Psychological Challenges in Obstetrics and Gynecology : The Clinical Management

The discipline of obstetrics and gynecology is changing rapidly. It is changing in respect of science and technology (IVF, minimally invasive surgery) and of ethics (termination, genetics, and reproductive technology). The training for the young specialist adapts to these changes. Sadly, however, the old fashioned division of mind from body continues. Words like "holistic" and "psychosomatic" are dismissed, and those responsible for training in the UK persist in refusing to accommodate psychological modules in the training process. This book attempts to address and redress this imbalance. Failure to understand the psychological aspects of a patients presentation leave the doctor feeling vulnerable and inadequate, searching for the right thing to say, avoiding that patient in future with subsequent poor care. This book, by providing the background knowledge, empowers the obstetrician/gynecologist to be in the key coordinating role, and to communicate effectively with all parties and other health workers who may need to be involved in psychological care. This book meets the needs of doctors that are not covered by their training (e.g. a chapter on "Communication Skills. What you can do in 15 minutes", chapter on "Coping and Adjustment in Pregnancy": Giving Babies a Better Start, and chapter on "Communicating with Cancer Patients") Chapters are written by experts in widely differing areas, and show how to use the consultation to maximum benefit for the patient and doctor. Easy-to-read with stand-alone chapters, this book covers key aspects of obstetrics and gynecology, and addresses areas that are not covered in other texts. The book is relevant to all stages of obstetric and gynecological practice - from trainees to consultants (and some lay interest). Front Matter....Pages I-XX Front Matter....Pages 1-1 Teaching Psychosomatic Obstetrics and Gynecology....Pages 3-14 The Vaginal Examination....Pages 15-27 Communication Skills What You Can Do in 15 Minutes....Pages 29-32 Psychoanalysis for Emergencies: A Toolkit for Trainees....Pages 33-42 Sexuality....Pages 43-50 Disability, Normality, and Difference....Pages 51-59 Cross-Cultural Issues in Gynecology and Obstetrics....Pages 61-70 The Family....Pages 71-79 Research in Psychosomatic Obstetrics and Gynecology....Pages 81-87 Front Matter....Pages 89-89 Coping and Adjustment in Pregnancy: Giving Babies a Better Start....Pages 91-106 Psychosocial Aspects of Prenatal Diagnosis: The Challenges for Doctors and Patients....Pages 107-120 Premature Labor and the Premature Baby: Psychological and Social Consequences....Pages 121-130 Posttraumatic Stress Disorder....Pages 131-140 Antenatal and Postnatal Depression....Pages 141-156 Maternal Suicide....Pages 157-164 Tokophobia Tokophobia: A Profound Dread and Avoidance of Childbirth (When Pathological Fear Effects the Consultation)....Pages 165-172 Psychological Aspects of Stillbirth....Pages 173-191 The Next Pregnancy After Stillbirth....Pages 193-208 Front Matter....Pages 211-211 Health Care and Young People: A Challenge....Pages 212-236 Unwanted Pregnancy....Pages 237-246 Front Matter....Pages 211-211 Early Pregnancy Loss....Pages 247-254 A Biopsychosocial Approach to Premenstrual Problems....Pages 255-262 Infertility: A Psychosocial Viewpoint Infertility: A Psychosocial Viewpoint....Pages 263-275 Sexual Violence....Pages 277-289 Chronic Pelvic Pain....Pages 291-298 Communicating with Cancer Patients....Pages 299-306 Psychosocial Aspects of the Menopause Psychosocial Aspects of the Menopause....Pages 307-321 Back Matter....Pages 325-332 Background For The Study Of Psychosomatic Obstetrics And Gynecology -- Teaching Psychosomatic Obstetrics And Gynecology -- Vaginal Examination -- Communication Skills, What You Can Do In 15 Minutes -- Psychoanalysis For Emergencies -- Sexuality -- Disability, Normality, And Difference -- Cross-cultural Issues -- The Family -- Research In Psychosomatic Obstetrics And Gynecology -- Obstetrics -- Coping And Adjustment In Pregnancy: Giving Babies A Better Start -- Psychosocial Aspects Of Prenatal Diagnosis -- Premature Labour And The Premature Baby -- Post-traumatic Stress Disorder -- Antenatal And Postnatal Depression -- Maternal Suicide -- Tokophobia : A Profound Dread And Avoidance Of Childbirth (when Pathological Fear Effects [i.e. Affects] The Consultation) -- Psychological Aspects Of Stillbirth -- The Next Pregnancy After Stillbirth -- Gynecology -- Healthcare And Young People -- Unwanted Pregnancy -- Early Pregnancy Loss -- A Biopsychosocial Approach To Premenstrual Problems -- Infertility: A Psychosocial Viewpoint -- Sexual Violence -- Chronic Pelvic Pain -- Communicating With Cancer Patients -- Psychosocial Aspects Of The Menopause. Jayne Cockburn And Michael E. Pawson (eds.). Includes Bibliographical References And Index. By providing the background knowledge, the book empowers the obstetrician/gynecologist to be in the key coordinating role, and to communicate effectively with all parties and health workers involved in psychological care. It meets the needs of doctors not covered by their training (e.g. Communication skills, coping and adjustment in pregnancy, communicating with cancer patients). Chapters show how to use the consultation to maximum benefit for the patient and doctor. Easy-to-read with stand-alone chapters, this book covers key aspects of O and G, and addresses areas not covered in other texts. It is relevant to all stages of O and G practice - from trainees to consultants (and some lay interest). This book offers topics in psychological care to trainees and specialist in O and G, helps them understand the emotional problems their patients face, and shows them how to undertake psychological care.

This book empowers the obstetrician-gynecologist to play a key coordinating role, and to communicate effectively with all parties and health workers involved in psychological care. It provides information not typically covered by their training: communication skills, coping and adjustment in pregnancy, and communicating with cancer patients. Easy-to-read with stand-alone chapters, this book covers key aspects of OB/GYN, and addresses areas not covered elsewhere. The book offers topics in psychological care to trainees and specialists in O & G, helps them understand the emotional problems their patients face, and shows them how to undertake psychological care.