Abstract
Pregnancy, in its advanced stages, would appear to be the most undeniable of states. Yet repeatedly there are women who deliver at term without having given—or aroused—any sign of recognition that they were pregnant. Unexpected deliveries happen even to multiparous women whose previous pregnancies were acknowledged. Some of these cases seem to end happily, with a woman who presented complaining of unexplained abdominal pain going home as a surprised, but contented, mother. Other cases end in tragedy, with a newborn dead in the toilet, in the trash, or literally out the window. The psychiatric explanations range from naivete to psychosis to sociopathy. But it is the obstetrician/gynecologist who is confronted with the clinical emergency and who must decide whether to call the police, the child welfare authorities, and/or the psychiatrist.
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