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Clinical Challenges in Obstetrics and Gynecology: Interactions Between Gynecological and Obstetric Disorders, Quality of Life, and Mental Health in Women

A special issue of Journal of Clinical Medicine (ISSN 2077-0383). This special issue belongs to the section "Obstetrics & Gynecology".

Deadline for manuscript submissions: closed (30 April 2025) | Viewed by 3056

Special Issue Editors

Prof. Dr. Ernesto González-Mesa

E-Mail Website
Guest Editor
1. Obstetrics and Gynecology Area, Surgical Specialities, Biochemistry and Immunology Department, School of Medicine, University of Malaga, Malaga, Spain
2. Maternal-Fetal Medicine, Epigenetics, Women’s Diseases and Reproductive Health Research Group, Biomedical Research Institute of Malaga and Nanomedicine Platform-IBIMA BIONAND Platform, Malaga, Spain
3. Department of Obstetrics and Gynecology, Regional University Hospital of Malaga, 29001 Malaga, Spain
Interests: women’s health; perinatology; quality assessment; maternal mortality; perinatal mortality; perinatal mental health; aesthetic, functional, and regenerative gynecology
Special Issues, Collections and Topics in MDPI journals
Prof. Dr. Daniel María Lubián López

E-Mail Website
Guest Editor
1. Obstetric and Gynecology Department, Cádiz University, Cádiz, Spain
2. Department of Obstetrics and Gynecology, Viamed Bahía de Cádiz Hospital, 11130 Cádiz, Spain
Interests: psychosomatic obstetrics and gynecology; menopause; gynecological oncology

Special Issue Information

Dear Colleagues,

This Special Issue of the Journal of Clinical Medicine focuses on the complex interactions between gynecological and obstetric disorders, and their profound impact on the quality of life and mental health in women. Despite advancements in clinical care, significant challenges remain in understanding and managing the bidirectional relationship between physical health and psychological well-being in these patients. This Special Issue aims to address core problems such as the lack of comprehensive research on how these disorders influence mental health, and vice versa, as well as the implications for patient care.

The scope of this Special Issue includes original research, reviews, and clinical studies that explore the multifaceted effects of gynecological and obstetric conditions on women’s mental health. Contributions that investigate innovative approaches to diagnosis, treatment, and patient support are particularly encouraged, either in obstetrics, regarding perinatal mental health, or in gynecology, including sexual disorders. Through this Special Issue, we seek to mobilize the scientific community to enhance our understanding of these critical interactions, ultimately improving patient outcomes and quality of life.

Prof. Dr. Ernesto González-Mesa
Prof. Dr. Daniel María Lubián López
Guest Editors

Manuscript Submission Information

Manuscripts should be submitted online at www.mdpi.com by registering and logging in to this website. Once you are registered, click here to go to the submission form. Manuscripts can be submitted until the deadline. All submissions that pass pre-check are peer-reviewed. Accepted papers will be published continuously in the journal (as soon as accepted) and will be listed together on the special issue website. Research articles, review articles as well as short communications are invited. For planned papers, a title and short abstract (about 100 words) can be sent to the Editorial Office for announcement on this website.

Submitted manuscripts should not have been published previously, nor be under consideration for publication elsewhere (except conference proceedings papers). All manuscripts are thoroughly refereed through a single-blind peer-review process. A guide for authors and other relevant information for submission of manuscripts is available on the Instructions for Authors page. Journal of Clinical Medicine is an international peer-reviewed open access semimonthly journal published by MDPI.

Please visit the Instructions for Authors page before submitting a manuscript. The Article Processing Charge (APC) for publication in this open access journal is 2600 CHF (Swiss Francs). Submitted papers should be well formatted and use good English. Authors may use MDPI's English editing service prior to publication or during author revisions.

Keywords

  • perinatal mental health
  • gynecological disorders
  • sexual disorders
  • women’s quality of life
  • obstetric complications
  • women’s health
  • women’s psychological well-being

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Further information on MDPI's Special Issue policies can be found here.

Published Papers (3 papers)

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Research

16 pages, 249 KiB  
Article
The Impact of Stress on Women’s Sexuality in the First Months After Childbirth—A Pilot Cross-Sectional Comparative Study
by Kornelia Zaręba, Maria Florkiewicz-Danel, Michał Ciebiera, Stanisław Wójtowicz, Yauhen Statsenko, Sara Maki, Jolanta Olszewska, Shamsa Al Awar and Grzegorz Jakiel
J. Clin. Med. 2025, 14(3), 847; https://doi.org/10.3390/jcm14030847 - 27 Jan 2025
Viewed by 804
Abstract
Background: The postpartum period can carry strong stress related to the sudden changes in a woman’s life, which may contribute to changes in the female sexual sphere. The aim of this study was to determine the impact of stress on women’s sexuality in [...] Read more.
Background: The postpartum period can carry strong stress related to the sudden changes in a woman’s life, which may contribute to changes in the female sexual sphere. The aim of this study was to determine the impact of stress on women’s sexuality in the early motherhood period. Methods: A total of 111 women were studied, including 65 in the puerperal period and 46 women who constituted the control group. We used the author’s questionnaire and five standardized psychological questionnaires (CISS-21,STAI, PSS-10, SSS-W, and the Mell–Krat Scale for women). Results: Perceived stress (PSS-10 scores) was significantly lower (p < 0.001) and sexual satisfaction (SSS-W scores) was significantly higher both regarding the summary scores (p < 0.001) and in all subscales (contentment, communication, and compatibility). In the study group, the intensity of stress was negatively correlated with the level of sexual satisfaction (p = 0.014). Women with an emotional way of coping with stress (CISS-21 inventory) in both groups achieved higher scores of sexual satisfaction in terms of communication, but a lower level in terms of interpersonal contact (p = 0.007), but higher stress intensity scores in the PSS-10 scale and in both STAI questionnaire stems. Conclusions: The early period of motherhood does not increase stress levels or decrease sexual satisfaction. It is likely that the sense of stability promotes a reduction in stress levels, which contributes to better sexual satisfaction. Full article
(This article belongs to the Special Issue Clinical Challenges in Obstetrics and Gynecology: Interactions Between Gynecological and Obstetric Disorders, Quality of Life, and Mental Health in Women)
17 pages, 1281 KiB  
Article
Exploring Maternal Challenges: A Pilot Study of Pain, Fatigue, and Anxiety in Newborn Care Within Rooming-in Settings
by Prokopowicz Anna, Tułacz Kinga, Jabłońska Anna, Bagłaj Maciej and Rozensztrauch Anna
J. Clin. Med. 2025, 14(1), 207; https://doi.org/10.3390/jcm14010207 - 2 Jan 2025
Viewed by 915
Abstract
Background: In the rooming-in system, mothers and their healthy newborns stay together for 24 h a day; however, many women in the early postpartum period often find it challenging to balance their recovery from childbirth with the demands of caring for their newborns. [...] Read more.
Background: In the rooming-in system, mothers and their healthy newborns stay together for 24 h a day; however, many women in the early postpartum period often find it challenging to balance their recovery from childbirth with the demands of caring for their newborns. This study aims to investigate the need for postpartum women to entrust their newborns to medical staff for care, and the relationship of this need with perceived pain, fatigue, and anxiety. Methods: The study uses the Need to Entrust a Newborn under the Care of the Staff (NEN) scale and the Numerical Rating Scale (NRS) to assess participants’ levels of pain, fatigue and anxiety. These scales were chosen to provide a comprehensive assessment of participants’ needs and experiences. Results: The results of the study reveal that fatigue levels among study participants were significantly high, with an Me of 7.0 (IQR = 4.0), exceeding the reportable levels of both pain (Me = 6.0, IQR = 5.0) and anxiety (Me = 5.0, IQR = 6.0) The need for support during the day and at night was at a similar level and strongly correlated (rho = 0.723; p < 0.001). Pain levels showed a significant positive correlation with the need to entrust the newborn both during the day (rho = 0.296; p < 0.001) and at night (rho = 0.332; p < 0.001). During the daytime, the correlation of fatigue with the need for staff support was rho = 0.423 (p < 0.001), while overnight, this increased to rho = 0.485 (p < 0.001). Anxiety significantly correlated with the need for staff support, both during daytime (rho = 0.422; p < 0.001) and overnight (rho = 0.431; p < 0.001). Multiparas reported significantly lower results of anxiety (U(Z) = −13.224, p < 0.001). Conclusions: The need to entrust newborns to the care of maternity rooming-in staff is strong but is often unmet in many facilities. Further research should be conducted to explore solutions, and plan future actions to alleviate the burdens on postpartum women and facilitate their recovery. Full article
(This article belongs to the Special Issue Clinical Challenges in Obstetrics and Gynecology: Interactions Between Gynecological and Obstetric Disorders, Quality of Life, and Mental Health in Women)
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11 pages, 243 KiB  
Article
Correlates of Premenstrual Syndrome in Polish Adolescents—Results from POLKA 18 Youth-Led Cross-Sectional Study
by Katarzyna Rylewicz, Michalina Anna Drejza, Grzegorz Łopiński, Ewa Majcherek, Joanna Barwińska, Małgorzata Mizgier, Katarzyna Plagens-Rotman, Magdalena Pisarska-Krawczyk, Witold Kędzia and Grażyna Jarząbek-Bielecka
J. Clin. Med. 2024, 13(23), 7342; https://doi.org/10.3390/jcm13237342 - 2 Dec 2024
Viewed by 797
Abstract
Objectives: This study aims to evaluate the prevalence of premenstrual syndrome (PMS) among Polish adolescents and explore its associations with mental health outcomes, lifestyle factors, and risk behaviours. Additionally, it seeks to examine the impact of PMS on quality of life, contributing to [...] Read more.
Objectives: This study aims to evaluate the prevalence of premenstrual syndrome (PMS) among Polish adolescents and explore its associations with mental health outcomes, lifestyle factors, and risk behaviours. Additionally, it seeks to examine the impact of PMS on quality of life, contributing to the foundation for initiatives that enhance adolescent menstrual health. Methods: This research is part of the POLKA 18 study, a youth-led cross-sectional survey conducted between April and December 2019. Final-year high school students were surveyed using paper-based, self-reported questionnaires. Statistical analysis was performed using the R programming language in RStudio, with a significance threshold of p-value < 0.05. Results: A total of 1545 valid responses were analysed. PMS was reported by 33.9% of respondents, with over 80% experiencing premenstrual symptoms. Adolescents with negative mental health outcomes, such as self-harm or suicidal ideation, were significantly more likely to report PMS (p ≤ 0.001). PMS was also strongly associated with anxiety and panic attacks (p < 0.001). Risk behaviours, including smoking (p = 0.006), illicit substance use (p < 0.01), and increased alcohol consumption in the past 30 days (p < 0.001), were more prevalent among adolescents with PMS. Furthermore, respondents with PMS reported poorer school performance (p = 0.002), higher stress levels (p < 0.001), and a more negative perception of their overall health (p < 0.001) compared to peers without PMS. Conclusions: PMS is significantly associated with mental health issues, engagement in risky behaviours, higher stress, and diminished self-perceived health and academic performance. These findings highlight the need for further research and the development of targeted interventions to improve adolescent menstrual health. Full article
(This article belongs to the Special Issue Clinical Challenges in Obstetrics and Gynecology: Interactions Between Gynecological and Obstetric Disorders, Quality of Life, and Mental Health in Women)
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