COMPARATIVE ANALYSIS OF STRESS LEVELS AND PSYCHOSOCIAL FACTORS AMONG PREGNANT WOMEN FROM DIFFERENT GROUPS UNDER MARTIAL LAW CONDITIONS IN UKRAINE

Authors

DOI:

https://doi.org/10.11603/24116-4944.2025.1.15405

Keywords:

pregnant women, stress, war, psychosocial factors, displacement, post-traumatic stress disorder, mental health

Abstract

The aim of the study – to determine the specific impact of stress and psychosocial factors on pregnancy outcomes among women living under varying conditions during martial law in Ukraine, with a particular focus on internally displaced persons (IDPs) and the local population.

Materials and Methods. This prospective cohort study was conducted in the Lviv region and involved a total of 1,000 pregnant women, who were divided into three comparable groups based on their displacement status. Data were collected using standardized questionnaires. Descriptive statistics and chi-square tests were employed to assess between-group differences, with statistical significance set at p<0.05.

Results and Discussion. The highest levels of fatigue were observed among women in groups 1 and 2 (87 and 90 %, respectively), which were significantly higher than in the control group (81 %). Symptoms such as general weakness, headaches, excessive sweating, and palpitations were more frequently reported by displaced women. Women in groups 1 and 2 also sought psychological assistance more frequently after the onset of the war, indicating a greater need for emotional support. Furthermore, these groups received more financial assistance from the government, relatives, and strangers, reinforcing the hypothesis that displaced pregnant women are exposed to higher levels of stress and harsher living conditions compared to local residents.

Conclusions. Internally displaced pregnant women experience higher levels of fatigue and psycho-emotional burden, necessitating enhanced provision of psychological, medical, and social support. Statistically significant differences between the groups highlight the need for tailored support interventions under wartime conditions.

Author Biography

M. Y. Malachynska, Danylo Halytsky Lviv National Medical University

Associate Professor of the Department of Obstetrics and Gynecology

References

Awuah, W.A., Adebusoye, F.T., Tan, J.K., Ferreira, T. & Abdul-Rahman, T. (2023). The silent war: PTSD in Ukraine: insights from other war-affected nations for treating intergenerational PTSD. Int J Surg, 109(11), 3698-3699. DOI: 10.1097/js9.0000000000000597. DOI: https://doi.org/10.1097/JS9.0000000000000597

Ben-Ezra, M., Goodwin, R., Leshem, E. & Hamama-Raz, Y. (2023). PTSD symptoms among civilians being displaced inside and outside the Ukraine during the 2022 Russian invasion. Psychiatry Res, 320, 115011. DOI: 10.1016/j.psychres.2022.115011. DOI: https://doi.org/10.1016/j.psychres.2022.115011

Bürgin, D., Anagnostopoulos, D., Vitiello, B., Sukale, T., Schmid, M. & Fegert, J.M. (2022). Impact of war and forced displacement on children's mental health-multilevel, needs-oriented, and trauma-informed approaches. Eur Child Adolesc Psychiatry, 31(6), 845-853. DOI: 10.1007/s00787-022-01974-z. DOI: https://doi.org/10.1007/s00787-022-01974-z

Eshel, Y., Kimhi, S., Marciano, H. & Adini, B. (2023). Predictors of PTSD and Psychological Distress Symptoms of Ukraine Civilians During war. Disaster Med Public Health Prep, 17, e429. DOI: 10.1017/dmp.2023.69. DOI: https://doi.org/10.1017/dmp.2023.69

Johnson, R.J., Antonaccio, O., Botchkovar, E. & Hobfoll, S.E. (2022). War trauma and PTSD in Ukraine's civilian population: comparing urban-dwelling to internally displaced persons. Soc Psychiatry Psychiatr Epidemiol, 57(9), 1807-1816. DOI: 10.1007/s00127-021-02176-9. DOI: https://doi.org/10.1007/s00127-021-02176-9

Hamwi, S., Lorthe, E., Severo, M., & Barros, H. (2023). Migrant and native women's perceptions of prenatal care communication quality: the role of host-country language proficiency. BMC Public Health, 23(1), 295. DOI: 10.1186/s12889-023-15154-4. DOI: https://doi.org/10.1186/s12889-023-15154-4

Mamuk, R. & Şahin, N.H. (2021). Reproductive health issues of undocumented migrant women living in Istanbul. Eur J Contracept Reprod Health Care, 26(3), 202-208. DOI: 10.1080/13625187.2020.1843618. DOI: https://doi.org/10.1080/13625187.2020.1843618

McKnight, A., Vigod, S.N., Dennis, C.L., Wanigaratne, S. & Brown, H.K. (2020). Association Between Chronic Medical Conditions and Acute Perinatal Psychiatric Health-Care Encounters Among Migrants: A Population-Based Cohort Study. Can J Psychiatry, 65(12), 854-864. DOI: 10.1177/0706743720931231. DOI: https://doi.org/10.1177/0706743720931231

Moore, L., Jayaweera, H., Redshaw, M. & Quigley, M. (2019). Migration, ethnicity and mental health: evidence from mothers participating in the Millennium Cohort Study. Public Health, 171, 66-75. DOI: 10.1016/j.puhe.2019.03.022. DOI: https://doi.org/10.1016/j.puhe.2019.03.022

Origlia Ikhilor, P., Hasenberg, G., Kurth, E., Asefaw, F., Pehlke-Milde, J., & Cignacco, E. (2019). Communication barriers in maternity care of allophone migrants: Experiences of women, healthcare professionals, and intercultural interpreters. J Adv Nurs, 75(10), 2200-2210. DOI: 10.1111/jan.14093. DOI: https://doi.org/10.1111/jan.14093

Sawadogo, P. M., Sia, D., Onadja, Y., Beogo, I., Sangli, G., Sawadogo, N., Gnambani, A., Bassinga, G., Robins, S., & Tchouaket Nguemeleu, E. (2023). Barriers and facilitators of access to sexual and reproductive health services among migrant, internally displaced, asylum seeking and refugee women: A scoping review. PLoS One, 18(9), e0291486. DOI: 10.1371/journal.pone.0291486. DOI: https://doi.org/10.1371/journal.pone.0291486

Shoemaker, E.S., Kendall, C.E., Mathew, C., Crispo, S., Welch, V., Andermann, A., ... & Pottie, K. (2020). Establishing need and population priorities to improve the health of homeless and vulnerably housed women, youth, and men: A Delphi consensus study. PLoS One, 15(4), e0231758. DOI: 10.1371/journal.pone.0231758. DOI: https://doi.org/10.1371/journal.pone.0231758

Shui, Y., Xu, D., Liu, Y. & Liu, S. (2020). Work-family balance and the subjective well-being of rural women in Sichuan, China. BMC Womens Health, 20(1), 1. DOI: 10.1186/s12905-019-0871-6. DOI: https://doi.org/10.1186/s12905-019-0871-6

Soeiro, R.E., Rocha, L., Surita, F.G., Bahamondes, L., & Costa, M.L. (2021). Period poverty: menstrual health hygiene issues among adolescent and young Venezuelan migrant women at the northwestern border of Brazil. Reprod Health, 18(1), 238. DOI: 10.1186/s12978-021-01285-7. DOI: https://doi.org/10.1186/s12978-021-01285-7

Stevenson, K., Fellmeth, G., Edwards, S., Calvert, C., Bennett, P., Campbell, O.M.R. & Fuhr, D.C. (2023). The global burden of perinatal common mental health disorders and substance use among migrant women: a systematic review and meta-analysis. Lancet Public Health, 8(3), e203-e216. DOI: 10.1016/s2468-2667(22)00342-5. DOI: https://doi.org/10.1016/S2468-2667(22)00342-5

Fakhoury, J., Burton-Jeangros, C., Consoli, L., Duvoisin, A., Courvoisier, D. & Jackson, Y. (2021). Mental health of undocumented migrants and migrants undergoing regularization in Switzerland: a cross-sectional study. BMC Psychiatry, 21(1), 175. DOI: 10.1186/s12888-021-03149-7. DOI: https://doi.org/10.1186/s12888-021-03149-7

Machado, S., Wiedmeyer, M.L., Watt, S., Servin, A.E. & Goldenberg, S. (2022). Determinants and Inequities in Sexual and Reproductive Health (SRH) Care Access Among Im/Migrant Women in Canada: Findings of a Comprehensive Review (2008-2018). J Immigr Minor Health, 24(1), 256-299. DOI: 10.1007/s10903-021-01184-w. DOI: https://doi.org/10.1007/s10903-021-01184-w

Fellmeth, G., Plugge, E., Fazel, M., Nosten, S., Oo, M.M., Pimanpanarak, M., ... & McGready, R. (2021). Perinatal depression in migrant and refugee women on the Thai-Myanmar border: does social support matter? Philos Trans R Soc Lond B Biol Sci, 376(1827), 20200030. DOI: 10.1098/rstb.2020.0030. DOI: https://doi.org/10.1098/rstb.2020.0030

Heller, H.M., de Vries, A.V.R., Hoogendoorn, A.W., Scheele, F., Kop, W.J., de Groot, C.J.M., ... & Broekman, B.F.P. (2022). Complications and Healthcare Consumption of Pregnant Women with a Migrant Background: Could There be an Association with Psychological Distress? Matern Child Health J, 26(8), 1613-1621. DOI: 10.1007/s10995-022-03451-0. DOI: https://doi.org/10.1007/s10995-022-03451-0

Rogers, H.J., Ao, C. & Henry, A. (2023). Perspectives of women and partners from migrant and refugee backgrounds accessing the Cross Cultural Worker Service in maternity and early childhood services-a survey study. BMC Health Serv Res, 23(1), 1233. DOI: 10.1186/s12913-023-10194-3. DOI: https://doi.org/10.1186/s12913-023-10194-3

Rogers, H.J., Hogan, L., Coates, D., Homer, C.S.E., & Henry, A. (2020). Responding to the health needs of women from migrant and refugee backgrounds-Models of maternity and postpartum care in high-income countries: A systematic scoping review. Health Soc Care Community, 28(5), 1343-1365. DOI: 10.1111/hsc.12950. DOI: https://doi.org/10.1111/hsc.12950

Rogers, H.J., Hogan, L., Coates, D., Homer, C.S.E., & Henry, A. (2021). Cross Cultural Workers for women and families from migrant and refugee backgrounds: a mixed-methods study of service providers perceptions. BMC Womens Health, 21(1), 222. DOI: 10.1186/s12905-021-01368-4. DOI: https://doi.org/10.1186/s12905-021-01368-4

Russo, A., Lewis, B., Ali, R., Abed, A., Russell, G., & Luchters, S. (2023). Sex, Sexuality, and Intimate Relationships Among Afghan Women and Men of Refugee Background Living in Melbourne, Australia: Experiences, Opportunities, and Transcultural Tensions. Arch Sex Behav, 52(1), 177-189. DOI: 10.1007/s10508-022-02296-6. DOI: https://doi.org/10.1007/s10508-022-02296-6

Published

2025-06-12

How to Cite

Malachynska, M. Y. (2025). COMPARATIVE ANALYSIS OF STRESS LEVELS AND PSYCHOSOCIAL FACTORS AMONG PREGNANT WOMEN FROM DIFFERENT GROUPS UNDER MARTIAL LAW CONDITIONS IN UKRAINE. Actual Problems of Pediatrics, Obstetrics and Gynecology, (1), 26–32. https://doi.org/10.11603/24116-4944.2025.1.15405

Issue

Section

OBSTETRICS AND GYNECOLOGY