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Perinatal Psychopharmacology: Innovative Approaches to Care Delivery. 围产期精神药理学：围产期精神药理学：提供护理的创新方法》。
IF 1.5 4区 医学
Clinical obstetrics and gynecology Pub Date : 2024-03-01 Epub Date: 2023-12-11 DOI: 10.1097/GRF.0000000000000839
Sarah Nagle-Yang, Emily S Miller, Lindsay G Lebin, Gabriella Blissett, Emily C Dossett
{"title":"Perinatal Psychopharmacology: Innovative Approaches to Care Delivery.","authors":"Sarah Nagle-Yang, Emily S Miller, Lindsay G Lebin, Gabriella Blissett, Emily C Dossett","doi":"10.1097/GRF.0000000000000839","DOIUrl":"10.1097/GRF.0000000000000839","url":null,"abstract":"<p><p>Perinatal mental health conditions are the most common complications of childbirth and have well-established enduring negative effects. Obstetric (Ob) clinicians care for patients with perinatal mental health conditions across a spectrum of acuity, severity, and complexity. Ob and psychiatric clinicians can collaborate to create a cohesive continuum of psychopharmacologic care for perinatal patients. This chapter provides an overall framework for Ob-psychiatric clinician collaboration with examples of innovation in care delivery.</p>","PeriodicalId":10415,"journal":{"name":"Clinical obstetrics and gynecology","volume":null,"pages":null},"PeriodicalIF":1.5,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139569597","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Improving Sexual Health Across the Life Span Through Integrated Care in Obstetrics and Gynecology. 通过妇产科综合护理改善整个生命周期的性健康。
IF 1.5 4区 医学
Clinical obstetrics and gynecology Pub Date : 2024-03-01 Epub Date: 2024-01-04 DOI: 10.1097/GRF.0000000000000830
Winnifred Hunter, Jessica Pettigrew, Kristen M Carpenter, Brett Worly, Helen L Coons
{"title":"Improving Sexual Health Across the Life Span Through Integrated Care in Obstetrics and Gynecology.","authors":"Winnifred Hunter, Jessica Pettigrew, Kristen M Carpenter, Brett Worly, Helen L Coons","doi":"10.1097/GRF.0000000000000830","DOIUrl":"10.1097/GRF.0000000000000830","url":null,"abstract":"<p><p>Sexual health is a vital part of physical, emotional, and relational well-being among adults across the life span. While patients are reluctant to discuss their sexual concerns, Obstetrics and Gynecology providers are especially well positioned to improve sexual functioning and satisfaction through screening, education, prevention and early intervention, treatment, and integrating behavioral health and sexual medicine services in their clinical practices. This article sets out to provide applied information and perspectives to foster the development of interprofessional sexual medicine services in Obstetrics and Gynecology practices in hospital and community settings.</p>","PeriodicalId":10415,"journal":{"name":"Clinical obstetrics and gynecology","volume":null,"pages":null},"PeriodicalIF":1.5,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139086120","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Genitourinary Syndrome of Menopause: Pathophysiology, Clinical Presentation, and Differential Diagnosis. 更年期泌尿生殖系统综合征：病理生理学、临床表现和鉴别诊断》。
IF 1.5 4区 医学
Clinical obstetrics and gynecology Pub Date : 2024-03-01 Epub Date: 2023-12-11 DOI: 10.1097/GRF.0000000000000845
Amanda L Clark, Martha F Goetsch
{"title":"Genitourinary Syndrome of Menopause: Pathophysiology, Clinical Presentation, and Differential Diagnosis.","authors":"Amanda L Clark, Martha F Goetsch","doi":"10.1097/GRF.0000000000000845","DOIUrl":"10.1097/GRF.0000000000000845","url":null,"abstract":"<p><p>Scientific information is incomplete regarding the genitourinary syndrome of menopause. Both the lower genital and urinary tracts are rich in receptors for reproductive hormones and are highly susceptible to waning ovarian hormones at menopause. Symptoms of dryness and pain emerge in late perimenopause, but they can also result earlier from cancer therapies or bilateral oophorectomy. Lower urinary tract symptoms rise in prevalence at midlife and increase further with advancing age. Because ovarian senescence is typically followed by years of aging, some postmenopausal complaints may be attributable to increasing longevity.</p>","PeriodicalId":10415,"journal":{"name":"Clinical obstetrics and gynecology","volume":null,"pages":null},"PeriodicalIF":1.5,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139569586","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Integrated Care for Persons With Persistent Gynecologic Conditions. 妇科顽疾患者的综合护理。
IF 1.5 4区 医学
Clinical obstetrics and gynecology Pub Date : 2024-03-01 Epub Date: 2023-10-17 DOI: 10.1097/GRF.0000000000000828
Kathryn A Witzeman, Alison Lieberman, Elizabeth Joy Beckman, Kaitlin V Ross, Helen L Coons
{"title":"Integrated Care for Persons With Persistent Gynecologic Conditions.","authors":"Kathryn A Witzeman, Alison Lieberman, Elizabeth Joy Beckman, Kaitlin V Ross, Helen L Coons","doi":"10.1097/GRF.0000000000000828","DOIUrl":"10.1097/GRF.0000000000000828","url":null,"abstract":"<p><p>Persons with persistent gynecologic conditions frequently cope with complex biopsychosocial challenges and benefit from integrated behavioral health evaluation and treatment within gynecologic practices. Integrated care refers to the provision of behavioral health services within a health care setting which contributes to improved patient, provider, and practice outcomes, however, has not been commonly provided in traditional gynecologic practices. Several models of integrated behavioral health are reviewed. Each model holds specific applications in primary and specialty gynecology settings and may enhance the gynecologic patient experience. This article reviews current research supporting integrated care and describes implementation, funding, and evaluation to improve patient outcomes.</p>","PeriodicalId":10415,"journal":{"name":"Clinical obstetrics and gynecology","volume":null,"pages":null},"PeriodicalIF":1.5,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139569630","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Hormonal Medications for Genitourinary Syndrome of Menopause. 更年期泌尿生殖系统综合征的激素治疗。
IF 1.5 4区 医学
Clinical obstetrics and gynecology Pub Date : 2024-03-01 Epub Date: 2023-11-21 DOI: 10.1097/GRF.0000000000000835
JoAnn V Pinkerton, Monique H Vaughan, Andrew M Kaunitz
{"title":"Hormonal Medications for Genitourinary Syndrome of Menopause.","authors":"JoAnn V Pinkerton, Monique H Vaughan, Andrew M Kaunitz","doi":"10.1097/GRF.0000000000000835","DOIUrl":"10.1097/GRF.0000000000000835","url":null,"abstract":"<p><p>Genitourinary syndrome of menopause is a common, under-reported, and undertreated chronic progressive condition requiring long-term treatment. Hypoestrogenism in the urogenital tissues is associated with bothersome dyspareunia, vulvovaginal symptoms, overactive bladder, and frequent urinary tract infections. Vaginal hormone therapies, including vaginal estrogen and intravaginal dehydroepiandrostenedione, are safe and effective and improve symptoms and clinical findings. Systemic hormone therapy treats vulvovaginal atrophy less effectively than vaginal hormone therapies with increased stress and urge urinary incontinence. Oral ospemifene effectively treats vaginal dryness and dyspareunia. Clinicians need to ask about symptoms of genitourinary syndrome of menopause, confirm the diagnosis, and suggest appropriate treatment options.</p>","PeriodicalId":10415,"journal":{"name":"Clinical obstetrics and gynecology","volume":null,"pages":null},"PeriodicalIF":1.5,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138458323","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Clinical Practice Guidelines for Managing Genitourinary Symptoms Associated With Menopause. 治疗与更年期有关的泌尿生殖系统症状的临床实践指南》。
IF 1.5 4区 医学
Clinical obstetrics and gynecology Pub Date : 2024-03-01 Epub Date: 2023-12-21 DOI: 10.1097/GRF.0000000000000833
Monica Christmas, Annabelle Huguenin, Shilpa Iyer
{"title":"Clinical Practice Guidelines for Managing Genitourinary Symptoms Associated With Menopause.","authors":"Monica Christmas, Annabelle Huguenin, Shilpa Iyer","doi":"10.1097/GRF.0000000000000833","DOIUrl":"10.1097/GRF.0000000000000833","url":null,"abstract":"<p><p>Genitourinary syndrome of menopause encompasses the group of urogenital signs and symptoms resultant from hypoestrogenism, including genital dryness, burning or irritation, sexual discomfort, pain or dysfunction, and urinary urgency, dysuria, and recurrent urinary tract infections. Genitourinary syndrome of menopause can have a profound impact on well-being, functioning, and quality of life in postmenopausal women. Treatment includes vaginal moisturizers and lubricants geared towards providing symptomatic relief; hormonal treatments which promote epithelial thickening and production of vaginal secretions; and pelvic floor physical therapy along with behavioral therapies that address pelvic floor hypertonicity and psychosocial factors.</p>","PeriodicalId":10415,"journal":{"name":"Clinical obstetrics and gynecology","volume":null,"pages":null},"PeriodicalIF":1.5,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138828464","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Contributors: Integrating Mental Health Care in Obstetrical and Gynecology Practice. 贡献者：将心理保健融入妇产科实践。
IF 1.5 4区 医学
Clinical obstetrics and gynecology Pub Date : 2024-03-01 Epub Date: 2024-01-26 DOI: 10.1097/01.grf.0001006872.82691.a7
{"title":"Contributors: Integrating Mental Health Care in Obstetrical and Gynecology Practice.","authors":"","doi":"10.1097/01.grf.0001006872.82691.a7","DOIUrl":"10.1097/01.grf.0001006872.82691.a7","url":null,"abstract":"","PeriodicalId":10415,"journal":{"name":"Clinical obstetrics and gynecology","volume":null,"pages":null},"PeriodicalIF":1.5,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139569542","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
The Pressing Need to Integrate Mental Health into Obstetric Care. 将心理健康纳入产科护理的迫切需要。
IF 1.5 4区 医学
Clinical obstetrics and gynecology Pub Date : 2024-03-01 Epub Date: 2023-12-04 DOI: 10.1097/GRF.0000000000000837
Martha Zimmermann, Tiffany A Moore Simas, Margaret Howard, Nancy Byatt
{"title":"The Pressing Need to Integrate Mental Health into Obstetric Care.","authors":"Martha Zimmermann, Tiffany A Moore Simas, Margaret Howard, Nancy Byatt","doi":"10.1097/GRF.0000000000000837","DOIUrl":"10.1097/GRF.0000000000000837","url":null,"abstract":"<p><p>Mental health and substance use conditions are prevalent among perinatal individuals. These conditions have a negative impact on the health of perinatal individuals, their infants, and families, yet are underdiagnosed and undertreated. Populations that have been marginalized disproportionately face barriers to accessing care. Integrating mental health into obstetric care could address the perinatal mental health crisis. We review perinatal mental health conditions and substance use, outline the impact associated with these conditions, and describe the promise and potential of integrating mental health into obstetric settings to improve outcomes for patients receiving obstetric and gynecologic care.</p>","PeriodicalId":10415,"journal":{"name":"Clinical obstetrics and gynecology","volume":null,"pages":null},"PeriodicalIF":1.5,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139569727","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Screening, Assessment, and Treatment of Perinatal Mental Health in Obstetrical Settings. 产科环境中围产期心理健康的筛查、评估和治疗。
IF 1.5 4区 医学
Clinical obstetrics and gynecology Pub Date : 2024-03-01 Epub Date: 2023-12-22 DOI: 10.1097/GRF.0000000000000840
Lauren A Gimbel, Martha Zimmermann, Nancy Byatt, Tiffany A Moore Simas, M Camille Hoffman
{"title":"Screening, Assessment, and Treatment of Perinatal Mental Health in Obstetrical Settings.","authors":"Lauren A Gimbel, Martha Zimmermann, Nancy Byatt, Tiffany A Moore Simas, M Camille Hoffman","doi":"10.1097/GRF.0000000000000840","DOIUrl":"10.1097/GRF.0000000000000840","url":null,"abstract":"<p><p>Perinatal mood and anxiety disorders (PMADs) are common, yet obstetricians receive little training prior to independent practice on screening, assessing, diagnosing, and treating patients with depression and anxiety. Untreated PMADs lead to adverse pregnancy and fetal outcomes. Obstetricians are in a unique position to address PMADs. The following serves as a resource for addressing PMADs in obstetric practice.</p>","PeriodicalId":10415,"journal":{"name":"Clinical obstetrics and gynecology","volume":null,"pages":null},"PeriodicalIF":1.5,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139569678","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Integrated Behavioral Health in OB-GYN: Federally Qualified Health Care Centers. OB-GYN的综合行为健康：联邦合格的医疗保健中心。
IF 1.5 4区 医学
Clinical obstetrics and gynecology Pub Date : 2024-03-01 Epub Date: 2023-09-27 DOI: 10.1097/GRF.0000000000000823
Michael R Caudle, Parinda Khatri
{"title":"Integrated Behavioral Health in OB-GYN: Federally Qualified Health Care Centers.","authors":"Michael R Caudle, Parinda Khatri","doi":"10.1097/GRF.0000000000000823","DOIUrl":"10.1097/GRF.0000000000000823","url":null,"abstract":"<p><p>Federally Qualified Health Centers (FQHCs) are private nonprofit community-based primary care health care organizations that are charged with providing high-quality comprehensive care that is affordable and accessible. FQHCs are ideally suited for the integration of behavioral health services (BHC). This article reviews the history of FQHCs, the various models of BHC integration, and details of the Cherokee Health Systems integrated model.</p>","PeriodicalId":10415,"journal":{"name":"Clinical obstetrics and gynecology","volume":null,"pages":null},"PeriodicalIF":1.5,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71421319","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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