Sometimes a woman of reproductive age may think she is pregnant when in fact she is not. A number of factors may contribute to this belief.


Psychological factors:

(1) conversion reaction for severe depression

(2) reaction to some form of abuse or deprivation


Cultural beliefs:

(1) importance of a woman having children


Physiologic changes:

(1) secondary amenorrhea

(2) neuroendocrine changes associated with severe distress

(3) "morning sickness"

(4) intra-abdominal symptoms


Medical care:

(1) lack or avoidance of medical care


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