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Factitious disorder in pregnancy is rare and difficult to diagnose. This case highlights how fabricated prenatal records can simulate fetal growth restriction, emphasizing the need for careful verification of medical information.

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Area of Science:

  • Obstetrics and Gynecology
  • Psychiatry

Background:

  • Factitious disorder, including Münchausen syndrome, presents unique challenges in pregnancy.
  • The prevalence of factitious disorder during gestation remains largely unknown.
  • This report details a unique case involving simulated intrauterine fetal growth restriction.

Observation:

  • A 30-year-old pregnant woman presented with severe fetal growth restriction at 38 weeks gestation.
  • Her provided prenatal records, including ultrasonographic reports, were found to be entirely fabricated.
  • The patient had never attended the clinic listed on her records, nor was the physician employed there.

Findings:

  • Fabrication of prenatal medical records can convincingly simulate conditions like fetal growth restriction.
  • Verification of patient-provided medical history is crucial, especially when clinical presentation is inconsistent.
  • This case underscores the deceptive nature of factitious disorder in a prenatal context.

Implications:

  • Healthcare providers must maintain a high index of suspicion for factitious disorder in pregnancy.
  • Thorough verification of all patient-supplied medical documentation is essential.
  • Recognizing fabricated evidence is critical for accurate diagnosis and appropriate patient management.