Contraceptive needs and fertility intentions of women with breast cancer in Cape Town, South Africa: a qualitative study

 

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dc.contributor.author Harries, Jane
dc.contributor.author Constant, Deborah
dc.contributor.author Cairncross, Lydia
dc.contributor.author Moodley, Jennifer
dc.date.accessioned 2021-06-29T15:15:43Z
dc.date.available 2021-06-29T15:15:43Z
dc.date.issued 2020-10-06
dc.identifier.uri https://doi.org/10.1186/s12905-020-01094-3
dc.identifier.uri http://hdl.handle.net/11427/33414
dc.description.abstract Background: No known studies have been undertaken in South Africa exploring the contraceptive and fertility needs and preferences of women of reproductive age (18–49) diagnosed with breast cancer. This study set out to understand the contraceptive needs and fertility intentions of women with breast cancer in Cape Town, South Africa. Methods Qualitative in-depth interviews were conducted with 24 women diagnosed with breast cancer and 4 health care providers at a tertiary hospital in Cape Town, South Africa. We explored contraceptive use prior to diagnosis; the impact of breast cancer on future fertility intentions and contraceptive use; understanding of suitable contraceptive methods during and after treatment and women’s fertility related counseling needs during their continuum of care. Data were analysed using a thematic analysis approach. Results Since being diagnosed with breast cancer, of those women using a contraceptive method, the non-hormonal intrauterine device (IUD) was the most commonly used method. However, women reported receiving limited information from health care providers about contraceptive use and future fertility planning post treatment when fertility desires might change. Many women reported limited information received from healthcare providers about the impact of cancer treatment on their future fertility. Most women did not receive information around fertility preservation options, and few were familiar with the concept. Providers focus was more on preventing pregnancy during treatment and ensuring a patient was on a non-hormonal contraceptive method. Providers supported a more holistic, multidisciplinary approach to breast cancer patient’s contraceptive and future fertility needs. Conclusions Limited contraceptive and future fertility counseling were reported by women despite many women being provided with the IUD. There is a need for improved information and counseling regarding the impact of treatment on contraceptive and fertility options. It is important that cancer care providers provide timely information regarding fertility options and communicate with patients about their fertility concerns prior to treatment and throughout the course of survivorship. The development of evidence-based information tools to enhance patient-provider communication and counseling could address knowledge gaps.
dc.source BMC Women's Health
dc.source.uri https://bmcwomenshealth.biomedcentral.com/
dc.subject Breast cancer
dc.subject Contraception
dc.subject Fertility intentions
dc.subject Fertility preservation
dc.subject South Africa
dc.subject Qualitative methods
dc.title Contraceptive needs and fertility intentions of women with breast cancer in Cape Town, South Africa: a qualitative study
dc.date.updated 2020-10-11T03:21:48Z
dc.language.rfc3066 en
dc.rights.holder The Author(s)
dc.source.journalvolume 20
dc.source.journalissue 1
dc.source.pagination 224
dc.identifier.ris TY - AU - Harries, Jane AU - Constant, Deborah AU - Cairncross, Lydia AU - Moodley, Jennifer AB - Abstract Background No known studies have been undertaken in South Africa exploring the contraceptive and fertility needs and preferences of women of reproductive age (18–49) diagnosed with breast cancer. This study set out to understand the contraceptive needs and fertility intentions of women with breast cancer in Cape Town, South Africa. Methods Qualitative in-depth interviews were conducted with 24 women diagnosed with breast cancer and 4 health care providers at a tertiary hospital in Cape Town, South Africa. We explored contraceptive use prior to diagnosis; the impact of breast cancer on future fertility intentions and contraceptive use; understanding of suitable contraceptive methods during and after treatment and women’s fertility related counseling needs during their continuum of care. Data were analysed using a thematic analysis approach. Results Since being diagnosed with breast cancer, of those women using a contraceptive method, the non-hormonal intrauterine device (IUD) was the most commonly used method. However, women reported receiving limited information from health care providers about contraceptive use and future fertility planning post treatment when fertility desires might change. Many women reported limited information received from healthcare providers about the impact of cancer treatment on their future fertility. Most women did not receive information around fertility preservation options, and few were familiar with the concept. Providers focus was more on preventing pregnancy during treatment and ensuring a patient was on a non-hormonal contraceptive method. Providers supported a more holistic, multidisciplinary approach to breast cancer patient’s contraceptive and future fertility needs. Conclusions Limited contraceptive and future fertility counseling were reported by women despite many women being provided with the IUD. There is a need for improved information and counseling regarding the impact of treatment on contraceptive and fertility options. It is important that cancer care providers provide timely information regarding fertility options and communicate with patients about their fertility concerns prior to treatment and throughout the course of survivorship. The development of evidence-based information tools to enhance patient-provider communication and counseling could address knowledge gaps. DA - 2020-10-06 DB - OpenUCT DP - University of Cape Town KW - Breast cancer KW - Contraception KW - Fertility intentions KW - Fertility preservation KW - South Africa KW - Qualitative methods LK - https://open.uct.ac.za PY - 2020 T1 - Contraceptive needs and fertility intentions of women with breast cancer in Cape Town, South Africa: a qualitative study TI - Contraceptive needs and fertility intentions of women with breast cancer in Cape Town, South Africa: a qualitative study UR - http://hdl.handle.net/11427/33414 ER - en_ZA


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