The possible occurrence of fetal abuse in expectant mothers has receiv
ed little attention in either clinical practice or in research. Five c
ases with reported fetal abuse are presented. Each case suffered from
depression and four of the five women had unplanned pregnancies and ha
d considered a termination of pregnancy. Other possible factors associ
ated with fetal abuse included: denial of the pregnancy, ambivalence t
owards the pregnancy, previous postpartum depression, and relationship
difficulties. Enquiry of possible fetal abuse in pregnant women shoul
d be made, particularly if a depressive illness is demonstrated. The r
elationship between fetal abuse and subsequent child abuse remains unc
lear. Copyright (C) 1997 Elsevier Science Ltd.