Zusammenfassung
Eine Krebsdiagnose in der Schwangerschaft ist selten. Jedoch stellt die Bedrohung durch eine potenziell tödliche Erkrankung in der Zeit der Freude auf die Mutterschaft und das werdende Leben eine hohe emotionale Belastung für Patientin und Ärzte dar. Die Therapie der Mutter unter Rücksichtnahme auf das Kind ist eine Herausforderung. Es werden die ethischen Rahmenbedingungen dargestellt und der Prozess der Entscheidungsfindung gemeinsam mit der betroffenen Patientin und dem Partner, auch anhand einer Fallvorstellung, erläutert. Darüber hinaus zeigen wir psychologische Probleme sowie zu beachtende Fragestellungen im Rahmen der Entscheidungsfindung und Behandlung.
Abstract
The diagnosis of cancer during pregnancy is rare but the diagnosis of a life-threatening disease during the time of joy for the forthcoming motherhood and the child poses a highly emotional dilemma for both patient and doctor. The therapy for the mother while always bearing the child in mind is a real challenge. The ethical framework and difficulties in the process of decision-making shared with the patient and her family are presented and illustrated by an authentic case. Furthermore the psychological problems and other questions to be kept in mind during decision-making and therapy are discussed.
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Koch, I., Schleußner, E. Schwangerschaft und Krebs. Onkologe 18, 301–307 (2012). https://doi.org/10.1007/s00761-012-2218-x
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DOI: https://doi.org/10.1007/s00761-012-2218-x