1. Pregnancy denial: a complex symptom with life context as a trigger? A prospective case–control study*.
- Author
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Delong, H, Eutrope, J, Thierry, A, Sutter‐Dallay, A‐L, Vulliez, L, Gubler, V, Saad Saint‐Gilles, S, Tessier, E, Le Foll, J, Viaux, S, Apter, G, Danion, A, Auer, J, and Rolland, A‐C
- Subjects
PREGNANCY ,CONTRACEPTION ,SOCIAL groups ,REPRODUCTIVE history ,ORAL contraceptives - Abstract
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. Life context can be a trigger for pregnancy denial. Life context can be a trigger for pregnancy denial. [ABSTRACT FROM AUTHOR]
- Published
- 2022
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