Factitious disorder-by-proxy simulating fetal growth restriction.
Obstet Gynecol
; 125(3): 732-734, 2015 Mar.
Article
en En
| MEDLINE
| ID: mdl-25730239
ABSTRACT
BACKGROUND:
Although a variety of presentations have been described in the literature, the true prevalence of factitious disorder, also commonly known as Münchausen syndrome, and factitious disorder-by-proxy in pregnancy is unknown. The authors present a unique case in which intrauterine fetal growth restriction was simulated through fabrication of prenatal records. CASE A 30-year-old woman, gravida 6 para 3113, was transferred at 38 4/7 weeks of gestation for severe fetal growth restriction. The clinic listed in the patient-provided prenatal record was contacted to obtain original ultrasonographic reports for verification of gestational age; however, further investigation revealed the patient had never attended this clinic nor was the ostensible treating physician ever employed there. The initial prenatal record subsequently was determined to be entirely fabricated.CONCLUSION:
In this era of extensive technologic resources, health care providers should consider the possibility of factitious disorder when patient-provided medical record-derived information is inconsistent with the clinical presentation.
Texto completo:
1
Base de datos:
MEDLINE
Asunto principal:
Síndrome de Munchausen Causado por Tercero
/
Retardo del Crecimiento Fetal
Tipo de estudio:
Risk_factors_studies
Idioma:
En
Revista:
Obstet Gynecol
Año:
2015
Tipo del documento:
Article