Journal Health of Woman. 2025. 4(179): 64-72. doi: 10.15574/HW.2025.4(179).6472
Malachynska M. Y.
Lviv Regional Clinical Perinatal Center, Ukraine
Danylo Halytskyi Lviv National Medical University, Ukraine

For citation: Malachynska MY. (2025). The impact of military actions on the psycho-emotional state of pregnant displaced women. Ukrainian Journal Health of Woman. 4(179): 64-72. doi: 10.15574/HW.2025.4(179).6472
Article received: Jul 05, 2025. Accepted for publication: Sep 16, 2025.

Pregnancy is a critical period in a woman’s life, and the risks to physical and mental health increase substantially under conditions of armed conflict. Pregnant women who are forced to leave their homes because of hostilities experience heightened stress, which may be accompanied by sleep disturbances, anxiety, somatic complaints, and reduced overall well-being, and may increase vulnerability to anxiety and depressive disorders as well as post-traumatic manifestations.
Aim – To study the clinical and epidemiological characteristics of pregnancy during the armed conflict in Ukraine, with a focus on the psycho-emotional state, war exposure and their connection with somatic complaints and the course of pregnancy..
Materials and methods. A prospective cohort study was conducted in the Lviv region. A total of 1,000 pregnant women were examined: group 1 – internally displaced women from areas of active hostilities (n=333), group 2 – internally displaced women from other regions of Ukraine (n=333), and group 3 – permanent residents of the Lviv region (n=334). Data were collected using a standardized questionnaire covering sociodemographic characteristics, living conditions, and war-related exposures. Psychoemotional status was assessed using the SRQ-20 (20 items, yes/no responses). Group differences in proportions were tested using the chi-square test or Fisher’s exact test; effect sizes with 95% confidence intervals were estimated; statistical significance was set at p<0.05.
Results. A pronounced gradient of emotional distress was identified. In group 1, women more frequently reported anxiety/nervousness (58.3%), difficulty falling asleep/insomnia (51.6%), tension/worry (75.7%), low self-esteem (55.1%), and somatic complaints including headaches (46.9%), fatigue/exhaustion (49.7%), poor appetite (75.8%), and poor digestion (78.8%), whereas in group 3 these indicators were low (mostly 0.9-3.9%). Group 2 showed intermediate levels but remained substantially higher than the group 3. War-related exposures (material losses, housing damage, exposure to shelling/occupied territories, and violence) were more common in the displaced groups.
Conclusions. War and forced displacement are associated with sharply increased psychoemotional distress and somatized complaints in pregnant women, most notably among those displaced from areas of active hostilities. The findings support the need for comprehensive medical, psychological, and social support programs, including routine distress screening.
The author declares that there is no conflict of interest.
Keywords: pregnancy, martial law, internally displaced persons, psychoemotional distress, SRQ-20, Lviv region.

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