This book has reviewed the research undertaken on a broad range of reproductive health issues and their mental health determinants/consequences over the last 15 years from both high- and low-income countries. Evidence from peer-reviewed journals has been used wherever possible but has been augmented with results of a specific survey initiated to gather state of the art information on reproductive and mental health issues from a variety of researchers and interested parties. Valuable data from consultant reports, national programme evaluations and postgraduate research work was also compiled, analyzed and synthesized
"In this book you’ll find a thoughtfully edited chronicle of the unique convergence of genetic, hormonal, social, and environmental forces that influence a woman’s mental health over the course of her life. Both comprehensive and nuanced, Women’s Reproductive Mental Health Across the Lifespan captures the science, clinical observation, and collective wisdom of experts in the field. Professionals and laypersons alike are well-advised to make room on their bookshelves for this one!" - Margaret Howard, Ph.D., Warren Alpert Medical School of Brown University; Women & Infants Hospital, Providence RI "This outstanding collection of work is an important, timely, and much needed resource. Dr. Diana Lynn Barnes has been instrumental in bringing attention to the needs of perinatal women for decades. In Women's Reproductive Health Across the Lifespan, she brilliantly unites the medical world of reproductive life events with the psychiatric and psychological world of mental health issues associated with them. Her expertise, combined with contributions by distinguished leaders in the field, create a volume of work that should be studied carefully by every medical and mental health provider who works with women." - Karen Kleiman, MSW, The Postpartum Stress Center, Author of Therapy and the Postpartum Woman "Finally, a book that addresses the entire scope of women’s reproductive mental health spanning the gamut from puberty to menopause. The list of chapter contributors reads like a who’s who of international experts. Unique to this book is its focus on the interaction of genetics, hormonal fluctuations, and the social environment. It is a must addition for the libraries of clinicians and researchers in women’s reproductive mental health". - Cheryl Tatano Beck, DNSc, CNM, FAAN, Board of Trustees Distinguished Professor, School of Nursing, University of Connecticut Pregnancy and childbirth are generally viewed as joyous occasions. Yet for numerous women, these events instead bring anxiety, depression, and emotional distress. Increased interest in risk reduction and early clinical intervention is bringing reproductive issues to the forefront of women's mental health. The scope of Women's Reproductive Mental Health across the Lifespan begins long before the childbearing years, and continues well after those years have ended. Empirical findings, case examples, and dispatches from emerging areas of the field illuminate representative issues across the continuum of women's lives with the goal of more effective care benefitting women and their families. Chapter authors discuss advances in areas such as fertility treatment and contraception, and present current thinking on the psychological impact of pregnancy loss, menopause, cancer, and other stressors. These expert contributors emphasize the connections between an individual's biology and psychology and cultural expectations in shaping women's mental health, and the balance between a client's unique history and current clinical knowledge clinicians need to address disorders. Included in the coverage: The experience of puberty and emotional wellbeing. Body image issues and eating disorders in the childbearing years. Risk assessment and screening during pregnancy. Normal and pathological postpartum anxiety. Mood disorders and the transition to menopause. The evolution of reproductive psychiatry. A reference with an extended shelf life, Women's Reproductive Mental Health across the Lifespan enhances the work of researchers and practitioners in social work, clinical psychology, and psychiatry, and has potential relevance to all health care professionals.
"More women (47.6%) receive mental health services compared with men (34.8%). Women are twice as likely as men to develop major depressive disorder. Furthermore, 10%-15% of women experience depression during the perinatal period, which makes depression one of the most common complications of childbirth (Gaynes et al. 2005). These statistics illustrate that psychiatric disorders in women are common during the reproductive years and that the hormonal fluctuations associated with the reproductive life cycle contribute to the etiology of mental illness in women. Medical practitioners in all fields will encounter female patients with mental illness across the lifespan, particularly major depressive and anxiety disorders. Consequently, there is a great imperative for high-quality educational materials that increase the competency of providers. This outstanding work is divided into two parts. Part I provides a comprehensive overview of the reproductive life cycle and covers mental health concerns across the lifespan, including the relationship between gynecological and sexual health and mental health as well as infertility, the premenstrual period, and perimenopause. Part II is devoted to the perinatal period and offers a conceptual framework for a clinical approach to the pregnant and postpartum patient, followed by evidence-based reviews of the management of psychiatric disorders (by diagnostic category), as well as covering stress in pregnancy, infant mental health, and legal/forensic issues. Critical summaries of the epidemiology, risk factors, screening methods, and clinical features are presented. This book must be required reading for all faculty and trainees who will care for women"--
In the decade since the first edition of this work was published, an incredible array of reproductive technologies and associated issues has emerged. Obstetricians and gynecologists are hard-pressed to deal with the startling breadth and depth of these issues, which require mastery over a daunting combination of ever-increasing scientific knowledge, technical skills, long hours, legal liability, and exposure to clinical situations of overwhelming emotional intensity. Psychiatrists have a vital role to play in helping obstetricians and gynecologists cope with a host of problems whose resolutions require not just technical skill, but also knowledge of biology, psychology, sociology, anthropology, ethics, and law. For example, to design and implement strategies to reduce the transmission of HIV, psychiatrists could work with public health workers to incorporate the psychology, sociology, and anthropology of female reproductive behavior. Psychiatrists could likewise improve the diagnosis and treatment of breast and pelvic malignancies by elucidating the factors that deter women from self-examination and regular medical screening and enhance treatment compliance. Divided into three sections, this clinical and theoretical sourcebook addresses every major area of contemporary concern. Pregnancy covers topics from the psychology of normal gestation to physical and psychiatric complications during and after pregnancy, including new prenatal diagnostic techniques and the dynamic issues that emerge when abnormalities are detected, and the use of psychotropic drugs and electroconvulsive therapy in pregnant and lactating patients. Gynecology discusses not only common gynecologic problems but also more controversial issues such as induced abortion and the new reproductive technologies, including the role of the menstrual cycle in exacerbating and precipitating psychologic symptoms, the psychiatric aspects of menopause, the assessment and management of chronic pelvic pain, the psychosocial concomitants of gynecologic malignancies and the emotional demands on the oncology team, and the special implications of HIV/AIDS. General Issues offers a broad, balanced view of topics rarely found in the literature, such as men's reactions to women's reproductive events, substance abuse and eating disorders, sexual and physical abuse (often part of the histories of patients with personality disorders and posttraumatic stress disorders), ethical and legal issues, and health care for lesbian patients. Of special significance is Dr. Stotland's chapter on how consultation-liaison services are provided to obstetrics and gynecology services. This practical and scholarly volume is exceptionally useful as a teaching reference for medical and other health care students and residents in psychiatry and obstetrics and gynecology. It also provides a valuable resource for the clinician working to improve the psychological well-being of women patients.
The evaluation of reproductive, maternal, newborn, and child health (RMNCH) by the Disease Control Priorities, Third Edition (DCP3) focuses on maternal conditions, childhood illness, and malnutrition. Specifically, the chapters address acute illness and undernutrition in children, principally under age 5. It also covers maternal mortality, morbidity, stillbirth, and influences to pregnancy and pre-pregnancy. Volume 3 focuses on developments since the publication of DCP2 and will also include the transition to older childhood, in particular, the overlap and commonality with the child development volume. The DCP3 evaluation of these conditions produced three key findings: 1. There is significant difficulty in measuring the burden of key conditions such as unintended pregnancy, unsafe abortion, nonsexually transmitted infections, infertility, and violence against women. 2. Investments in the continuum of care can have significant returns for improved and equitable access, health, poverty, and health systems. 3. There is a large difference in how RMNCH conditions affect different income groups; investments in RMNCH can lessen the disparity in terms of both health and financial risk.
Women outnumber men as consumers of health care in the United States: they visit doctors more often, fill more prescriptions, undergo more surgeries, occupy more hospital beds, and spend more money on health care than men. Yet it wasn't until the past decade that active trials in gender-specific aspects of mental health began leading us to a better understanding of the psychiatric disorders to which women are vulnerable. Distilling the findings of this research into practical information about the assessment and management of psychiatric conditions specific to women, this Second Edition (updated from 1997) expands upon the biological, psychological, and sociocultural factors that influence women's mental health, with particular emphasis on reproductive points in the female life cycle-and the ways in which these factors are integral to gender-sensitive case formulations, diagnoses, and treatment planning. Updates in the second edition include the latest findings about premenstrual dysphoric disorder, the use of psychiatric medications in pregnant and breast-feeding women, perinatal loss, surgical menopause, eating disorders, sexual trauma, seasonal affective disorder, sleep disorders, and posttraumatic stress disorder. Complementing lengthier psychiatric references, this latest "Concise Guide" offers enduring value in a convenient pocket-size format with extensive tables and illustrations. Its wealth of practical information, highlighted by material from the authors' clinical experiences, makes it a must-read for psychiatrists, psychiatry residents, and medical students working in various treatment settings, from inpatient psychiatry units and outpatient clinics toconsultation-liaison services and private offices.
he starting point for this guideline is the point at which a woman has learnt that she is living with HIV and it therefore covers key issues for providing comprehensive sexual and reproductive health and rights-related services and support for women living with HIV. As women living with HIV face unique challenges and human rights violations related to their sexuality and reproduction within their families and communities as well as from the health-care institutions where they seek care particular emphasis is placed on the creation of an enabling environment to support more effective health interventions and better health outcomes. This guideline is meant to help countries to more effectively and efficiently plan develop and monitor programmes and services that promote gender equality and human rights and hence are more acceptable and appropriate for women living with HIV taking into account the national and local epidemiological context. It discusses implementation issues that health interventions and service delivery must address to achieve gender equality and support human rights.
Abortion is a legal medical procedure that has been provided to millions of American women. Since the Institute of Medicine first reviewed the health implications of national legalized abortion in 1975, there has been a plethora of related scientific research, including well-designed randomized clinical trials, systematic reviews, and epidemiological studies examining abortion care. This research has focused on examining the relative safety of abortion methods and the appropriateness of methods for different clinical circumstances. With this growing body of research, earlier abortion methods have been refined, discontinued, and new approaches have been developed. The Safety and Quality of Abortion Care in the United States offers a comprehensive review of the current state of the science related to the provision of safe, high-quality abortion services in the United States. This report considers 8 research questions and presents conclusions, including gaps in research.
Contemporary Topics in Women’s Mental Health: Global Perspectives in a Changing Society considers both the mental health and psychiatric disorders of women in relation to global social change. The book addresses the current themes in psychiatric disorders among women: reproduction and mental health, service delivery and ethics, impact of violence, disasters and migration, women’s mental health promotion and social policy, and concludes each section with a commentary discussing important themes emerging from each chapter. Psychiatrists, sociologists and students of women’s studies will all benefit from this textbook. With a Foreword by Sir Michael Marmot, Professor of Epidemiology and Public Health, University College London; Chair, Commission on Social Determinants of Health
