Pregnancy denial: a complex symptom with life context as a trigger? A prospective case-control study.

Autor: Delong H; Service de Psychothérapie de l'enfant et de l'adolescent, Pôle Femme-Parents-Enfant, Centre Hospitalier Universitaire, Université Reims Champagne Ardenne (URCA), Reims Cedex, France., Eutrope J; Service de Psychothérapie de l'enfant et de l'adolescent, Pôle Femme-Parents-Enfant, Centre Hospitalier Universitaire, Université Reims Champagne Ardenne (URCA), Reims Cedex, France., Thierry A; Unité d'aide méthodologique, Hôpital Robert Debré, Reims, France., Sutter-Dallay AL; Pôle universitaire de psychiatrie de l'enfant et de l'adolescent, Centre Hospitalier Charles Perrens, Bordeaux, France., Vulliez L; Psychiatrie infanto-juvénile - Centre Hospitalier Régional Universitaire, Hôpital Saint-Jacques, Besançon cedex, France., Gubler V; Pédopsychiatrie - Hôpital privé la Casamance, Aubagne, France., Saad Saint-Gilles S; Pôle Universitaire de l'enfant et de l'adolescent, Centre psychothérapique de Nancy, Laxou, France., Tessier E; Service de Psychiatrie de l'Enfant et de l'Adolescent - Pôle Psychiatrie, Hôpital La Grave, Toulouse Cedex 9, France., Le Foll J; Polyclinique Ney, Hôpital Bichat, Paris, France., Viaux S; Service de Psychiatrie de l'Enfant et de l'Adolescent, APHP, Sorbonne Université, Paris, France., Apter G; Service universitaire de Pédopsychiatrie du Groupe Hospitalier du Havre, Université Rouen Normandie, Mont-Saint-Aignan, France., Danion A; Service de Psychiatrie de l'Enfant et de l'Adolescent, Pôle de Psychiatrie, Santé Mentale et Addictologie, Hôpitaux Universitaires de Strasbourg, Strasbourg, France., Auer J; Service de Psychothérapie de l'enfant et de l'adolescent, Pôle Femme-Parents-Enfant, Centre Hospitalier Universitaire, Université Reims Champagne Ardenne (URCA), Reims Cedex, France., Rolland AC; Service de Psychothérapie de l'enfant et de l'adolescent, Pôle Femme-Parents-Enfant, Centre Hospitalier Universitaire, Université Reims Champagne Ardenne (URCA), Reims Cedex, France.
Jazyk: angličtina
Zdroj: BJOG : an international journal of obstetrics and gynaecology [BJOG] 2022 Feb; Vol. 129 (3), pp. 485-492. Date of Electronic Publication: 2021 Aug 19.
DOI: 10.1111/1471-0528.16853
Abstrakt: Objective: To identify risk factors for a woman to experience pregnancy denial.
Design, Setting and Population: A French multicentric prospective case-control study with 71 mother-infant dyads having experienced a pregnancy denial versus a control group of 71 dyads.
Methods: Data were collected in the week after delivery using an observational leaflet and two psychiatric scales (MINI and QSSP).
Main Outcome Measures: Statistically significant differences between the two groups regarding social, demographic, medical and psychiatric data.
Results: Not being in a stable relationship (odds ratio [OR] 17.18, 95% CI 3.37-87.60]; P < 0.0001), not having a high school diploma (OR 1.11, 95% CI 1.04-1.38]; P < 0.0001) and having a psychiatric history (OR 6.33, 95% CI 1.62-24.76; P = 0.0002) were risk factors to experience pregnancy denial, whereas being older was a protective factor (OR 0.86, 95% CI 0.79-0.93; P = 0.0054) (logistic regression, Wald 95% CI). Other risk factors included late declarations of pregnancy history and past pregnancy denials (case n = 7, 9.7% versus 0% in controls; P = 0.01), past pregnancy denials in the family (case n = 13, 18% versus control n = 4, 5.6%; P = 0.03), and use of a contraceptive method (75% for cases versus 7% in control; P < 0.0001), primarily an oral contraceptive (75%).
Conclusion: Family or personal history of pregnancy denial should be part of the systematic anamnesis during the first visit of a patient of child-bearing age. Further, our study points out that life context (young age, single status, socio-economic precarity, pill-based contraception) could be a trigger for pregnancy denial in certain women.
Tweetable Abstract: Life context can be a trigger for pregnancy denial.
(© 2021 The Authors. BJOG: An International Journal of Obstetrics and Gynaecology published by John Wiley & Sons Ltd.)
Databáze: MEDLINE
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