By Dr Nada L Stotland M.D., Donna E Stewart
Within the decade because the first version of this paintings was once released, an important array of reproductive applied sciences and linked matters has emerged. Obstetricians and gynecologists are hard-pressed to house the startling breadth and intensity of those concerns, which require mastery over a frightening blend of ever-increasing clinical wisdom, technical abilities, lengthy hours, felony legal responsibility, and publicity to scientific occasions of overwhelming emotional depth. Psychiatrists have a necessary function to play in aiding obstetricians and gynecologists deal with a number of difficulties whose resolutions require not only technical ability, but additionally wisdom of biology, psychology, sociology, anthropology, ethics, and legislation. for instance, to layout and enforce concepts to lessen the transmission of HIV, psychiatrists might paintings with public medical examiners to include the psychology, sociology, and anthropology of girl reproductive habit. Psychiatrists may possibly likewise enhance the analysis and therapy of breast and pelvic malignancies through elucidating the criteria that deter ladies from self-examination and normal clinical screening and increase therapy compliance. Divided into 3 sections, this medical and theoretical sourcebook addresses each significant quarter of up to date crisis. -Pregnancy covers subject matters from the psychology of standard gestation to actual and psychiatric problems in the course of and after being pregnant, together with new prenatal diagnostic thoughts and the dynamic matters that emerge whilst abnormalities are detected, and using psychotropic medicinal drugs and electroconvulsive treatment in pregnant and lactating sufferers. -Gynecology discusses not just universal gynecologic difficulties but additionally extra arguable concerns similar to brought about abortion and the hot reproductive applied sciences, together with the function of the menstrual cycle in exacerbating and precipitating psychologic signs, the psychiatric facets of menopause, the evaluate and administration of continual pelvic discomfort, the psychosocial concomitants of gynecologic malignancies and the emotional calls for at the oncology group, and the precise implications of HIV/AIDS. -General concerns bargains a large, balanced view of themes not often present in the literature, equivalent to men's reactions to women's reproductive occasions, substance abuse and consuming problems, sexual and actual abuse (often a part of the histories of sufferers with character issues and posttraumatic pressure disorders), moral and criminal matters, and healthiness take care of lesbian sufferers. Of specified value is Dr. Stotland's bankruptcy on how consultation-liaison companies are supplied to obstetrics and gynecology prone. This sensible and scholarly quantity is outstandingly necessary as a instructing reference for clinical and different overall healthiness care scholars and citizens in psychiatry and obstetrics and gynecology. It additionally offers a necessary source for the clinician operating to enhance the mental overall healthiness of girls sufferers.
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Additional info for Psychological Aspects of Women's Health Care: The Interface Between Psychiatry and Obstetrics and Gynecology
Landon MB, Gabbe SG: Diabetes mellitus and pregnancy. Obstet Gynecol Clin North Am 19:633–651, 1992 Leifer M: Psychological changes accompanying pregnancy and motherhood. Genet Psychol Monogr 95:55–96, 1977 Lester EP, Notman MT: Pregnancy, developmental crisis, and object relations: psychoanalytic considerations. Int J Psychoanal 67:357–366, 1986 Mabie WC, Sibai BM: Hypertensive states of pregnancy, in Current Obstetric and Gynecologic Diagnosis and Treatment. Edited by Decherney AH, Pernoll ML.
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Unique to HIV is the meaning of the disease in our culture and the stigmatization and shame that come with the diagnosis. De Ferrari et al. (1993a, 1993b) commented on some of the specific problems associated with HIV infection, such as discrimination, social isolation, poverty, grief, and in the case of pregnant women, guilt over potentially infecting an unborn child. Because a large proportion of HIV-infected pregnant women are substance abusers, their ongoing drug dependence makes them less able to be compliant with health care, thus compounding their sense of culpability and shame.
Psychological Aspects of Women's Health Care: The Interface Between Psychiatry and Obstetrics and Gynecology by Dr Nada L Stotland M.D., Donna E Stewart