By Dr Nada L Stotland M.D., Donna E Stewart
Within the decade because the first version of this paintings was once released, an enormous array of reproductive applied sciences and linked concerns has emerged. Obstetricians and gynecologists are hard-pressed to house the startling breadth and intensity of those concerns, which require mastery over a frightening mix of ever-increasing clinical wisdom, technical talents, lengthy hours, felony legal responsibility, and publicity to medical occasions of overwhelming emotional depth. Psychiatrists have an essential function to play in supporting obstetricians and gynecologists take care of a bunch of difficulties whose resolutions require not only technical ability, but in addition wisdom of biology, psychology, sociology, anthropology, ethics, and legislation. for instance, to layout and enforce techniques to lessen the transmission of HIV, psychiatrists might paintings with public medical examiners to include the psychology, sociology, and anthropology of woman reproductive habit. Psychiatrists might likewise enhance the analysis and remedy of breast and pelvic malignancies by means of elucidating the criteria that deter ladies from self-examination and general clinical screening and increase therapy compliance. Divided into 3 sections, this medical and theoretical sourcebook addresses each significant sector of up to date problem. -Pregnancy covers subject matters from the psychology of standard gestation to actual and psychiatric issues in the course of and after being pregnant, together with new prenatal diagnostic recommendations and the dynamic concerns that emerge whilst abnormalities are detected, and using psychotropic medications and electroconvulsive remedy in pregnant and lactating sufferers. -Gynecology discusses not just universal gynecologic difficulties but additionally extra arguable concerns similar to brought about abortion and the recent reproductive applied sciences, together with the function of the menstrual cycle in exacerbating and precipitating psychologic signs, the psychiatric elements of menopause, the evaluate and administration of persistent pelvic ache, the psychosocial concomitants of gynecologic malignancies and the emotional calls for at the oncology staff, and the specified implications of HIV/AIDS. -General matters bargains a huge, balanced view of themes infrequently present in the literature, resembling 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 future health deal with lesbian sufferers. Of distinct value is Dr. Stotland's bankruptcy on how consultation-liaison prone are supplied to obstetrics and gynecology companies. This sensible and scholarly quantity is outstandingly invaluable as a educating reference for clinical and different overall healthiness care scholars and citizens in psychiatry and obstetrics and gynecology. It additionally presents a beneficial source for the clinician operating to enhance the mental overall healthiness of girls sufferers.
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Additional resources for Psychological Aspects of Women's Health Care: The Interface Between Psychiatry and Obstetrics and Gynecology
X X X Fetal Anomaly Note. MSAFP 37 38 Psychological Aspects of Women’s Health Care, Second Edition TABLE 3–2. Prenatal diagnostic testing Type of test Early amniocentesis Time of testing (weeks of gestation) Waiting time for results (weeks) 10–14 2–3 9–12 1–2 Diagnostic ultrasound (routine screening) 18–19 Immediate Midtrimester amniocentesis 16–18 2–4 Maternal serum screening 15–21 1 Chorionic villus sampling Serum testing may create unnecessary maternal anxiety because some women will be falsely identified as having high-risk pregnancies (Evans et al.
Infant Mental Health Journal 9:235–244, 1988 Raphael-Leff J: Psychological Processes of Childbearing. London, England, Chapman and Hall, 1991, pp 48–102 Rogers MP: Psychological aspects of pregnancy in patients with rheumatic disease, in Rheumatic Disease Clinics of North America, Vol 15. Philadelphia, PA, WB Saunders, 1989, pp 361–374. Rubin R: Cognitive style in pregnancy. Am J Nurs 70:502–508, 1970 32 Psychological Aspects of Women’s Health Care, Second Edition Sandelowski M, Black PB: The epistemology of expectant parenthood.
When one parent has an autosomal dominant disorder (such as tuberous sclerosis or Huntington’s disease), there is a 50% probability that the offspring will be affected. Autosomal recessive disorders include the hemoglobinopathies and several progressive metabolic disorders such as TaySachs disease. When both parents are carriers of an autosomal recessive condition the risk of transmission to children is 25%, and each child has a 50% risk of being a carrier. When the mother carries an X-linked recessive disorder (such as hemophilia or Duchenne dystrophy), there is a 50% risk that each son will be affected as well as a 50% probability that each daughter will be a carrier.