Reconfiguring Priorities: Breastfeeding Decision-making Among Young Breast Cancer Survivors
Ariadna Huertas-Zurriaga1, Sandra Cabrera-Jaime, Isabel Navarri
1Author Affiliations: Department Research, Hospital Germans Trias i Pujol, Universitat Autonòma de Barcelona; and NURECARE Research Group, Institut d'Investigació i Hospital Germans Trias i Pujol (IGTP), Ctra de Can Ruti, Camí de les Escoles (Dr Huertas-Zurriaga); Department Research, Institut Català Oncologia-Hospital Germans Trias i Pujol; Universitat Autonòma de Barcelona; GRIN Group, IDIBELL, Institute of Biomedical Research; and NURECARE Research Group, IGTP, Ctra de Can Ruti, Camí de les Escoles (Dr Cabrera-Jaime); Tecnocampus University and NURECARE Research Group, IGTP, Ctra de Can Ruti, Camí de les Escoles (Dr Navarri); Oncology Department, Hereditarian Cancer Program, Institut Català Oncologia-Hospital Germans Trias i Pujol, B-ARGO (Badalona Applied Research Group in Oncology), IGTP (Health Research Institute Germans Trias i Pujol), Universitat Autònoma de Barcelona (Dr Teruel-Garcia); and Nursing Research Group in Vulnerability and Health (GRIVIS); and Nursing Department, Faculty of Medicine, Universitat Autònoma de Barcelona (Dr Leyva-Moral), Badalona, Spain.
Young breast cancer survivors often prioritize cancer treatment over breastfeeding due to mortality concerns. Lack of professional support forces them to self-manage breastfeeding decisions amid ambivalence.
Area of Science:
- Oncology
- Reproductive Health
- Psycho-oncology
Background:
- Young breast cancer survivors face unique breastfeeding challenges.
- Limited research exists on their decision-making processes regarding breastfeeding.
Purpose of the Study:
- To explore the decision-making processes of young women with breast cancer concerning breastfeeding throughout their cancer journey.
Main Methods:
- Constructivist grounded theory approach.
- Semistructured interviews with 12 breast cancer patients and 8 healthcare professionals.
- Constant comparative analysis of interview data.
Main Results:
- Core category: "Reconfiguring Priorities: The Secondary Role of Breastfeeding in the Context of Breast Cancer in Young Women."
- Subcategories: scars over time, omitting breastfeeding in oncological care, and self-management of breastfeeding.
Conclusions:
- Breastfeeding decisions are influenced by cancer treatment, drug toxicity, and mortality concerns, not solely conscious choice.
- Women develop self-management strategies due to insufficient professional support, experiencing ambivalence.
- Integrating breastfeeding discussions into oncological care and involving specialized lactation consultants is crucial.
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