Free University of Brussels, ULB, La Plaine SSM-ULB: Campus de la Plaine, Boulevard du Triomphe, accès n 2, bâtiment HB, 1050 Bruxelles, Belgium,
Psychiatr Danub. 2021 Summer;33(2):140-146. doi: 10.24869/psyd.2021.140.
Denial of Pregnancy is a women's subjective lack of awareness of being pregnant. It can be partial (from 20 weeks but lifted before delivery) or complete (the women notice she's pregnant when labour starts). The prevalence is around 1/500 for partial denial and 1/2500 for complete denial. This article's aim is to review the literature broadly on the subject of pregnancy denial, its psychopathological hypothesis and the state of knowledge on the outcome for mothers and children.
26 references have been selected bases on a research on pubmed database and through bibliography on the selected papers.
Despite a lot of psychopathological hypothesis and some epidemiological studies, no objective knowledge can lead to know what kind of women will deny their pregnancy and how to prevent it. After all the studies on mother characteristics, it seems there are no "clear-cut" explanations on why a woman denies a pregnancy or what type of women could be at risk of denial. There are no official guidelines on how to manage the condition and care for the patient long term. The first elements of research on the developmental outcome for infant seem to show a delay in psychomotor skills and possible speech disorder. They have been significant advancement on the subject of children development after pregnancy denial in the last year but the psychological and developmental impact of pregnancy denial on children and mothers is still majorly unknown. With a clinical picture known for so long, to have so little objective information on how to manage it and on the possible consequences is surprising.
More research needs to be conducted to objectively know the long term effects of pregnancy denial on the whole family. International consensus should be found on the definition and care management of pregnancy denial.
否认妊娠是指女性对妊娠缺乏主观意识。它可以是部分否认（从 20 周开始，但在分娩前解除）或完全否认（女性在分娩开始时才注意到自己怀孕）。部分否认的患病率约为 1/500，完全否认的患病率约为 1/2500。本文旨在全面回顾关于妊娠否认的文献，探讨其心理病理学假说以及母婴结局的现有知识。
基于对 PubMed 数据库的研究和对选定论文的文献综述，共选择了 26 篇参考文献。
尽管有大量的心理病理学假说和一些流行病学研究，但没有客观知识可以帮助我们了解哪些女性会否认妊娠以及如何预防这种情况。在对母亲特征的所有研究之后，似乎没有关于女性否认妊娠的原因或哪些类型的女性可能有否认妊娠风险的“明确”解释。对于如何管理这种情况和长期照顾患者，目前没有官方指南。关于婴儿发育结局的研究初步表明，否认妊娠后婴儿的运动技能和语言发育可能会出现延迟。在过去一年中，对妊娠否认后儿童发展的研究取得了重大进展，但妊娠否认对儿童和母亲的心理和发育影响仍知之甚少。尽管对这种临床表现已经有了很长时间的认识，但对于如何管理它以及可能的后果，我们的客观信息却如此有限，这令人惊讶。
需要进行更多的研究，以客观了解妊娠否认对整个家庭的长期影响。应就妊娠否认的定义和护理管理达成国际共识。
