BACKGROUND Young breast cancer survivors often need to deal with adverse effects of treatments on fertility and complex reproductive decisions. In this systematic review, we highlight what is known about childbearing and parenthood attitudes and decisions of young breast cancer survivors from their own perspective. METHODS We conducted manual and electronic searches on Pubmed, PsychInf and CINAHL databases for articles, published in English between 1 January 1990 and 31 October 2012, that assessed childbearing, pregnancy and parenthood attitudes/decisions of female breast cancer survivors (premenopausal and/or <50 years old). Eligible articles were classified into quantitative studies, qualitative studies and mixed methods studies. Data from each study were individually extracted by all the authors, and standardized tables were created and discussed to ensure congruence of the information extracted. RESULTS Of the 493 publications identified in PubMed (results are presented for PubMed searches as the other databases did not yield any new relevant papers), 8 met the inclusion criteria, in addition to 2 publications retrieved manually. A total of 10 studies provided information on pregnancy and parenthood attitudes and decisions, in addition to risks and benefits of childbearing after breast cancer. Survivors had mixed attitudes towards the issue. Fear associated with future pregnancy was reported, namely the risk of cancer recurrence. However, for many survivors, pregnancy and parenthood can represent normalcy, happiness and life fulfilment. CONCLUSIONS Childbearing after breast cancer is an important issue for survivors. Future larger and prospective studies should be implemented to increase certainty of conclusions of current research. Clinicians may benefit from a deeper understanding of the importance of pregnancy and parenthood to survivors in order to provide the needed educational and psychosocial support services, overcome misinformation and better assist women with their fertility-related decisions.

中文翻译：

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年轻乳腺癌幸存者的生育态度和决定：系统评价。

背景 年轻的乳腺癌幸存者经常需要应对治疗对生育能力和复杂生殖决策的不利影响。在这篇系统综述中，我们强调了年轻乳腺癌幸存者从他们自己的角度了解生育和为人父母的态度和决定。方法 我们在 Pubmed、PsychInf 和 CINAHL 数据库中手动和电子搜索了 1990 年 1 月 1 日至 2012 年 10 月 31 日期间发表的英文文章，这些文章评估了女性乳腺癌幸存者（绝经前和/或< 50 岁）。符合条件的文章分为定量研究、定性研究和混合方法研究。每项研究的数据均由所有作者单独提取，创建并讨论了标准化表格，以确保提取的信息一致。结果 在 PubMed 中确定的 493 篇出版物中（结果显示在 PubMed 搜索中，因为其他数据库没有产生任何新的相关论文），除了手动检索的 2 篇出版物外，还有 8 篇符合纳入标准。共有 10 项研究提供了关于怀孕和为人父母的态度和决定的信息，以及乳腺癌后生育的风险和益处。幸存者对这个问题持有不同的态度。据报道，担心与未来怀孕有关，即癌症复发的风险。然而，对于许多幸存者来说，怀孕和为人父母可以代表正常、幸福和生活充实。结论 乳腺癌后生育是幸存者的一个重要问题。未来应实施更大规模和前瞻性的研究，以增加当前研究结论的确定性。临床医生可以从更深入地了解怀孕和生育对幸存者的重要性中受益，以便提供所需的教育和社会心理支持服务，克服错误信息并更好地帮助妇女做出与生育相关的决定。