Biopsychosocial factors are integral to all aspects of healthcare but perhaps nowhere more so than in obstetrics, gynaecology and women's health. This is probably because so much of what occurs in the specialty involves dramatic, life-changing events - from pregnancy and childbirth to menopause and malignancy. This text was planned to inform clinical care and improve the psychological element of women's healthcare. The content covers a wide spectrum of care, including chapters on all the major subspecialties. The two editors, between them, have long-term and broad experience of writing and researching the areas covered in this text. Obstetricians, gynaecologists, midwives, psychiatrists, psychologists and those in many other areas of healthcare, including healthcare managers, should read this book. It is hoped that a distillate of its content will be incorporated in general and subspecialty training curricula to optimise the future care given to patients, partners and offspring.
Preface; Part I. Generic Issues: 1. Promoting and implementing the biopsychosocial perspective in obstetrics and gynaecology: the role of specialist societies; 2. Psychosocial context of illness and wellbeing in women's health; 3. Epigenetics: the bridge between biology and psychosocial health; 4. Communicating effectively: the patient-clinician relationship in women's healthcare; 5. Biopsychosocial aspects of eating disorders in obstetrics and gynaecology; 6. The brain, heart and human behaviour; 7. Complementary medicine for women's healthcare; 8. Domestic violence and abuse; 9. Female genital cutting; Part II. Gynaecology: 10. Diverse sex development: critical biopsychosocial perspectives; 11. Biopsychosocial factors in paediatric and adolescent gynaecology; 12. Biopsychosocial factors in premenstrual syndrome; 13. Biopsychosocial factors in abnormal uterine bleeding; 14. Biopsychosocial aspects of infertility; 15. Psychological and social aspects of reproductive life events among men; 16. Biopsychosocial factors in chronic pelvic pain; 17. Biopsychosocial factors in emergency gynaecology; 18. Biopsychosocial factors in urinary incontinence; 19. Biopsychosocial perspectives on the menopause; 20. Biopsychosocial factors in gynaecological cancer; 21. Assessment and management of women with nausea and vomiting during pregnancy: a biopsychosocial approach; Part III. Sexual and Reproductive Health: 22. Psychosexual disorders; 23. Psychosocial aspects of fertility control; 24. Legal and ethical factors in sexual and reproductive health; Part IV. Obstetrics and Maternal Health: 25. Psychobiology of birth; 26. Assessment of psychosocial health during the perinatal period; 27. Biopsychosocial factors in prenatal screening and diagnosis for fetal anomaly; 28. The maternal-fetal relationship: conceptualisation, measurement and application in practice; 29. Reproductive health care for women with psychosocial issues; 30. Maternal psychosocial distress; 31. The effects of stress on pregnancy: a not-so-evident association revisited; 32. Biopsychosocial approach to the management of drug and alcohol use in pregnancy; 33. Biopsychosocial factors in preterm labor and delivery; 34. Tokophobia; 35. Psychiatric disorders in pregnancy and lactation; 36. Psychotherapy in pregnancy: basic principles and transcultural aspects; 37. Biopsychosocial factors in intrapartum care; 38. Biopsychosocial factors in postnatal care; 39. Birth trauma and post-traumatic stress; 40. Vicarious traumatization in maternity care providers; 41. Biopsychosocial care after the loss of a baby; Appendix: RCOG checklist of hints and tips to support clinical practice in the management of gender-based violence; Index.