Management of COVID-19 Infection and Midwifery Care of a Woman with Breast Cancer - A Case Report


Reyhan Aydın Doğan
Selma Hancıoğlu Aytaç


Breast cancer is among the common cancer types in women, with an incidence of 1/3000 in pregnancy. The outbreak of the COVID-19 pandemic has not only affected society but also heightened the risk of patients with underlying conditions, especially cancer victims. The prolongation of the treatment period complicates the process that entangles breast cancer patients. In this case, the follow-up period of the patient diagnosed with breast cancer in the third trimester of their second pregnancy was discussed. The frequency of follow-up during the postpartum COVID-19 period significantly decreased, and therefore, recurrence was experienced. Consequently, it is pertinent to support cancer patients during disasters and pandemics to help keep their physical and mental health. The patients should be guided in their public health follow-ups and the frequency of examinations. Also, midwife-assisted care should be provided during these follow-ups.


Author Biographies

Reyhan Aydın Doğan, Faculty of Health Sciences, Midwifery Department, Karabük University, Turkey

Scopus ID: 57193075664

Selma Hancıoğlu Aytaç, İstanbul-Fatih District Health Directorate, Sofular Family Health Center, Turkey


How to Cite
Aydın Doğan, R., & Hancıoğlu Aytaç, S. (2022). Management of COVID-19 Infection and Midwifery Care of a Woman with Breast Cancer - A Case Report. Unnes Journal of Public Health, 11(1), 58-64.


AAP. 2020. AAP Issues Guidance on Breastfeeding during COVID-19 Pandemic | American Academy of Pediatrics. Retrieved 18 December 2020, from
Bick, D., Cheyne, H., Chang, Y.S. & Fisher, J. 2020. Maternal Postnatal Health during the COVID-19 Pandemic: Vigilance is Needed. Midwifery, 88, 102781.
Carreira et al. 2020. Prevalence of COVID-19-Related Risk Factors and Risk of Severe Influenza Outcomes in Cancer Survivors: a Matched Cohort Study Using Linked English Electronic Health Records Data. The Lancet, 29: 100656.
Cen, C., Shiau, M.C., Adams, S., Schnabel, F. & Guth, A. 2021. A Case Report of COVID-19 in an Asymptomatic Patient with Newly Diagnosed Breast Cancer. Clinical Case Reports, 9 (6): e03532.
Dietz et al. 2020. Recommendations for Prioritization, Treatment, and Triage of Breast Cancer Patients during the COVID-19 Pandemic - the COVID-19 Pandemic Breast Cancer Consortium. Breast Cancer Research and Treatment, 181 (3): 487-497.
Doğan, R.A. & Güdücü, N. 2021. The Effects of COVID-19 Pandemic on the Follow-Up and Treatment Process of Gynecological Cancers and Breast Cancer. Türk Onkoloji Dergisi (Turkish Journal of Oncology), 36 (1): 133-138.
Ersin, F. & Bahar, Z. 2012. Sağlığı Geliştirme Modelleri’nin Meme Kanseri Erken Tanı Davranışlarına Etkisi: Bir Literatür Derlemesi.
Fadhila, E.D., Kuswardinah, A. & Rahayu, R.S.R. 2018. The Effect of The Perception of Unnes Public Health Study Program Students on Early Detection of Breast Cancer Using Bse (Breast-Self Examination). Public Health Perspective Journal, 3 (1): 38-44.
Gjoni, M. & Alevizou, E.M. 2020. Postnatal Virtual and Home Visits by Midwives during COVID-19 Pandemic. European Journal of Midwifery, 4 (13).
Hijazi et al. 2021. The Impact of Perceived Social Support during Pregnancy on Postpartum Infant-Focused Anxieties: a Prospective Cohort Study of Mothers in Northern Jordan. International Journal of Woman's Health, 13 (1): 973-989.
Jazieh et al. 2020. Impact of COVID-19 Pandemic on Cancer Care: A Global Collaborative Study. JCO Global Oncology, 6: 1428-1438.
Kurniawan, A., Lugito, N.P.H., Baskoro, B.A. & Halim, D.A. 2020. Management of Cancer Patients during Coronavirus Disease 2019 Pandemic: a Literature Review. Indonesian Journal of Cancer, 14 (2): 69-74.
Liang et al. 2020. Cancer Patients in SARS-CoV-2 Infection: a Nationwide Analysis in China. The Lancet Oncology, 21 (3): 335–337.
Organization, W.H. 2020. Coronavirus Disease 2019 (COVID-19): Situation Report.
Sağlık Bakanlığı. 2014. Doğum Öncesi Bakım ve Yönetim Rehberi. Ankara. Retrieved from
Septiani, S. & Suara, M. 2013. Faktor-Faktor yang Berhubungan dengan Perilaku Pemeriksaan Payudara Sendiri (Sadari) pada Siswa SMAN 62 Jakarta 2012. Jurnal Ilmiah Kesehatan, 5 (1): 31–35.
Torkmandi, H., Pourrahimi, A., Afshar, M.K., Fayazi, S. & Abdi, M. 2021. Health Policy Challenge for Breast Cancer Prevention in Mental Retardation: a Case Report. Unnes Journal of Public Health, 10 (2): 180-184.
Vanni, G., Materazzo, M., Pellicciaro, M., Ingallinella, S., Rho, M., Santori, F., Cotesta, M., Caspi, J., Makarova, A., Pistolese, C.A. & Buonomo, O.C. 2020. Breast Cancer and COVID-19: the Effect of Fear on Patients’ Decision-Making Process. In Vivo, 34 (3), 1651–1659.
Vivilaki, V.G. & Asimaki, E. 2020. Respectful Midwifery Care during the COVID-19 Pandemic. European Journal of Midwifery, 4.
Yurtsal, Z.B. 2020. Breastfeeding during the COVID-19 Pandemic. European Journal of Midwifery, 4 (31).
Zhang et al. 2020. Clinical Characteristics of COVID-19-Infected Cancer Patients: a Retrospective Case Study in Three Hospitals within Wuhan, China. Annals of Oncology, 31 (7): 894–901.