Abstract

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.

摘要

本研究旨在探讨妊娠剧吐女性对未出生婴儿的有意识幻想，并确定可能的临床意义。14 名有中度至重度妊娠剧吐症状且妊娠 12 至 14 周的住院妇女参加了半结构化访谈。对成绩单的分析揭示了对婴儿的逃避和攻击性幻想，否认所测试类别的幻想（婴儿的姓名、性别、外部和内部特征）、母婴关系的僵化以及对继续怀孕的矛盾心理. 症状的严重程度和规定的生活质量均不影响结果。这些研究结果表明，对幻想的讨论和重构可以证明对面临任何妊娠并发症的女性有帮助和缓解作用。为了实现多学科方法，应考虑幻想变量。