title: Counselling pregnant women with cancer.
abstract: Cancer during pregnancy represents a psychological and biological dilemma, as treatment should be directed to save two lives: the mother and the foetus. As a result of diagnosis and treatment, each patient will experience a range of practical, psychological and emotional challenges. Using a multidisciplinary approach, health professionals trained with communication skills can help reduce patient and family distress. It is essential that the obstetrician, oncologist and psychotherapist take leading roles. The patient and the family should be actively involved in the decision-making process. This will enhance confidence and support.
authors.affiliation: Department of Gynaecological Oncology, National Cancer Institute, Maharagama, Sri Lanka. Electronic address: nlkgkaru@yahoo.com.
authors.forename: Kanishka
authors.initials: K
authors.lastname: Karunaratne
authors.affiliation: Department of Gynaecological Oncology, National Cancer Institute, Maharagama, Sri Lanka.
authors.forename: Samanthi
authors.initials: S
authors.lastname: Premaratne
authors.affiliation: Department of Gynaecological Oncology, National Cancer Institute, Maharagama, Sri Lanka.
authors.forename: Chintana
authors.initials: C
authors.lastname: Hapuachchige
authors.affiliation: Department of Gynaecological Oncology, National Cancer Institute, Maharagama, Sri Lanka.
authors.forename: Himali
authors.initials: H
authors.lastname: Ihalagama
mesh_terms: D003657:Decision Making; D036861:Delivery, Obstetric; D037001:Directive Counseling; D005260:Female; D006801:Humans; D010358:Patient Participation; D011181:Postnatal Care; D011247:Pregnancy; D011252:Pregnancy Complications, Neoplastic / Q000523:psychology / Q000628:therapy*; D011379:Prognosis; D014342:Truth Disclosure
keywords: chemotherapy; counselling; foeto-maternal bonding; prognosis; radiation; surgery