Evidence map›Paper›PMID 41918101›Full record

ArticleBMC pregnancy and childbirth2026

Exploring the effects of mental health on bonding and caregiving among pregnant and postpartum persons with likely depression and/or PTSD in South Africa: a qualitative analysis.

Lauren R Gulbicki, Madison R Fertig, Jennifer N Githaiga, Linda Gwangqa, Katherine E Kabel, Jane H Lee, Lucia Knight, Conall O'Cleirigh, Christina Psaros, Amelia M Stanton

Abstract read
In one paragraph

Article in BMC pregnancy and childbirth, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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0citing papers in PubMed
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1 · What the graph read from it

What it found

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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.

2 · The registry

The trial behind it

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3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

10 authors.

Lauren R GulbickiDepartment of Health Systems and Population Health, University of Washington School of Public Health, Seattle, United States.
Madison R FertigDepartment of Psychological & Brain Sciences, Boston University, Boston, USA.
Jennifer N GithaigaDivision of Social and Behavioural Sciences, University of Cape Town, Cape Town, South Africa.
Linda GwangqaDivision of Social and Behavioural Sciences, University of Cape Town, Cape Town, South Africa.
Katherine E KabelDepartment of Psychological & Brain Sciences, Boston University, Boston, USA.
Jane H LeeDepartment of Psychological & Brain Sciences, Boston University, Boston, USA.
Lucia KnightDivision of Social and Behavioural Sciences, University of Cape Town, Cape Town, South Africa.
Conall O'CleirighPsychiatry Department, Massachusetts General Hospital, Boston, USA.
Christina PsarosPsychiatry Department, Massachusetts General Hospital, Boston, USA.
Amelia M StantonDepartment of Psychological & Brain Sciences, Boston University, Boston, USA. stantona@bu.edu.

Funding

Reducing psychological barriers to PrEP persistence among pregnant and postpartum women in Cape Town, South AfricaK23MH131438 · NIMH · BOSTON UNIVERSITY (CHARLES RIVER CAMPUS) · PI Amelia M. Stanton · 2022 to 2026
$933k
Harvard University 5P30AI060354-17NIMH NIH HHS K23MH131438
6 · The paper itself

Abstract

Perinatal mental health disorders place a particularly high public health burden on South Africa (SA) via adverse health outcomes for the birthing parent and for their infants, and contribute to emotional and behavioral problems later in childhood. There is little research exploring the anticipated impacts mental health symptoms have on one’s ability to emotionally connect or care for their infant after delivery. HIV-negative pregnant persons were recruited from an antenatal clinic in Cape Town as a part of a larger study investigating mental health barriers to pre-exposure prophylaxis (PrEP) uptake during pregnancy. Participants qualified for an in-depth interview based on elevated symptoms of depression and/or PTSD. The interviews explored the likely impact of their mental health symptoms on their baby’s wellbeing, their ability to bond with their baby, and their ability to meet their baby’s needs. After transcription and translation of interviews, a codebook was developed using inductive and deductive methods. Coded data were analyzed using thematic analysis. Twenty-three participants completed 30 interviews (seven were interviewed twice—once during pregnancy and once post-delivery); on average, they were 25.1 years old and had 2.1 previous pregnancies. Three themes emerged from interviews: (1) a strong perceived connection between maternal mental health and baby’s wellbeing; (2) perceived strains on bonding with the baby; and (3) the impact of mental health on the likelihood of completing parenting tasks. These results provide insight on how women expect their mental health symptoms to impact their ability to care for their baby, and also how a sense of resilience can contribute to overcoming anticipated mental health challenges. This study will inform future mental health programming to prepare pregnant persons with mental health symptoms for a successful postpartum period with respect to bonding and caring for their infant.

Indexed as

DepressionMother-Child RelationsObject AttachmentPostpartum PeriodPregnancy ComplicationsPregnant PeopleStress Disorders, Post-TraumaticAdultFemaleHumansMental HealthPregnancyQualitative ResearchSouth AfricaYoung AdultCaregivingHIV preventionMental healthPregnancy

Identifiers

PMID41918101
PMCPMC13159178

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LicenceCC BY-NC-ND
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Registered trials

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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.