Delusion of Pregnancy in a 60 Years Old Lady
American Journal of Psychiatry and Neuroscience
Volume 7, Issue 2, June 2019, Pages: 30-32
Received: May 7, 2019; Accepted: Jun. 6, 2019; Published: Jun. 20, 2019
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Madhurima Khasnobis, Department of Psychiatry, Silchar Medical College, Silchar, India
Prosenjit Ghosh, Department of Psychiatry, Silchar Medical College, Silchar, India
Hasina Anjuman Choudhury, Department of Psychiatry, Silchar Medical College, Silchar, India
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BACKGROUND-The delusion of pregnancy is a condition where the person strongly believes that he/she is pregnant in spite of providing enough evidence to the contrary. Though previously it was considered rare, the number of such cases are gradually increasing in developing countries but the literature regarding this is very meagre in India particularly in the North-East. METHOD - In this article we report the unique case of a 60yrs old woman from rural Assam who developed delusion of pregnancy following her menopause thirteen years back, which has been continuing ever since. RESULT- A 60ys old woman presented in the OPD of Tertiary Care Hospital with feelings of movement of foetus in her womb. This was also associated with tremulousness of whole body, burning sensation of both lower limbs, palpitation, irritability and disturbed sleep for 13yrs with episodic exacerbation currently increased for 4-5months. She was a housewife, completed her family and lived with her husband and three children. She was apparently well 13yrs back when following her menopause at age 42yrs she started to doubt if she is pregnant or not. Multiple gynaecologists’ opinion was taken but that did not convince her and she continued to believe she was pregnant and felt the movement of the baby inside her womb. CONCLUSION - Although these kinds of patient visit the obstetrician first but historically and clinically this type of delusion of pregnancy is clearly different from the phenomenon of pseudocyesis. Hence treatment approach of both are also different. We need further research to explore this rarely reported phenomenon.
Delusion, Delusion of Pregnancy, Pseudocyesis, Elderly Woman, Postmenopausal, Shrunken Foetus, Antipsychotics
To cite this article
Madhurima Khasnobis, Prosenjit Ghosh, Hasina Anjuman Choudhury, Delusion of Pregnancy in a 60 Years Old Lady, American Journal of Psychiatry and Neuroscience. Vol. 7, No. 2, 2019, pp. 30-32. doi: 10.11648/j.ajpn.20190702.11
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This article is an open access article distributed under the Creative Commons Attribution License ( which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
Manjunatha N, Sarma PK, Math SB, Chaturvedi SK. Delusional procreation syndrome: A psychopathology in procreation of human beings. Asian J Psychiatr. 2010; 3: 84–6.
Manjunatha N, Reddy KS, Renuka Devi NR, Rawat V, Bijjal S, Kumar CN, et al. Delusion of polygamy in proxy: An addition to delusional procreation syndrome. Indian J Psychiatr. 2011; 53: 266–9.
Viswanath B, Kamath A, Goswami K, Taksal A, Thippeswamy H, Chaturvedi SK. Delusion of paternity. Aust N Z J Psychiatr. 2012; 46: 175.
Manoj PN, John JP, Gandhi A, Kewalramani M, Murthy P, Chaturvedi SK, et al. Delusion of test-tube pregnancy in a sexually abused girl. Psychopathology. 2004; 37: 152–4.
Harland RF, Warner NJ. Delusions of pregnancy in the elderly. Int J Geriatr Psychiatry 1997; 12: 115–7.
Curran GSM, Pugh RE. Delusions of pregnancy and delivery in elderly women. Int J Geriatr Psychiatry 1995; 12: 1075–6.
Camus V, Schmitt L, Foulon C, Lima CA, Wertheimer J. Pregnancy delusions in elderly depressed women: a clinical feature of Cotard’s syndrome? Int J Geriatr Psychiatry 1995; 10: 1071–3.
Cipriani G, Di Fiorino M. Delusion of pregnancy: an unusual symptom in the context of dementia. Am J Alzheimer Dis 2015; 30: 341–5.
Patricia Guilfoyle, Helen O’Brien, Shaun T. O’Keeffe, Delusions of pregnancy in older women;a case series, Age and Ageing, Volume 44, Issue 6, November 2015, Pages 1058-1061.
American Psychiatric Association. Diagnostic and Statistical Manual of Mental Disorders: DSM-5. Washington, DC: American Psychiatric Association, 2013.
Tarín JJ, Hermenegildo C, García-Pérez MA, Cano A. Endocrinology and physiology of pseudocyesis. Reprod Biol Endocrinol 2013; 11: 1186.
Seeman MV. Pseudocyesis, delusional pregnancy, and psychosis: the birth of a delusion. World J Clin Cases 2014; 2: 338–44.
Dutta S, Vankar GK. Delusions of pregnancy-a report of four cases. Indian journal of psychiatry. 1996 Oct; 38 (4): 254.
De Pauw KW. Three Thousand Days of Pregnancy: A Case of Monosymptomatic Delusional Pseudocyesis Responding to Pimozide. British Journal of Psychiatry. Cambridge University Press; 1990; 157 (6): 924–8.
Enoch MD, Trethowan SW, BARKER J. The couvade syndrome. Uncommon Psychiatric Syndromes,. 1991: 92-111.
Hardwick PJ, Fitzpatrick C. Fear, folie and phantom pregnancy: pseudocyesis in a fifteen-year-old girl. The British Journal of Psychiatry. 1981 Dec; 139 (6): 558-62.
Chaturvedi SK. Delusions of pregnancy in men: case report and review of the literature. The British Journal of Psychiatry. 1989 May; 154 (5): 716-8.
Cramer B. Delusion of pregnancy in a girl with drug-induced lactation. American Journal of Psychiatry. 1971 Jan; 127 (7): 960-3.
Chengappa KNR, Steingard S, Brar JS, Keshavan MS. Delusions of pregnancy in men. British Journal of Psychiatry. Cambridge University Press; 1989; 155 (3): 422–3.
Shankar R. Delusion of pregnancy in schizophrenia. The British Journal of Psychiatry. 1991 Aug; 159 (2): 285-6.
Bitton G, Thibaut F, Lefevre-Lesage I. Delusions of pregnancy in a man. The American journal of psychiatry. 1991 Jun;148:811–812
Michael A, Joseph A, Pallen A. Delusions of pregnancy. The British Journal of Psychiatry. 1994; 164 (2): 244-6.
Sims A. Symptoms in the mind: An introduction to descriptive psychopathology. Bailliere Tindall Publishers; 1988.
Bhagyashree H. Gaikwad, Amit R. Dharmadhikari, Alka A. Subramanyam, Jahnavi S. Kedare, Ravindra M. Kamath. Delusion of pregnancy in a 70‑year‑old male. Indian Journal of Psychiatry. 2017; 59 (1):130.
Sagar Chandra Bera, Siddharth Sarkar. Delusion of Pregnancy: A Systematic Review of 84 Cases in the Literature. Indian Journal of Psychological Medicine. 2015; 37 (2): 131-137.
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