Phantom fetal movement after termination of pregnancy: risk factor for pathological grief?

Abstract

Background

Phantom fetal movements (PFM) are sensations resembling fetal kicks or shifts that persist after pregnancy, including following miscarriage or termination. While PFM are commonly reported, their underlying mechanisms and psychological impact remain poorly understood. Emerging evidence suggests they may contribute to emotional distress, particularly in cases of perinatal loss.

Results

We report the case of a 37-year-old woman who developed PFM following a pregnancy termination at 29 weeks of gestation. She subsequently experienced major depression with pathological grief. The PFM were described as kicks and pressure sensations in the abdomen and ribs, which triggered anxiety and complicated the grieving process. Following the initiation of antidepressant treatment, both the intensity and frequency of the PFM progressively diminished over the course of follow-up, ultimately resolving completely.

Conclusion

This report underscores the importance of recognizing PFM as a potential contributor to post-loss distress. Further research is needed to elucidate the mechanisms underlying PFM and to develop targeted interventions for affected individuals.