Evidence map›Paper›PMID 38151696›Full record

ArticleArchives of women's mental health2025

Restorative justice in a case of traumatic birth following an unperceived pregnancy.

Ibone Olza, Vanessa Cascante Alfaro, Claudia M Klier

Open access · hybridAbstract readCase Reports
In one paragraph

Article in Archives of women's mental health, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
0.6field-weighted citation impact, top 21% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed, 1 citations in OpenAlex.

  1. Forensic aspects of reproductive mental health: editorial.Archives of women's mental health · 2025
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

3 authors at 1 institution in 1 country.

Ibone OlzaEuropean Institute of Perinatal Mental Health, Madrid, Spain.ORCID 0000-0002-9614-9496
Vanessa Cascante AlfaroEdificio Central, Avenida Segunda, 225m, Este de La C.C.S.S, San José, Costa Rica.
Claudia M KlierDepartment of Child and Adolescent Medicine, CCP Comprehensive Center of Pediatrics, Medical University of Vienna, Währinger Gürtel 18-20, 1090, Vienna, Austria. claudia.klier@meduniwien.ac.at.ORCID 0000-0003-0696-8904
Medical University of Vienna · AT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposePregnancy can be denied or better "unperceived" by women in up to 1:300 pregnancies and poses the mother and her unborn at high risk when an unassisted birth follows. The importance of recognizing unperceived pregnancy and the risk of unassisted births for both mothers and their babies are described.

methodsDescription of a case of unperceived pregnancy and traumatic unassisted birth.

resultsA pregnant woman was not diagnosed in a clinic despite being at the verge of giving birth. She was turned away, was on her way to another hospital, and gave birth in a toilet in a dissociative state. The baby survived, but the mother was declared guilty of attempted manslaughter and received a 6-year prison sentence. The expertise of a perinatal psychiatrist reversed the verdict and the court apologized to the mother, now living with her son.

conclusionsThis case shows the severe consequences when pregnancy and labor are not recognized by health professionals. The reversal of the original sentence is considered a pioneer case of restorative justice in the context of unperceived pregnancy and obstetric violence. Health providers and courts need to be informed by perinatal mental health professionals about the impact of unperceived pregnancy and obstetric violence.

Indexed as

Dissociative DisordersMothersParturitionPregnant PeopleAdultFemaleHumansPregnancyDenial of pregnancyDissociative disorderNeonaticideObstetric violenceRestorative justiceUnperceived pregnancy

Identifiers

PMID38151696
PMCPMC12092506
OpenAlexW4390348186

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.