Pseudolabor: A New Conversion Disorder Subtype? A Case Presentation and Literature Review
David Lyman
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Pseudolabor is not a recognized conversion disorder subtype.
The diagnosis of conversion disorder is suspected when a patient
presents with symptoms under voluntary control that mimic a
neurologic or medical condition. The term pseudolabor was
first used in 1994 to describe a patient who presented at 27
weeks' gestation with monitored contraction activity and no
palpable uterine contractions. A second case is presented herein.
Both patients were initially managed as though they had preterm
labor or uterine irritability with minimal cervical changes. The
diagnosis was suspected only after each patient failed to respond
to aggressive tocolysis. On external tocodynamometry,
contractions were abrupt in onset and abrupt in descent. Only
after palpating abdominal contractions and not uterine
contractions did the attending physicians makethe correct
diagnosis. The development of pseudolabor in a patient with
previously diagnosed pseudoseizures suggests that the condition
was conversion disorder. The prevalence of pseudolabor is unknown
and may be underestimated: electronic fetal monitoring has
minimized the need to palpate uterine contractions in the
laboring patient. The diagnosis of pseudolabor as a subtype of
conversion disorder should be considered in any patient who
presents with recurrent preterm uterine contractions, no (or
minimal) cervical changes, and an atypical contraction pattern.
Prim Care Companion J Clin Psychiatry 2004;6(2):61-64
https://doi.org/10.4088/PCC.v06n0203
© Copyright 2004 Physicians Postgraduate Press, Inc.
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