Article ; Online: Psychotic pregnancy denial: a review of the literature and its clinical considerations.
Journal of psychosomatic obstetrics and gynaecology
2020 Volume 42, Issue 3, Page(s) 253–257
Abstract: Background: Pregnancy denial can be broken into two major types, non-psychotic and psychotic deniers, and further classified into pervasive, affective and persistent sub-types. It can lead to increased morbidity and mortality of the mother and neonate. ... ...
Abstract | Background: Pregnancy denial can be broken into two major types, non-psychotic and psychotic deniers, and further classified into pervasive, affective and persistent sub-types. It can lead to increased morbidity and mortality of the mother and neonate. Psychotic pregnancy denial is rare and the medical literature existing on the subject is limited to a small number of case reports and case series. No formal recommendation exists on the clinical management of psychotic pregnancy denial in the antenatal or postpartum period. The authors provide a comprehensive review of the literature regarding psychotic pregnancy denial, present an example of an unpublished case and provide suggestions for clinical management. Case: A 33-year-old primigravida at 37 6/7 weeks gestation presented with new-onset psychotic pregnancy denial with no prior history of psychosis. She had a negative medical work-up for organic causes of psychosis. Using a multidisciplinary approach, the decision was made to deliver the fetus at 38 1/7 weeks Conclusion: Psychotic pregnancy denial is rare and potentially dangerous. Delivery prior to 39 weeks gestation is reasonable for worsening psychiatric disease but careful consideration of the risk-benefit analysis and ethical framework must be deliberated. |
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MeSH term(s) | Adult ; Cesarean Section ; Female ; Gestational Age ; Humans ; Infant ; Infant, Newborn ; Mental Disorders ; Pregnancy ; Pregnancy Complications/therapy ; Psychotic Disorders/therapy |
Language | English |
Publishing date | 2020-07-30 |
Publishing country | England |
Document type | Journal Article ; Review |
ZDB-ID | 604816-x |
ISSN | 1743-8942 ; 0167-482X |
ISSN (online) | 1743-8942 |
ISSN | 0167-482X |
DOI | 10.1080/0167482X.2020.1789584 |
Database | MEDical Literature Analysis and Retrieval System OnLINE |
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