@article{ref1,
title="Munchausen syndrome by proxy--a cause of preterm delivery",
journal="Medical journal of Australia",
year="1992",
author="Goss, P. W. and McDougall, P. N.",
volume="157",
number="11-12",
pages="814-817",
abstract="OBJECTIVE: To present the first case of Munchausen syndrome by proxy involving self-induced preterm delivery. CLINICAL FEATURES: A 27-year-old Caucasian woman induced antepartum haemorrhage and rupture of membranes with a knitting needle at 26 weeks' gestation, leading to delivery of the infant. This &quot;prenatal child abuse&quot; led to a prolonged intensive care stay, extensive treatment and subsequent bronchopulmonary dysplasia. As the child recovered from the effects of extreme prematurity, he became a victim of fabricated illness and recurrent smothering episodes. INTERVENTION AND OUTCOME: After the diagnosis of Munchausen syndrome by proxy was made, the child was removed from the mother and he has since enjoyed good health. CONCLUSION: Self-induction of antepartum haemorrhage can lead to preterm delivery and may be recognisable by certain clinical parameters. The victim of self-induced preterm delivery, if survival ensues, may be subject to further abuse.<p /> <p>Language: en</p>",
language="en",
issn="0025-729X",
doi="",
url="http://dx.doi.org/"
}