"I don'twant to give birth"

Clinical and ethico-legal dilemmas and the role of graded exposure therapy on an urgent basis in a post-term pregnantwoman with blood-injection-injury phobia

Daniel Teck LungWong, Lai Fong Chan, Suzaily Wahab, Aqmar Suraya Sulaiman, Muhammad Zurrusydi Zainuddin, Voon Yee Lee, Thambu Maniam

Research output: Contribution to journalArticle

Abstract

Introduction: Blood-injection-injury (BII) phobia is a common anxiety disorder that is non-fatal in most cases. Nevertheless, BII phobia in pregnancy can pose intricate medico-legal management issues. Case Presentation: A 24 year-old post-term (40 weeks + 9 days) primigravida refused induction of labour because of BII phobia, thereby presenting a serious obstetrical dilemma due to the precarious balance between patient's autonomy and the pressing risk of intrauterine death. Caesarean section was successfully performed after sessions of urgent graded exposure therapy. Conclusions: This case highlights the importance of close multidisciplinary teamwork.

Original languageEnglish
Article numbere4889
JournalIranian Journal of Psychiatry and Behavioral Sciences
Volume10
Issue number4
DOIs
Publication statusPublished - 2016

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Implosive Therapy
Phobic Disorders
Parturition
Injections
Wounds and Injuries
Induced Labor
Anxiety Disorders
Cesarean Section
Pregnancy

Keywords

  • Blood-injection-injury phobia
  • Graded exposure therapy
  • Pregnancy

ASJC Scopus subject areas

  • Psychiatry and Mental health
  • Biological Psychiatry
  • Behavioral Neuroscience

Cite this

"I don'twant to give birth" : Clinical and ethico-legal dilemmas and the role of graded exposure therapy on an urgent basis in a post-term pregnantwoman with blood-injection-injury phobia. / LungWong, Daniel Teck; Chan, Lai Fong; Wahab, Suzaily; Sulaiman, Aqmar Suraya; Zainuddin, Muhammad Zurrusydi; Lee, Voon Yee; Maniam, Thambu.

In: Iranian Journal of Psychiatry and Behavioral Sciences, Vol. 10, No. 4, e4889, 2016.

Research output: Contribution to journalArticle

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