Evidence map›Paper›PMID 42519206›Full record

ArticleFrontiers in psychiatry2026

Perinatal mental health and reproductive behavior among women in wartime Ukraine: a cohort study protocol.

Liudmyla Krupelnytska, Nazar Yatsenko, Antonina Molotokas, Olha Morozova-Larina, Alona Vavilova, Artem Baratiuk, Stanislav Kazakov, Volodymyr Artyomenko

Registry-linked trialAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Frontiers in psychiatry, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07551934 (Integrative Model of Factors Influencing Reproductive Behavior and Perinatal Mental Health of Women Amidst War), which is not on this map. Not yet cited in PubMed.

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0cells of the map it votes in
0citing 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.

NCT07551934 recruitingnot on this map

Integrative Model of Factors Influencing Reproductive Behavior and Perinatal Mental Health of Women Amidst War

TypeobservationalSponsorTaras Shevchenko National University of KyivRan2026 to 2028Enrolled328ConditionsPerinatal Mental Health, Reproductive Behavior, Women, Cohort StudiesArmsPsychological Assessment, Routine Clinical Data Collection
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

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

8 authors.

Liudmyla KrupelnytskaDepartment of Psychodiagnostics and Clinical Psychology, Taras Shevchenko National University of Kyiv, Kyiv, Ukraine.
Nazar YatsenkoDepartment of Psychodiagnostics and Clinical Psychology, Taras Shevchenko National University of Kyiv, Kyiv, Ukraine.
Antonina MolotokasDepartment of Psychodiagnostics and Clinical Psychology, Taras Shevchenko National University of Kyiv, Kyiv, Ukraine.
Olha Morozova-LarinaDepartment of Psychodiagnostics and Clinical Psychology, Taras Shevchenko National University of Kyiv, Kyiv, Ukraine.
Alona VavilovaDepartment of Psychodiagnostics and Clinical Psychology, Taras Shevchenko National University of Kyiv, Kyiv, Ukraine.
Artem BaratiukDepartment of Psychodiagnostics and Clinical Psychology, Taras Shevchenko National University of Kyiv, Kyiv, Ukraine.
Stanislav KazakovScientific School "Clinical Psychology", Taras Shevchenko National University of Kyiv, Kyiv, Ukraine.
Volodymyr ArtyomenkoDepartment of Obstetrics and Gynecology, Odesa National Medical University, Odesa, Ukraine.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: War reshapes the conditions under which reproductive decisions are made and pregnancy is experienced. Prolonged insecurity, displacement, economic instability, disruption of healthcare, and reduced social support may lead women and families to postpone pregnancy or face pregnancy and childbirth under constrained conditions. These challenges highlight the need for research on how war-related stress and trauma affect women's reproductive behavior and perinatal mental health. Method: This prospective cohort study will recruit at least 328 women through healthcare institutions providing reproductive and perinatal care. Eligible participants will include non-pregnant women, pregnant women, and women within the first year postpartum. Where feasible, partners of enrolled women will also be included to provide complementary dyadic data. Participants will be followed from baseline to 3, 6, and 12 months. Data will be collected through web-based questionnaires and routine clinical records. No experimental intervention will be delivered, and participation in the study will not modify standard clinical care. Repeated measures will capture mental health, reproductive intentions and behavior, war-related and perinatal experiences, and key sociodemographic and obstetric characteristics. Primary analyses will use mixed-effects models to examine mental-health trajectories, with reproductive status modeled both as a baseline cohort characteristic and, where participants change status during follow-up, as a time-varying covariate; reproductive transitions will also be examined as secondary longitudinal outcomes. Discussion: This protocol addresses an important gap by using a longitudinal design to examine women's experiences in a wartime setting. By situating mental health within disrupted reproductive plans, insecurity, healthcare strain, and family-level experiences, the study may help identify how armed conflicts shape both psychological vulnerability and reproductive decision-making. The findings may inform more responsive care for women affected by war. Clinical Trial Registration: ClinicalTrials.gov; identifier: NCT07551934.

Indexed as

cohort studyperinatal mental healthpostpartumpregnancyreproductive behaviorUkrainewar-affected populationwomen

Identifiers

PMID42519206
PMCPMC13383117

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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.