Can a cancer patient take chemotherapy during pregnancy?

 

This is a very important question. Cancer can happen to anyone and we do see patients with cancer during pregnancy. 

For any cancer, treatment is usually multipronged. If cancer is localized and if it is possible to remove it by surgery then this is the preferred approach. Surgery can be done during pregnancy. However, the type of surgery varies, risks and complications involved should be discussed. Anesthesia is also not contraindicated during pregnancy.

During the first trimester, it is not advisable to take chemotherapy but it is safe during the second and third trimester. During the first trimester, fetus cells are forming and hence no major systemic therapy should be given. There is a good amount of research to establish what all chemotherapy drugs can be given during pregnancy and which are to be avoided. Chemotherapy such as Doxorubicin, Cyclophosphamide, and Taxanes can be given. Contraindicated chemotherapeutics during pregnancy include Methotrexate.

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