Breast cancer and pregnancy: implications for perinatal care and fetal outcomes

The diagnosis of breast cancer has a profound impact on women and their families. Although relatively uncommon, breast cancer associated with pregnancy is gaining attention as more women choose to delay pregnancy. The perinatal nurse must combine a knowledge of breast cancer and its treatment with an understanding of how this treatment will influence current and future pregnancies. Of critical importance are the roles of educator and patient advocate. This clinical review will discuss the natural history of breast cancer associated with pregnancy, its diagnosis and treatment, and the nursing implications for maternal and fetal care.