| Denial of pregnancy: a literature review and discussion of ethical and legal issues. | |
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MedLine Citation:
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PMID: 21725094 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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Denial of pregnancy is an important condition that is more common than expected, with an incidence at 20 weeks gestation of approximately 1 in 475. The proportion of cases persisting until delivery is about 1 in 2500, a rate similar to that of eclampsia. Denial of pregnancy poses adverse consequences including psychological distress, unassisted delivery and neonaticide. It is difficult to predict which women will develop denial of pregnancy. There are a number of forms of denial of pregnancy, including psychotic and non-psychotic variants. Denial of pregnancy is a 'red flag' that should trigger referral for psychiatric assessment. A national registry may help to provide more information about this condition and implement appropriate care. This condition poses challenging legal and ethical issues including assessment of maternal capacity, evaluation of maternal (and possibly fetal) best interests and the possibility of detention in hospital. |
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Authors:
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Angela Jenkins; Simon Millar; James Robins |
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Publication Detail:
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Type: Journal Article; Review |
Journal Detail:
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Title: Journal of the Royal Society of Medicine Volume: 104 ISSN: 1758-1095 ISO Abbreviation: J R Soc Med Publication Date: 2011 Jul |
Date Detail:
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Created Date: 2011-07-04 Completed Date: 2011-09-07 Revised Date: 2011-11-30 |
Medline Journal Info:
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Nlm Unique ID: 7802879 Medline TA: J R Soc Med Country: England |
Other Details:
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Languages: eng Pagination: 286-91 Citation Subset: IM |
Affiliation:
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Department of Anaesthesia, Victoria Infirmary, Glasgow, UK. angelajenkins3@doctors.org.uk |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Denial (Psychology)* Depersonalization / complications, psychology Female Humans Maternal Behavior / psychology* Mothers / psychology* Pregnancy / psychology Pregnancy Complications / psychology* Pregnancy Trimesters / psychology Prenatal Care / methods Psychotic Disorders / complications, psychology* Risk Factors Women's Health |
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