Evidence map›Paper›PMID 41990306›Full record

SynthesisJournal of global health2026

The impact of disasters on maternal mental health: a systematic review.

Minnat Seema, Clifford Afoakwah, Elcin Tuzel, Joshua Byrnes

Abstract readSystematic Review
In one paragraph

Synthesis in Journal of global health, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from 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.

2 · The registry

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.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Intergenerational associations between maternal health and offspring mental wellbeing: evidence from a nationally representative longitudinal study.Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation · 2026
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors.

Minnat SeemaCentre for Applied Health Economics, Griffith University, Nathan, Australia.
Clifford AfoakwahAustralian Centre for Health Services Innovation, School of Public Health and Social Work, Queensland University of Technology, Kelvin Grove, Australia.
Elcin TuzelCentre for the Business and Economics of Health, The University of Queensland, St Lucia, Australia.
Joshua ByrnesCentre for Applied Health Economics, Griffith University, Nathan, Australia.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: The vulnerability of maternal mental health is increasing with the frequent increase in natural and man-made disasters, yet evidence remains fragmented. We aimed to synthesise quantitative evidence on the impact of disaster exposure on maternal mental health and related pregnancy outcomes. Methods: We systematically searched 12 electronic databases, nine sub-databases, and additional web sources for the studies published between 1995 and 2025. We included studies that assessed the impact of disaster exposure during pregnancy and provided quantitative outcomes for depression, anxiety, stress, posttraumatic stress disorder (PTSD), or adverse pregnancy outcomes. Results: Of 18 604 studies, 24 studies met the inclusion criteria. Natural disasters were the highest group (n = 16), including earthquakes (n = 8), floods/cyclone/hurricane (n = 7), and wildfire (n = 1), followed by man-made disaster (n = 7), including conflict/war/terrorism (n = 5), nuclear disaster (n = 1), plane crash (n = 1), and war (n = 1), and one hybrid disaster. Disaster showed a consistent increase in the risk of depression, anxiety, stress, and PTSD among pregnant women, with effects persisting up to six years post-disaster event. Across studies, disaster exposure increased maternal mental health problems by approximately 30% to over 200%, and PTSD odds increased seven to 10-fold among highly exposed pregnant women. Three studies reported that both depression and PTSD during pregnancy were associated with adverse pregnancy or early child outcomes, suggesting potential intergenerational effects. Conclusions: Disasters exert enduring and profound impacts on maternal mental health, with consequences cascading across both mother and child. Urgent, cost-effective and disaster-informed policies are needed to mitigate such long-term impacts. Registration: PROSPERO: CRD42023445559.

Indexed as

DisastersMaternal HealthMental HealthDepressionFemaleHumansPregnancyPregnancy OutcomeStress Disorders, Post-Traumatic

Identifiers

PMID41990306
PMCPMC13086487

What OpenQuestion holds

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LicenceCC BY
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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.