ArticleArchives of gynecology and obstetrics2024
The association of delivery during a war with the risk for postpartum depression, anxiety and impaired maternal-infant bonding, a prospective cohort study.
Article in Archives of gynecology and obstetrics, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 1 of them a synthesis that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
12 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Psychiatric outcomes in the first two years after the October 7 attacks: a systematic review of posttraumatic stress, anxiety, depression, and addiction-related outcomes.Frontiers in psychiatry · 2026Pooled it
- Postpartum depression in women during war: from acute crisis to prolonged conflict.Social psychiatry and psychiatric epidemiology · 2026Article
- The impact of the 7th October war on preterm birth rates and neonatal outcomes: a retrospective comparative study from northern Israel.Archives of gynecology and obstetrics · 2026Article
- Maternal-fetal attachment trajectories in IVF mothers during the first trimester: a prospective observational study.Archives of gynecology and obstetrics · 2026Observational
- Postnatal Bonding in the First Year After Birth: The Role of Maternal Depression, Resilience, and Anxiety During the COVID-19 Pandemic and War-Related Stress-A Prospective Cohort Study.Journal of clinical medicine · 2026Article
- First-time postpartum motherhood during armed conflict: experiences, challenges, coping, and support needs among women with mobilized partners.Frontiers in global women's health · 2026Article
- Perinatal mental health and reproductive behavior among women in wartime Ukraine: a cohort study protocol.Frontiers in psychiatry · 2026Article
- Partner military deployment during wartime is associated with maternal depression and impaired maternal-infant attachment: a matched-control study from the Israel-Hamas war.Archives of women's mental health · 2025Article
- Effect of ethnic origin and newborn gender on mother-infant bonding.Archives of gynecology and obstetrics · 2025Article
- Personality, Perinatal Anxiety, and Substance Use as Converging Determinants of Post-Partum Depression in South-East Europe.Medicina (Kaunas, Lithuania) · 2025Article
- Maternal Intrusive Thoughts and Dissociative Experiences in the Context of Early Caregiving Under Varying Levels of Societal Stress.Behavioral sciences (Basel, Switzerland) · 2025Article
- A method for predicting postpartum depression via an ensemble neural network model.Frontiers in public health · 2025Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
9 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveTo examine the impact of war conditions on maternal mental health postpartum outcomes, specifically depression and anxiety, as well as on maternal-infant bonding (MIB). STUDY
designA prospective cohort study was performed on women who gave birth in a tertiary medical center during (October-November 2023) and before (March-May 2020) the Israel-Hamas War. All participants completed validated self-reported questionnaires: The Edinburgh Postnatal Depression Scale (EPDS ≥ 10), State-Trait Anxiety Inventory (STAI > 39) and the Postpartum Bonding Questionnaire (PBQ ≥ 26).
resultsA total of 502 women were included in the study, with 230 delivering during the war and 272 delivered before. The rates of postpartum depression (PPD) were higher in women delivering during the war (26.6% vs. 12.4%, p < 0.001), while multivariable regression revealing a two-fold higher risk (adjusted OR 2.35, 95% CI 1.16-4.74, p = 0.017). The rate of postpartum anxiety (PPA) risk was also higher (34.3% vs 17.0%, p < 0.001), reaching a trend towards significance when accounting for other risk factors (adjusted OR 2.06, 95% CI 0.97-4.36, p = 0.058). Additionally, delivery during the war was associated with specific factors of impaired maternal-infant bonding (MIB), although it did not increase the overall impaired MIB (PBQ ≥ 26) (10.2 ± 14.1 vs 8.3 ± 6.9, p = 0.075).
conclusionThe study revealed an increased risk of PPD, a marginally risk for PPA, and some aspects of impaired MIB among women delivering during the war. Maternal mental illness in the postpartum period has negative impacts on the entire family. Therefore, comprehensive screening and adequate resources should be provided for women delivering in war-conflict zones.
Indexed as
Identifiers
39367974What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.