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Case report: specific phobia of vaginal penetration in a pregnant patient

Specific phobia is frequently unrecognized or untreated unless it causes significant impairment. In this report, we documented a rare case of a pregnant patient who had a specific fear related to vaginal penetration. Due to abnormal fetal cardiac development in the second trimester, the patient was...

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Autores principales: Geng, Wenqi, Cao, Jinya, Jin, Li, Wei, Jing
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Frontiers Media S.A. 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10427344/
https://www.ncbi.nlm.nih.gov/pubmed/37593448
http://dx.doi.org/10.3389/fpsyt.2023.1218900
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author Geng, Wenqi
Cao, Jinya
Jin, Li
Wei, Jing
author_facet Geng, Wenqi
Cao, Jinya
Jin, Li
Wei, Jing
author_sort Geng, Wenqi
collection PubMed
description Specific phobia is frequently unrecognized or untreated unless it causes significant impairment. In this report, we documented a rare case of a pregnant patient who had a specific fear related to vaginal penetration. Due to abnormal fetal cardiac development in the second trimester, the patient was admitted for termination of pregnancy. The patient’s persistent request for surgical termination via cesarean delivery prompted the obstetrician to seek psychiatric consultation for tokophobia, a labor- and childbirth-related phobia. The consulting psychiatrist discovered that the patient had developed a significant fear of vaginal penetration during adolescence. Throughout the extended period of this specific phobia, the patient established a range of avoidance strategies. Had it not been for the unforeseen need for abortion, her phobia may not have been identified. Psychoeducation on specific phobias, exposure therapy, muscle relaxation techniques, and the administration of anxiolytics were implemented. The pregnancy was terminated through a vaginal labor induction procedure 2 days later. Collaboration across disciplines is necessary to support a thorough assessment of obstetric patients who express hesitancy toward vaginal delivery.
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spelling pubmed-104273442023-08-17 Case report: specific phobia of vaginal penetration in a pregnant patient Geng, Wenqi Cao, Jinya Jin, Li Wei, Jing Front Psychiatry Psychiatry Specific phobia is frequently unrecognized or untreated unless it causes significant impairment. In this report, we documented a rare case of a pregnant patient who had a specific fear related to vaginal penetration. Due to abnormal fetal cardiac development in the second trimester, the patient was admitted for termination of pregnancy. The patient’s persistent request for surgical termination via cesarean delivery prompted the obstetrician to seek psychiatric consultation for tokophobia, a labor- and childbirth-related phobia. The consulting psychiatrist discovered that the patient had developed a significant fear of vaginal penetration during adolescence. Throughout the extended period of this specific phobia, the patient established a range of avoidance strategies. Had it not been for the unforeseen need for abortion, her phobia may not have been identified. Psychoeducation on specific phobias, exposure therapy, muscle relaxation techniques, and the administration of anxiolytics were implemented. The pregnancy was terminated through a vaginal labor induction procedure 2 days later. Collaboration across disciplines is necessary to support a thorough assessment of obstetric patients who express hesitancy toward vaginal delivery. Frontiers Media S.A. 2023-08-01 /pmc/articles/PMC10427344/ /pubmed/37593448 http://dx.doi.org/10.3389/fpsyt.2023.1218900 Text en Copyright © 2023 Geng, Cao, Jin and Wei. https://creativecommons.org/licenses/by/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
spellingShingle Psychiatry
Geng, Wenqi
Cao, Jinya
Jin, Li
Wei, Jing
Case report: specific phobia of vaginal penetration in a pregnant patient
title Case report: specific phobia of vaginal penetration in a pregnant patient
title_full Case report: specific phobia of vaginal penetration in a pregnant patient
title_fullStr Case report: specific phobia of vaginal penetration in a pregnant patient
title_full_unstemmed Case report: specific phobia of vaginal penetration in a pregnant patient
title_short Case report: specific phobia of vaginal penetration in a pregnant patient
title_sort case report: specific phobia of vaginal penetration in a pregnant patient
topic Psychiatry
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10427344/
https://www.ncbi.nlm.nih.gov/pubmed/37593448
http://dx.doi.org/10.3389/fpsyt.2023.1218900
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