妊娠期にがんと診断され，出産・子育てをする女性の体験

Experiences of Women Diagnosed With Cancer During Pregnancy

要旨

　目的：妊娠期にがんと診断された女性のがん治療，育児の体験について明らかにする．

　方法：2023年3月〜7月に女性2名にインタビューを行い，ナラティヴ分析を行った．

　結果：Aさんは乳がんのため妊娠中に抗がん剤治療を受け〔不安・疎外感・孤独感の中でお腹の子どもを心配し続けた〕．出産後は〔子どもの世話とがん治療・通院の綱渡り〕のような毎日だった．数年を経て〔今の日常がある幸せをかみしめる〕毎日である．Bさんは軟部腫瘍のため妊娠中に手術を受け〔不安・疎外感・孤独感の中で自分のがんよりも子どもを産めるのかが心配〕だった．出産後も体調がすぐれず〔子どもの世話を毎日こなすことに精一杯で自分の身体は二の次〕で，少しずつ〔子どもとの時間を大事にしながら自分の人生に目を向ける〕ようになった．

　結論：がん治療による心身の不調や，通院と授乳や育児といった母親役割を担う困難は大きく，出産後の育児支援が必要である．

　Purpose: The purpose of this study was to find out what women diagnosed with cancer during pregnancy experienced in their cancer treatment and childcare.

　Methods: Narrative analysis was conducted in March-July, 2023 after interviewing two women who had been diagnosed with cancer during pregnancy.

　Results: The following themes (in quotation marks) were identified. Ms. A underwent anticancer drug therapy during her pregnancy for breast cancer and "kept being worried about her fetus, feeling anxiety, sense of being alienated and loneliness." After giving birth, she "struggled every day and barely managed to take care of her baby while continuing hospital visits for cancer treatment." After several years, she "is happily enjoying ordinary daily life, which she appreciates." Ms. B underwent surgery during her pregnancy for a soft tissue tumor. She "felt anxious, alienated, and lonely, and was more worried about whether she would be able to give birth to her baby than about her own cancer." She did not feel well after giving birth and she "could only manage daily care of her baby, neglecting her own body as secondary importance," but gradually began to "pay attention to her own life while cherishing time with her baby."

　Conclusion: It is extremely difficult to assume the role of mother, including breast feeding and childcare, while at the same time being an outpatient with poor physical and mental condition due to cancer treatment. A support system needs to be established for such women and their families.