Breast cancer screening in postpartum mother: A literature review
Skrining kanker payudara pada ibu postpartum: Tinjauan literatur
DOI:
https://doi.org/10.71357/hsij.v3i1.61Kata Kunci:
Breast cancer screening, Postpartum mothers, Early detection, Self-Breast Examination (SBE), Health educationAbstrak
Latar Belakang: Kanker payudara tetap menjadi penyebab utama morbiditas dan mortalitas pada wanita, dengan deteksi dini memainkan peran penting dalam meningkatkan hasil pengobatan. Ibu postpartum menghadapi tantangan unik dalam skrining kanker payudara karena perubahan fisiologis pada jaringan payudara, laktasi, dan tuntutan perawatan bayi.
Tujuan: Tinjauan literatur ini bertujuan untuk mengeksplorasi praktik skrining kanker payudara pada ibu postpartum, mengidentifikasi hambatan dan faktor pendukung, serta mengusulkan strategi untuk meningkatkan partisipasi skrining selama periode kritis ini.
Metode: Tinjauan naratif dilakukan dengan menganalisis studi dari jurnal peer-review. Artikel dipilih berdasarkan relevansinya dengan skrining kanker payudara, ibu postpartum, dan metode deteksi dini. Data disintesis untuk menyoroti temuan kunci, mengidentifikasi kesenjangan, dan memberikan wawasan yang dapat ditindaklanjuti.
Pembahasan: Ibu postpartum mengalami hambatan signifikan dalam skrining kanker payudara, termasuk perubahan hormonal, kondisi terkait laktasi, dan kesadaran yang terbatas. Perubahan fisiologis pada jaringan payudara dapat mengaburkan gejala awal, menunda diagnosis. Namun, pemeriksaan payudara sendiri (SBE) dan akupresur terbukti efektif untuk deteksi dini dan peningkatan kesehatan payudara. Intervensi penyedia layanan kesehatan, seperti konseling dan pendidikan selama kunjungan postpartum, meningkatkan kepatuhan skrining. Pendidikan yang disesuaikan dan pendekatan perawatan terintegrasi sangat penting untuk mengatasi hambatan dan meningkatkan kesadaran di kalangan ibu postpartum.
Kesimpulan: Skrining kanker payudara selama periode postpartum sangat penting namun kurang dimanfaatkan. Penelitian lebih lanjut diperlukan untuk mengeksplorasi teknologi dan intervensi inovatif guna mengoptimalkan deteksi dini pada populasi ini.
Background: Breast cancer remains a leading cause of morbidity and mortality among women, with early detection playing a critical role in improving outcomes. Postpartum mothers face unique challenges related to breast cancer screening due to physiological changes in breast tissue, lactation, and competing demands of infant care.
Objective: This literature review explores breast cancer screening practices in postpartum mothers, identifies barriers and facilitators, and proposes strategies to improve screening uptake during this critical period.
Method: A narrative review was conducted by analyzing studies from peer-reviewed journals. Articles were selected based on their relevance to breast cancer screening, postpartum mothers, and early detection methods. The data were synthesized to highlight key findings, identify gaps, and provide actionable insights.
Results: Postpartum mothers experience significant barriers to breast cancer screening, including hormonal changes, lactation-related conditions, and limited awareness. Physiological remodeling of breast tissue can obscure early symptoms, delaying diagnosis. Despite these challenges, self-breast examination (BSE) and acupressure are effective techniques for early detection and breast health improvement. Studies show that BSE reduces mortality by up to 20%, while targeted acupressure enhances lactation and breast tissue awareness. Healthcare provider interventions, such as counseling and education during postpartum visits, improve screening adherence.
Conclusion: Breast cancer screening during the postpartum period is essential yet underutilized. Tailored education and integrated care approaches are critical to overcoming barriers and enhancing awareness among postpartum mothers. Further research should explore innovative technologies and interventions to optimize early detection in this population.
Referensi
Abraham, M., Lak, M. A., Gurz, D., Nolasco, F. O. M., Kondraju, P. K., & Iqbal, J. (2023). A narrative review of breastfeeding and its correlation with breast cancer: Current understanding and outcomes. Cureus. https://doi.org/10.7759/cureus.44081
Begum, H., Asadullah, M., & Hossain, S. (2023). Breast self-examination: An early familiar diagnostic test of breast cancer. Annals of International Medical and Dental Research, 9(3), 1–8. https://doi.org/10.53339/aimdr.2023.9.3.1
Chand, G. B. (2024). Narrative inquiry: A critical examination of its theoretical foundations and methodological applications. Far Western Review, 2(1), 135–152. https://doi.org/10.3126/fwr.v2i1.70514
Duckitt, K. (2024). Postpartum care. In Obesity and Pregnancy (pp. 166–178). CRC Press. https://doi.org/10.1201/9781003579762-13
Fatmawati, Meldawati, Palimbo, A., & Mahdiyah, D. (2024). Effect of demonstration-method counseling on the understanding of correct breastfeeding techniques among pregnant women. Health Sciences International Journal, 2(2), 60–73.
Fetrisia, W., & Yanti, Y. (2019). Pengaruh acupresure point for lactation terhadap produksi asi ibu menyusui [in Indonesia]. Jurnal Kesehatan, 10(1), 41. https://doi.org/10.35730/jk.v10i1.383
Gotzsche, P. C., & Jorgensen, K. J. (2024). Screening for breast cancer with mammography. https://doi.org/10.1101/2024.06.06.24308542
Hidayah, N., & Fariana, Y. R. N. (2024). Lactation preparation for pregnant women to prevent stunting. Health Sciences International Journal, 2(2), 169–176. https://hsij.anandafound.com/journal/article/view/42
Idrees, S., Mayilvaganan, S., Jagannath, S., Mishra, P., Chand, G., Mishra, A., Agarwal, G., & Agarwal, A. (2023). Validation of cost-effective model for breast self-examination. Annals of Medicine & Surgery, 85(2), 166–171. https://doi.org/10.1097/MS9.0000000000000211
Kutlu, R., & Bicer, U. (2017). Evaluation of breast cancer risk levels and its relation with breast self-examination practices in women. Journal of Breast Health, 13(1), 34–39. https://doi.org/10.5152/tjbh.2016.2832
Leirós-Díaz, C., Martin-Payo, R., Cachero-Rodriguez, J., Zhang, X., Ureña-Lorenzo, A., & Fernandez-Alvarez, M. del M. (2024). Effectiveness of an educational intervention for improving knowledge about the risk factors and signs and symptoms of breast cancer. https://doi.org/10.21203/rs.3.rs-5311915/v1
Macdonald, H. R. (2016). Breast cancer screening. In Handbook of gynecology (pp. 1–8). Springer International Publishing. https://doi.org/10.1007/978-3-319-17002-2_74-1
Mainaz, M., Guthigar, M., & Naik, P. (2024). Effectiveness of a health educational program in enhancing breast cancer knowledge among women in Rural Karnataka, South India. Cureus. https://doi.org/10.7759/cureus.56157
Mazúchová, L., Kelčíková, S., & Maskálová, E. (2024). Breast self-examination as an important part of prevention of breast cancer in women. Onkologie, 18(3), 223–226. https://doi.org/10.36290/xon.2024.043
Mingioni, N. (2020). Breast cancer screening. Clinical Education Teaching Tools.
Moey, S.-F., Sowtali, S. N., Mohamad Ismail, M. F., Hashi, A., Mohd. Azharuddin, N. S., & Che Mohamed, N. (2022). Cultural, religious and socio-ethical misconceptions among muslim women towards breast cancer screening: A systematic review. Asian Pacific Journal of Cancer Prevention, 23(12), 3971–3982. https://doi.org/10.31557/APJCP.2022.23.12.3971
Mumtaz, A., Otey, N., Afridi, B., & Khout, H. (2024). Breast cancer in pregnancy: A comprehensive review of diagnosis, management, and outcomes. Translational Breast Cancer Research : A Journal Focusing on Translational Research in Breast Cancer, 5, 21. https://doi.org/10.21037/tbcr-24-26
Mustafa, M., Sarfraz, S., Saleem, G., Khan, T. A., Shahid, D., Taj, S., & Amir, N. (2024). Beyond milk and nurture: Breastfeeding’s powerful impact on breast cancer. Geburtshilfe Und Frauenheilkunde, 84(06), 541–554. https://doi.org/10.1055/a-2313-0637
Nathalia, A., Rahmawati, D., Nastiti, K., & Salmarini, D. D. (2024). Factors influencing the occurrence of exclusive breastfeeding failure in six-month-old infants. Health Sciences International Journal, 2(2), 96–103.
Nurwiliani, L., Khoirunnisa, M., & Herawati, H. (2023). The difference between breast care and oxytocin massage on the adequacy of breast milk in postpartum mothers [in Indonesia]. Jurnal Medikes (Media Informasi Kesehatan), 10(1), 147–158. https://doi.org/10.36743/medikes.v10i1.380
Nye, L. (2020). Integrating Breast cancer risk management into primary care. American Family Physician, 101(6), 330–331.
Peterson, M. S., Gegios, A. R., Elezaby, M. A., Salkowski, L. R., Woods, R. W., Narayan, A. K., Strigel, R. M., Roy, M., & Fowler, A. M. (2023). Breast imaging and intervention during pregnancy and lactation. RadioGraphics, 43(10). https://doi.org/10.1148/rg.230014
Prabandari, F., & Fajarsari, D. (2016). Factors that influence the incidence of breast cancer at Dadi Keluarga Hospital, Purwokerto [in Indonesia]. Bidan Prada, 7(1).
Pyle, C., Hill, M., Sharafi, S., Forton, C., & Sohaey, R. (2023). Pregnancy-associated Breast Cancer: Why Breast Imaging During Pregnancy and Lactation Matters. Journal of Breast Imaging, 5(6), 732–743. https://doi.org/10.1093/jbi/wbad074
Ulya, R., Panduragan, S. L., Fitriana, S., & Hassan, H. C. (2023). The effect of lactation massage combination and postpartum breast care aged one to three days on the experience of adequate breastfeeding. Malaysian Journal of Medicine and Health Sciences, 19(s9), 251–255. https://doi.org/10.47836/mjmhs.19.s9.34
Renityas, N. N. (2020). The effect of acupressure on breast milk sufficiency in postpartum mothers on day 7 [in indonesia]. Jurnal Ners Dan Kebidanan (Journal of Ners and Midwifery), 7(2), 293–300. https://doi.org/10.26699/jnk.v7i2.ART.p293-300
Sabate, J. M., Clotet, M., Torrubia, S., Gomez, A., Guerrero, R., de Las Heras, P., & Lerma, E. (2007). Radiologic evaluation of breast disorders related to pregnancy and lactation. RadioGraphics, 27(suppl_1), S101–S124. https://doi.org/10.1148/rg.27si075505
Saharoy, R., Potdukhe, A., Wanjari, M., & Taksande, A. B. (2023). Postpartum depression and maternal care: Exploring the complex effects on mothers and infants. Cureus. https://doi.org/10.7759/cureus.41381
Saura, C., Ortiz, C., Matito, J., Arenas, E. J., Suñol, A., Martín, Á., Córdoba, O., Martínez-Sabadell, A., García-Ruiz, I., Miranda, I., Morales-Comas, C., Carrasco, E., Viaplana, C., Peg, V., Nuciforo, P., Bayó-Puxan, N., Gonzalez-Medina, A., Miquel, J. M., Gómez-Rey, M., … Sansó, M. (2023). Early-stage breast cancer detection in breast milk. Cancer Discovery, 13(10), 2180–2191. https://doi.org/10.1158/2159-8290.CD-22-1340
Stout, N. K., Miglioretti, D. L., Su, Y.-R., Lee, C. I., Abraham, L., Alagoz, O., de Koning, H. J., Hampton, J. M., Henderson, L., Lowry, K. P., Mandelblatt, J. S., Onega, T., Schechter, C. B., Sprague, B. L., Stein, S., Trentham-Dietz, A., van Ravesteyn, N. T., Wernli, K. J., Kerlikowske, K., & Tosteson, A. N. A. (2024). Breast cancer screening using mammography, digital breast tomosynthesis, and magnetic resonance imaging by breast density. JAMA Internal Medicine, 184(10), 1222. https://doi.org/10.1001/jamainternmed.2024.4224
Sumiarsih, L., & Rijal, S. (2014). The relationship between knowledge and motivation about breast self-examination in preventing CA mammary disease in midwifery students of Nani Hasanuddin Health College, Makassar [in Indonesia]. Jurnal Ilmiah Kesehatan Diagnosis, 5(3), 1–6.
Surdacka, L. M., Jakubas, A., Jagiełło, J., Daniłowska, K., Picheta, N., & Gil-Kulik, P. (2024). Epigenetic and immune mechanisms linking breastfeeding to lower breast cancer rates. Medical Science Monitor, 30. https://doi.org/10.12659/MSM.945451
Teppone, M. (2023). Acupoints, Channels and Organs. https://doi.org/10.20944/preprints202310.1820.v1
WHO. (2024). Breast cancer. WHO-Newsroom. https://www.who.int/news-room/fact-sheets/detail/breast-cancer
Yulianti, I., Santoso, H. S., & Sutiningsih, D. (2016). Risk factors for breast cancer (Case study at Ken Saras Hospital Semarang) [in indonesia]. Jurnal Kesehatan Masyarakat Universitas Dipunegoro, 4(4).
Unduhan
Diterbitkan
Terbitan
Bagian
Lisensi
Hak Cipta (c) 2025 Dwi Rahmawati, Dwi Rahmawati
Artikel ini berlisensiCreative Commons Attribution-ShareAlike 4.0 International License.
Health Sciences International Journal (HSIJ) © 2023 by Ananda Health and Education Foundation is licensed under Attribution-ShareAlike 4.0 International