XXXX of Gravida Status: False and Denied Pregnancies.

@entity1 @entity4478 @entity15342 @entity5539 @entity130
OBJECTIVE: The authors review the literature on two dramatic @entity5539 of reproduction and offer a potential classification of pregnancy denial. METHOD: Information on false and denied pregnancies is summarized by comparing the descriptions, differential diagnoses, epidemiology, @entity1 characteristics, psychological factors, abdominal tone, and neuroendocrinology. Pregnancy denial's association with neonaticide is reviewed. RESULTS: False and denied pregnancies have fooled @entity1 , families, and doctors for centuries as the body obscures her true condition. Improvements in pregnancy testing have decreased reports of false pregnancy. However, recent data suggests 1/475 pregnancies are denied to 20 weeks, and 1/2455 may go undiagnosed to delivery. Factors that may contribute to the unconscious deception include @entity15342 , persistent corpus luteum function, and reduced availability of biogenic @entity4478 in false pregnancy, and posture, fetal position, and corpus luteum insufficiency in denied pregnancy. For each condition, there are multiple reports in which the body reveals her true pregnancy status as soon as the @entity1 is convinced of her diagnosis. Forensic literature on denied pregnancy focused on the @entity1 's rejection of motherhood, while psychiatric studies have revealed that @entity130 and dissociation drive her denial. CONCLUSIONS: False pregnancy has firm grounding as a classic @entity5539 . Pregnancy denial's association with neonaticide has led to misleading forensic data, which obscures the central role of @entity130 and dissociation. A reappraisal of pregnancy denial confirms it as the somatic inverse of false pregnancy. With that perspective, clinicians can help @entity1 understand their pregnancy status to avoid unexpected deliveries with tragic outcomes.
