“Which baby?”: a qualitative study exploring the fantasies about the unborn baby among women with hyperemesis gravidarum

This study aims to explore the conscious fantasies about the unborn baby among women experiencing hyperemesis gravidarum and identify possible clinical implications. Fourteen inpatient women with moderate to severe symptoms of hyperemesis gravidarum and between the 12 and 14 weeks gestation particip...

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Main Authors: Eleni Tsalkitzi, Panagiotis Nikolakopoulos, Evangelos Karanikas
Format: Article
Language:English
Published: Taylor & Francis Group 2021-10-01
Series:Journal of Psychosomatic Obstetrics and Gynecology
Subjects:
Online Access:http://dx.doi.org/10.1080/0167482X.2020.1750004
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author Eleni Tsalkitzi
Panagiotis Nikolakopoulos
Evangelos Karanikas
author_facet Eleni Tsalkitzi
Panagiotis Nikolakopoulos
Evangelos Karanikas
author_sort Eleni Tsalkitzi
collection DOAJ
description This study aims to explore the conscious fantasies about the unborn baby among women experiencing hyperemesis gravidarum and identify possible clinical implications. Fourteen inpatient women with moderate to severe symptoms of hyperemesis gravidarum and between the 12 and 14 weeks gestation participated in semi-structured interviews. Analysis of the transcripts revealed escape and aggression fantasies about the baby, denial of fantasies in the categories tested (name, sex, external and internal characteristics of the baby), freezing of the maternal-fetus bond, and ambivalence toward the continuation of the pregnancy. Neither the severity of symptoms nor the stated quality of life mediated the results. These findings suggest that the discussion and reframing of fantasies can be proven helpful and relieving for the women facing any pregnancy complication. Toward achieving a multidisciplinary approach, the variable of fantasy should be considered among others.
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spelling doaj.art-c91100bdbe5f4404afd1e561573abeeb2023-09-14T12:44:01ZengTaylor & Francis GroupJournal of Psychosomatic Obstetrics and Gynecology0167-482X1743-89422021-10-0142432032710.1080/0167482X.2020.17500041750004“Which baby?”: a qualitative study exploring the fantasies about the unborn baby among women with hyperemesis gravidarumEleni Tsalkitzi0Panagiotis Nikolakopoulos1Evangelos Karanikas2Department of Psychiatry, 424 General Military Hospital of Thessaloniki1rst Department of Obstetrics and Gynecology, School of Medicine, Aristotle University of ThessalonikiDepartment of Psychiatry, 424 General Military Hospital of ThessalonikiThis study aims to explore the conscious fantasies about the unborn baby among women experiencing hyperemesis gravidarum and identify possible clinical implications. Fourteen inpatient women with moderate to severe symptoms of hyperemesis gravidarum and between the 12 and 14 weeks gestation participated in semi-structured interviews. Analysis of the transcripts revealed escape and aggression fantasies about the baby, denial of fantasies in the categories tested (name, sex, external and internal characteristics of the baby), freezing of the maternal-fetus bond, and ambivalence toward the continuation of the pregnancy. Neither the severity of symptoms nor the stated quality of life mediated the results. These findings suggest that the discussion and reframing of fantasies can be proven helpful and relieving for the women facing any pregnancy complication. Toward achieving a multidisciplinary approach, the variable of fantasy should be considered among others.http://dx.doi.org/10.1080/0167482X.2020.1750004qualitative methodspsychotherapy researchpregnancyhealth psychologyperinatal metal health
spellingShingle Eleni Tsalkitzi
Panagiotis Nikolakopoulos
Evangelos Karanikas
“Which baby?”: a qualitative study exploring the fantasies about the unborn baby among women with hyperemesis gravidarum
Journal of Psychosomatic Obstetrics and Gynecology
qualitative methods
psychotherapy research
pregnancy
health psychology
perinatal metal health
title “Which baby?”: a qualitative study exploring the fantasies about the unborn baby among women with hyperemesis gravidarum
title_full “Which baby?”: a qualitative study exploring the fantasies about the unborn baby among women with hyperemesis gravidarum
title_fullStr “Which baby?”: a qualitative study exploring the fantasies about the unborn baby among women with hyperemesis gravidarum
title_full_unstemmed “Which baby?”: a qualitative study exploring the fantasies about the unborn baby among women with hyperemesis gravidarum
title_short “Which baby?”: a qualitative study exploring the fantasies about the unborn baby among women with hyperemesis gravidarum
title_sort which baby a qualitative study exploring the fantasies about the unborn baby among women with hyperemesis gravidarum
topic qualitative methods
psychotherapy research
pregnancy
health psychology
perinatal metal health
url http://dx.doi.org/10.1080/0167482X.2020.1750004
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