Document Detail

Denial of pregnancy: a literature review and discussion of ethical and legal issues.
MedLine Citation:
PMID:  21725094     Owner:  NLM     Status:  MEDLINE    
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.
Angela Jenkins; Simon Millar; James Robins
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Publication Detail:
Type:  Journal Article; Review    
Journal Detail:
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:
Created Date:  2011-07-04     Completed Date:  2011-09-07     Revised Date:  2014-07-04    
Medline Journal Info:
Nlm Unique ID:  7802879     Medline TA:  J R Soc Med     Country:  England    
Other Details:
Languages:  eng     Pagination:  286-91     Citation Subset:  IM    
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MeSH Terms
Denial (Psychology)*
Depersonalization / complications,  psychology
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

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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