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[Denial of pregnancy: focus on clinical specificities]
1Département de psychiatrie, hôpital La Pitié-Salpêtrière, Sorbonne Université, AP-HP, Paris, France - Département de philosophie, unité de recherche SND, Sorbonne Université, CNRS, Paris, France - Paris Brain Institute-Institut du cerveau (ICM), Sorbonne Université, CNRS-INSERM, Paris, France.
Denial Of Pregnancy:
FOCUS ON CLINICAL SPECIFICITIES Denial of pregnancy corresponds to an evolving pregnan¬cy without the woman being aware of being pregnant. It is generally associated with an absence of gravidic signs such as amenorrhea, abdominal swelling, breast tension, morning sickness, or maternal perception of fetal move¬ments. Although this phenomenon is not well known and is sometimes considered a myth by the medical world, it represents a significant public health problem. Indeed, the lack of obstetric monitoring and preparation for pa¬renthood are the cause of maternal, fetal and neonatal morbidity. The discovery of a denial of pregnancy should lead to the exploration of its clinical characteristics, its risk factors and the keys to its management. Although its causes are still unknown, recent discoveries in the neu¬roscience of maternal interoception could provide a better understanding of this phenomenon.
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