation. Her place still to be defined within the multidisciplinary management.
Mots-clés : Grossesse Sein - Cancer
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Master thesis
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http://docnum.univ-lorraine.fr/public/BUMED_MESF_2015_GERDOLLE_OPHELIE.pdf
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Ophélie Gerdolle. Grossesse après un cancer du sein : étude de la prise en charge de six patientes au sein de la maternité du Centre Hospitalier Régional Universitaire de Nancy entre 2002 et 2013. Médecine humaine et pathologie. 2015. ⟨hal-01834550⟩

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