Pregnancy denial: a complex symptom with life context as a trigger? A prospective case-control study
| dc.rights.license | open | en_US |
| dc.contributor.author | DELONG, H. | |
| dc.contributor.author | EUTROPE, J. | |
| dc.contributor.author | THIERRY, A. | |
| hal.structure.identifier | Bordeaux population health [BPH] | |
| dc.contributor.author | SUTTER-DALLAY, Anne-Laure | |
| dc.contributor.author | VULLIEZ, L. | |
| dc.contributor.author | GUBLER, V. | |
| dc.contributor.author | SAAD SAINT-GILLES, S. | |
| dc.contributor.author | TESSIER, E. | |
| dc.contributor.author | LE FOLL, J. | |
| dc.contributor.author | VIAUX, S. | |
| dc.contributor.author | APTER, G. | |
| dc.contributor.author | DANION, A. | |
| dc.contributor.author | AUER, J. | |
| dc.contributor.author | ROLLAND, A. C. | |
| dc.contributor.author | PREGNANCY DENIAL STUDY, Group | |
| dc.date.accessioned | 2021-10-01T10:18:11Z | |
| dc.date.available | 2021-10-01T10:18:11Z | |
| dc.date.issued | 2021-07-29 | |
| dc.identifier.issn | 1470-0328 | en_US |
| dc.identifier.uri | https://oskar-bordeaux.fr/handle/20.500.12278/112514 | |
| dc.description.abstractEn | OBJECTIVE: To identify risk factors for a woman to experience pregnancy denial. DESIGN, SETTING AND POPULATION: A French multicentric prospective case-control study with 71 mother-infant dyads having experienced a pregnancy denial versus a control group of 71 dyads. METHODS: Data were collected in the week after delivery using an observational leaflet and two psychiatric scales (MINI and QSSP). MAIN OUTCOME MEASURES: Statistically significant differences between the two groups regarding social, demographic, medical and psychiatric data. RESULTS: Not being in a stable relationship (odds ratio [OR] 17.18, 95% CI 3.37-87.60]; P < 0.0001), not having a high school diploma (OR 1.11, 95% CI 1.04-1.38]; P < 0.0001) and having a psychiatric history (OR 6.33, 95% CI 1.62-24.76; P = 0.0002) were risk factors to experience pregnancy denial, whereas being older was a protective factor (OR 0.86, 95% CI 0.79-0.93; P = 0.0054) (logistic regression, Wald 95% CI). Other risk factors included late declarations of pregnancy history and past pregnancy denials (case n = 7, 9.7% versus 0% in controls; P = 0.01), past pregnancy denials in the family (case n = 13, 18% versus control n = 4, 5.6%; P = 0.03), and use of a contraceptive method (75% for cases versus 7% in control; P < 0.0001), primarily an oral contraceptive (75%). CONCLUSION: Family or personal history of pregnancy denial should be part of the systematic anamnesis during the first visit of a patient of child-bearing age. Further, our study points out that life context (young age, single status, socio-economic precarity, pill-based contraception) could be a trigger for pregnancy denial in certain women. TWEETABLE ABSTRACT: Life context can be a trigger for pregnancy denial. | |
| dc.language.iso | EN | en_US |
| dc.rights | Attribution-NonCommercial-NoDerivs 3.0 United States | * |
| dc.rights.uri | http://creativecommons.org/licenses/by-nc-nd/3.0/us/ | * |
| dc.subject.en | Age | |
| dc.subject.en | Education | |
| dc.subject.en | Life context | |
| dc.subject.en | Marital status | |
| dc.subject.en | Newborn | |
| dc.subject.en | Pregnancy denial | |
| dc.subject.en | Psychiatric background | |
| dc.subject.en | Risk factors | |
| dc.title.en | Pregnancy denial: a complex symptom with life context as a trigger? A prospective case-control study | |
| dc.type | Article de revue | en_US |
| dc.identifier.doi | 10.1111/1471-0528.16853 | en_US |
| dc.subject.hal | Sciences du Vivant [q-bio]/Santé publique et épidémiologie | en_US |
| dc.identifier.pubmed | 34324258 | en_US |
| bordeaux.journal | BJOG: An International Journal of Obstetrics and Gynaecology | en_US |
| bordeaux.hal.laboratories | Bordeaux Population Health Research Center (BPH) - UMR 1219 | en_US |
| bordeaux.institution | Université de Bordeaux | en_US |
| bordeaux.institution | INSERM | en_US |
| bordeaux.team | PharmacoEpi-Drugs | en_US |
| bordeaux.peerReviewed | oui | en_US |
| bordeaux.inpress | non | en_US |
| bordeaux.identifier.funderID | Ministère des Solidarités et de la Santé | en_US |
| hal.export | false | |
| dc.rights.cc | Pas de Licence CC | en_US |
| bordeaux.COinS | ctx_ver=Z39.88-2004&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.jtitle=BJOG:%20An%20International%20Journal%20of%20Obstetrics%20and%20Gynaecology&rft.date=2021-07-29&rft.eissn=1470-0328&rft.issn=1470-0328&rft.au=DELONG,%20H.&EUTROPE,%20J.&THIERRY,%20A.&SUTTER-DALLAY,%20Anne-Laure&VULLIEZ,%20L.&rft.genre=article |
