Delusion of Pregnancy: A Case Report and Literature Review

Das, Soumitra; Prasad, Sakshi; Kumar, Shivakumar Ajay; Makonyonga, Rutendo Denise; Saadoun, Mayada; Mergler, Reid

doi:10.1177/11795476231161169

Cited by 4 publications

(5 citation statements)

References 32 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…However, regular prolactin level monitoring is still recommended. [ 1 , 12 ] Soygür et al, [ 33 ] in their case report published in 2013, successfully used melperone (an atypical butyrophenone, with marked central D2 receptor antagonist property and minimal propensity to cause hyperprolactinemia) to treat a patient with organic delusional syndrome induced by hyperprolactinemia secondary to hypophyseal microadenoma.…”

Section: Discussionmentioning

confidence: 99%

“…[ 1 , 32 , 34 ] Currently, literature to establish long-term effectiveness of ECT is lacking. [ 1 ] Dua and Grover,[ 34 ] reported a patient of recurrent depressive disorder, current episode severe with psychotic symptoms (ICD-10; F33.3); the psychotic symptoms being delusion of pregnancy, who was managed with modified ECT along with olanzapine and sertraline. The patient received six bitemporal modified ECTs, with resultant improvement in her depressive symptoms.…”

Section: Discussionmentioning

confidence: 99%

“…Delusion of pregnancy is defined as a firm and fixed belief that one is pregnant despite concrete evidence to the contrary – absence of physical signs and symptoms indicative of pregnancy and negative confirmatory tests. [ 1 , 2 ] The term is used when there are no obvious physical signs of pregnancy, which differentiates it from pseudocyesis (phantom pregnancy), a somatic condition in which all signs and symptoms of pregnancy (including abdominal swelling, spotting, breast tenderness and engorgement, weight gain, and galactorrhea) are present in the absence of a fetus. [ 3 , 4 ]…”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Delusion of pregnancy: Case series

Sharma,

Singh,

Sahu

et al. 2024

Indian Journal of Psychiatry

View full text Add to dashboard Cite

Delusion of pregnancy is a relatively uncommon manifestation in psychotic patients. Differentiating it from closely related clinical entities like pseudocyesis/pseudopregnancy can be a challenge in clinical setting. Diagnosis of a psychotic illness with delusional pregnancy as the presenting feature in the absence of other florid symptoms of psychosis is a different challenge altogether. Currently, there is no consensus on the pharmacotherapy and psychotherapy of delusional pregnancy. We present a case series on delusional pregnancy with the intent to answer some of these gaps in the literature.

show abstract

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Delusion of pregnancy: Case series

Sharma,

Singh,

Sahu

et al. 2024

Indian Journal of Psychiatry

View full text Add to dashboard Cite

show abstract

“…Delusion of Pregnancy is applied when there are no obvious physical signs of pregnancy, a distinct feature used to differentiate it from pseudocyesis, a somatic condition of having all signs and symptoms of pregnancy in the absence of a fetus [12].…”

Section: Discussionmentioning

confidence: 99%

Pseudoceysis False Pregnancy in 25-Year-Old with Anxiety: A Case Report

Junio,

Amin

2023

Advances in Health Sciences Research

View full text Add to dashboard Cite

BackgroundSomatoform disorder is a disorder characterized by the presence of multiple symptoms that cannot be explained or proven as physical symptoms. Patients with this disorder often undergo examinations and consultations with various healthcare centres about their complaints [1]. Doctors on duty in the emergency department often misdiagnose this disorder with other diagnoses. This can happen because of the need for more time to examine a patient in detail and thoroughly [2]. To establish a diagnosis of somatoform disorder, doctors require an elimination process to exclude symptoms and consider differential diagnoses for each symptom and sign, resulting in the somatoform diagnosis often being missed. The consequences of the imprecise diagnosis process of somatoform disorder on the first visit result in patients receiving a physical diagnosis that then encourages patients to focus on treating the organic disease [3]. Case report:This report discusses a 25-year-old married woman who has complaints of anxiety about her pregnancy. The patient insists that she is pregnant even though she has consulted several obstetricians. The complaints first appeared about three years ago since the beginning of her marriage. The complaints started when her family pressured the patient to have a child. The patient also complained of other symptoms, such as pain in several parts of her body, nausea, vomiting, intolerance to certain foods, and difficulty urinating despite having a strong urge to urinate. These complaints co-occurred with the patient's anxiety about her pregnancy. The patient has no history of psychiatric disorders use of illegal drugs, alcohol, or smoking. Conclusion:Somatoform disorders are characterized by one or more somatic symptoms or fear of a serious illness in the absence of physical symptoms, resulting in significant distress or functional impairment. This condition is marked by symptoms that are believed and unquestioned by the patient and have been ongoing for years. Patients with somatoform disorders may also experience symptoms from other organ systems. In this condition, there are psychological stressors that can trigger these symptoms. These symptoms are not influenced by illicit drugs, alcohol, and nicotine use.

show abstract

“…Antipsychotic-induced hyperprolactinemia results in amenorrhea, breast swelling and tenderness, galactorrhea, and weight gain-characteristic signs of pregnancy [74,75]. As a consequence, when a woman prone to delusions is treated with antipsychotics that raise prolactin levels, a delusion of being pregnant (especially if this has been a secret, fervent wish, or, perhaps, a fearful apprehension) is not difficult to intuitively understand.…”

Section: • Delusional Pregnancymentioning

confidence: 99%

Grappling with Issues of Motherhood for Women with Schizophrenia

Seeman

2023

Healthcare

View full text Add to dashboard Cite

Despite the fact that most persons with schizophrenia find steady employment difficult to sustain, many women with this diagnosis embrace and fulfill the most difficult task of all—motherhood. The aim of this paper is to specify the challenges of motherhood in this population and review the treatment strategies needed to keep mothers and children safe, protecting health and fostering growth. The review addresses concerns that had been brought to the author’s earlier attention during her clinical involvement with an outpatient clinic for women with psychosis. It is, thus, a non-systematic, narrative review of topic areas subjectively assessed as essential to “good enough” mothering in the context of schizophrenia. Questions explored are the stigma against motherhood in this population, mothers’ painful choices, issues of contraception, abortion, child custody, foster care and kin placement of children, the effects of antipsychotics, specific perinatal delusional syndromes, and, finally, the availability of parental support. This review is intended for clinicians. Recommendations are that care providers work collaboratively with mothers, take note of their strengths as well as their failings, offer a wide array of family services, monitor households closely for safety and for treatment adherence, appreciating the many challenges women with schizophrenia face daily.

show abstract

Delusion of Pregnancy: A Case Report and Literature Review

Cited by 4 publications

References 32 publications

Delusion of pregnancy: Case series

Delusion of pregnancy: Case series

Pseudoceysis False Pregnancy in 25-Year-Old with Anxiety: A Case Report

Grappling with Issues of Motherhood for Women with Schizophrenia

Contact Info

Product

Resources

About