Women's Reproductive Choices and Mental Health During Pregnancy and After Birth in Wartime Ukraine
For patients and families
In plain language
An automatic summary of structured registry data. It is an orientation aid, not a substitute for the official protocol or a physician assessment.
- What is being studied
- The protocol lists: Psychological Assessment, Routine Clinical Data Collection.
- Who it may be relevant to
- Registry conditions: Perinatal Mental Health, Reproductive Behavior, Women, Cohort Studies. Basic parameters: from 18 years · All.
- What needs checking
- Age, condition and sex are only basic indicators. Prior treatment, laboratory values and other mandatory requirements appear in the eligibility criteria below.
- Where it takes place
- Ukraine
- Next step
- Save the trial, show it to the treating physician, and confirm current recruitment with the study center. Costs, documents and travel →
Unsure about the terms? Read our patient guide →
Official title
Integrative Model of Factors Influencing Reproductive Behavior and Perinatal Mental Health of Women Amidst War
Overview
The goal of this observational study is to learn how war affects reproductive decisions and perinatal mental health in Ukrainian women. The main questions it aims to answer are: (1) how are wartime stress and trauma related to women's decisions about pregnancy and childbirth?; (2) what mental health symptoms and psychological difficulties are experienced during the perinatal period under wartime conditions? (3) which demographic, obstetric, and psychological factors are linked to poorer mental health and childbirth experiences? Researchers will survey at least 300 women. Participants will: (1) complete questionnaires about their mental health and psychological well-being; (2) answer questions about their reproductive choices, pregnancy, and/or childbirth experiences; (3) report on the impact of war, social support, maternal care, and postpartum trauma; (4) provide demographic and obstetric information. The findings will be used to develop an evidence-based model of the factors influencing reproductive behavior and perinatal mental health during war.
Interventions
- Diagnostic test Psychological Assessment
A participant-completed questionnaire administered to eligible women and, where applicable, to partners included in the supplementary dyadic component. Question flow will be adapted through programmed routing logic so that participants are presented only with items relevant to their reproductive stage and experiences. - Diagnostic test Routine Clinical Data Collection
Clinical data abstracted from routine medical records, including maternal, obstetric, fetal, delivery, and neonatal indicators relevant to the study. Data collection will be limited to information available in routine care and recorded only with participant consent.
Primary outcome measures
- World Health Organization - Five Well-Being Index [Time frame: Baseline, 3 months, 6 months, and 12 months after enrolment.]
Secondary outcome measures (12)
- Edinburgh Postnatal Depression Scale [Time frame: Baseline, 3 months, 6 months, and 12 months after enrolment.]
- The City Birth Trauma Scale [Time frame: Baseline, 3 months, 6 months, and 12 months after enrolment, where applicable.]
- The City Birth Trauma Scale (Partner version) [Time frame: Baseline, 3 months, 6 months, and 12 months after enrolment, where applicable.]
- The Birth Satisfaction Scale - Revised [Time frame: Baseline, 3 months, 6 months, and 12 months after enrolment.]
- Desire to Avoid Pregnancy Scale [Time frame: Baseline, 3 months, 6 months, and 12 months after enrolment.]
- London Measure of Unplanned Pregnancy [Time frame: Baseline, 3 months, and 12 months after enrolment.]
- Maternal and Partner Sex During Pregnancy Scales [Time frame: Baseline, 3 months, 6 months, and 12 months after enrolment.]
- Motivations Against Sex Questionnaire [Time frame: Baseline, 3 months, 6 months, and 12 months after enrolment.]
- Domestic Violence Myth Acceptance Scale [Time frame: Baseline and 12 months after enrolment.]
- General Anxiety Disorder - 7 [Time frame: Baseline, 3 months, 6 months, and 12 months after enrolment.]
- Impact of Events Scale - Revised [Time frame: Baseline, 3 months, 6 months, and 12 months after enrolment.]
- Suicide Crisis Inventory - 2 Short Form [Time frame: Baseline, 3 months, 6 months, and 12 months after enrolment.]
Eligibility criteria
Inclusion criteria
- able and willing to provide informed consent;
- aged 18 years or older.
Exclusion criteria
- younger than 18 years;
- unable to provide informed consent;
- do not have sufficient language proficiency to complete the study procedures;
- at the time of recruitment, they have an acute medical or psychological condition that would make participation unsafe, inappropriate, or unduly burdensome (e.g., obstetric emergencies, immediate postoperative or critical care status, or severe acute distress requiring urgent clinical care);
- participation or the handling of personal data could reasonably pose a risk to the safety of the participant or their family.
Criteria are shown verbatim from the registry (in English). Final eligibility is always assessed by the study center.
Healthy volunteers: Yes
Study design
- Observational model
- Cohort
Study locations
Ukraine · 1 center
- Taras Shevchenko National University of Kyiv — Kyiv
Publications
- Krupelnytska L, Yatsenko N, Molotokas A, Morozova-Larina O, Vavilova A, Baratiuk A, Kazakov S, Artyomenko V. Perinatal mental health and reproductive behavior among women in wartime Ukraine: a cohort study protocol. Front Psychiatry. 2026 Jul 6;17:1874060. doi: 10.3389/fpsyt.2026.1874060. eCollection 2026. PMID 42519206
Identifiers
NCT: NCT07551934 · 26ГФ016-01 · 2025.07/0191