This text covers the wide spectrum of biopsychosocial factors integral to all aspects of obstetrics, gynaecology and women's health.

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.

This book will assist the reader by providing individually tailored, high-quality bio-psycho-social care to patients with a wide range of problems within the fields of obstetrics, gynaecology, fertility, oncology, and sexology. Each chapter addresses a particular theme, issue, or situation in a problem-oriented and case-based manner that emphasizes the differences between routine and bio-psycho-social care. Relevant facts and figures are presented, advice is provided regarding the medical, psychological, and caring process, and contextual aspects are discussed. The book offers practical tips and actions within the bio-psycho-social approach, and highlights important do’s and don’ts. To avoid a strict somatic thinking pattern, the importance of communication, multidisciplinary collaboration, and creation of a working alliance with the patient is emphasized. The book follows a consistent format, designed to meet the needs of challenged clinicians.

The interplay between mind and body is a rapidly developing area of Obstetrics and Gynaecology, growing in prominence as many areas of medicine recognise the importance of understanding the physical, mental, and social aspects of numerous health conditions. Clinical Psychosomatic Obstetrics and Gynaecology: A Patient-Centred Biopsychosocial Practice is a fundamental work that enhances the understanding of the management of women s disease conditions resulting from psychosomatic or mind-body interactions that are routinely encountered by clinicians. Authored by a world-renowned group of contributors who have led a transformativeapproach to the way health services for women are approached, Clinical Psychosomatic Obstetrics and Gynaecology comprehensively addresses the biological, psychological, social and cultural factors leading to disease manifestations. Including methods for prevention, detection and treatment, the text is supported by thirty clinical vignettes taken from real-life situations to support learning, and guide clinical practice. Detailed chapters expound the scientific basis of the clinical psychosomatic concept, prevention of morbidity and mortality from cancer or obesity, pregnancy and childbirth, maternal dysphoria and child neurodevelopment, pain perception, infertility, premenstrual disorders, psycho-oncology, malignancy and sexual health, illnesses in migrants and refugees, alongside, pertinent cultural issues. This title is a highly topical and much-needed guide to addressing clinical conditions that compromise women's health, including that of teenagers, as well as their mental and social well-being.

Customized Ob/Gyn Management for Diverse Populations provides tailored options of management for optimal clinical care of the major preventive and interventive Ob/Gyn issues. Case scenarios highlight and discuss the need for customized care and inclusive protocols that depend on each woman's race, gender, sexual orientation, culture and socio-economic factors. As health disparities adversely affect groups of people who have systematically experienced greater social and economic obstacles to health based on their racial or ethnic group, socioeconomic status, gender, sexual orientation or other characteristics historically linked to discrimination or exclusion, this book provides a welcomed resource.The book highlights the fact that in order to change the current scenario the health care community needs more information and awareness of health care data regarding diverse groups, population health and well-being. - Provides a framework for patient care based on the Robert Wood Johnson Foundation's Culture of Care, moving cultural aspects of medical care into health delivery - Discusses tailored options of management for the optimal clinical care of diverse populations - Presents case studies that discuss the same problem in various women from different races, backgrounds, cultures and sexual orientation

Anyone who has enjoyed the great happiness and intimacy of a family-centred birth, and any midwife or health professional who has attended one, owes a debt of gratitude to internationally known Canadian doctor, researcher, and medical reformer, Murray Enkin. Enjoying the Interval takes on the fascinating, joyful task of exploring Dr Enkin’s identity and achievements along with the social context that shaped them. It offers a critical assessment of the ongoing challenges in maternity care, the field to which Enkin devoted his life, but it is also the story of an immigrant Jewish family's contribution to Canadian society and the wider world. Using archival sources and interviews, the book traces Enkin’s story from his birth in 1924; through his early young married life, education, and medical practice; to his passionate championing of the emerging childbirth reform movement and its influence. Interweaving the personal and professional to provide insight into the man, the times and the causes that shaped him, it not only recognises Enkin’s distinctive social contribution but also that of his family and colleagues. It chronicles the highly personable Enkin’s days as a med student awestruck by the courage and beauty of women in labour to his joyful life as a husband and father, to his international impact as a practitioner, academic and researcher, and as an inveterate traveller. Scholarly, yet accessible, it will prove of interest to professional and lay readers alike. Enjoying the Interval is an account of an important social movement that shook the medical establishment, but it’s also a love story, a travelogue, and an entertaining portrait of a complex man who helped to change the world for the better.

presented in the Introduction (Chapter 1). The focus of Chapter 1 is twofold: (1) to present the research foundations for the psychophysiological correlates of prenatal psychosocial adaptation and the seven prenatal personality dimensions with progress in labor and birth outcomes, and particularly (2) to present the theory underlying the seven dimensions of prenatal psychosocial adaptation, which are further analyzed in the following seven chapters. Chapters 2–8 present a content analysis of the interview responses to the seven significant prenatal personality dimensions that are predictive of pregnancy adap- tion, progress in labor, birth outcomes, and postpartum maternal psychosocial adaptation, and they include: (1) Acceptance of Pregnancy, (2) Identification with a Motherhood Role, (3) Relationship with Mother, (4) Relationship with Husband, (5) Preparation for Labor, (6) (Prenatal) Fear of Pain, Helplessness, and Loss of Control in Labor, and (7) (Prenatal) Fear of Loss of Self-Esteem in Labor. There is no other comparable comprehensive, in-depth, prenatal personality research or empirical and content analysis of pregnancy-specific dimensions of maternal psychosocial adaptation to pregnancy.