Stotland N L
Hosp Community Psychiatry. 1985 Oct;36(10):1102-8. doi: 10.1176/ps.36.10.1102.
Medical advances in obstetrics and gynecology, combined with the depersonalization of health care and changes in sexual and reproductive behaviors in the general population, lead to challenging new problems for the psychiatric consultant who deals with reproductive issues. The author describes contemporary issues encountered in consultation-liaison work with the obstetrics and gynecology service in a general hospital. They include the reproductive implications of medical illnesses, the stress of deciding whether to continue a pregnancy known to carry genetic risk, the intrusiveness of certain options for dealing with infertility, parental expectations for a perfect baby, and the difficulties some traditional practitioners have in adapting their practice styles to the changing needs of the patient population.
妇产医学的进步，再加上医疗保健的非人性化以及普通人群性行为和生殖行为的变化，给处理生殖问题的精神科会诊医生带来了新的棘手问题。作者描述了在一家综合医院与妇产科服务部门进行会诊联络工作时遇到的当代问题。这些问题包括疾病的生殖影响、决定是否继续怀有已知存在遗传风险的胎儿时的压力、某些治疗不孕症方法的侵扰性、父母对完美婴儿的期望，以及一些传统从业者在使他们的执业方式适应患者群体不断变化的需求方面所面临的困难。
