The Impact of Natural Disasters on Maternal Health: Hurricanes Irma and María in Puerto Rico.

The PROTECT research Center funded by the NIH's National Institute of Environmental Health Sciences (NIEHS) Superfund Research Program was launched in 2010 to explore the impact of exposure to pollutants on the high rate of premature births in Puerto Rico. In September 2017, Hurricanes Irma and Marí...

Full description

Bibliographic Details
Published in:Children Vol. 9; no. 7
Main Authors: Lafarga Previdi, Irene, Welton, Michael, Díaz Rivera, Jazmín, Watkins, Deborah J., Díaz, Zulmarie, Torres, Héctor R., Galán, Chrystal, Guilloty, Natacha I., Agosto, Luis D., Cordero, José F., Alshawabkeh, Akram, Vélez Vega, Carmen M.
Format: research tables/charts Journal Article
Published: MDPI Jul2022
Online Access:View this record in EBSCOhost
fields @attributes:
  recordID: 1
pdfLink:
plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=158212875&site=ehost-live
header:
  @attributes:
    shortDbName: ccm
    uiTerm: 158212875
    longDbName: CINAHL Complete
    uiTag: AN
  controlInfo:
    bkinfo:
    dissinfo:
    jinfo:
      jid:
        22279067
        LW6K
      jtl: Children
      issn: 22279067
      maglogo: N
    pubinfo:
      dt: Jul2022
      vid: 9
      iid: 7
      pid: 97109
      pub: MDPI
    artinfo:
      ui:
        158212875
        158212875
        158212875
        10.3390/children9070940
        158212875
      ppct: 9
      formats:
      tig:
        atl: The Impact of Natural Disasters on Maternal Health: Hurricanes Irma and María in Puerto Rico.
      aug:
        au:
          Lafarga Previdi, Irene
          Welton, Michael
          Díaz Rivera, Jazmín
          Watkins, Deborah J.
          Díaz, Zulmarie
          Torres, Héctor R.
          Galán, Chrystal
          Guilloty, Natacha I.
          Agosto, Luis D.
          Cordero, José F.
          Alshawabkeh, Akram
          Vélez Vega, Carmen M.
        affil: Center for Collaborative Research in Health Disparities, University of Puerto Rico-Medical Sciences Campus, San Juan 00921, Puerto Rico
      sug:
        subj:
          Natural Disasters Puerto Rico
          Environmental Exposure In Pregnancy
          Prenatal Exposure Delayed Effects
          Childbirth, Premature
          Socioeconomic Factors In Pregnancy
          Human
          Puerto Rico
          Pregnancy
          Female
          Mothers
          Food Supply
          Water Supply
          Prenatal Care
          Postnatal Care
          Environmental Pollutants
          Housing
          Stress, Psychological
          Questionnaires
          Female
      ab: The PROTECT research Center funded by the NIH's National Institute of Environmental Health Sciences (NIEHS) Superfund Research Program was launched in 2010 to explore the impact of exposure to pollutants on the high rate of premature births in Puerto Rico. In September 2017, Hurricanes Irma and María devastated the archipelago, which caused: collapse of the electrical system, collapse of the communication system, limited access to clean water, food, gas, and health services, destruction of public (e.g., hospitals) and private property (e.g., houses) and more than 4500 deaths. Pregnant and postpartum individuals are especially vulnerable to natural disasters. They face difficulty obtaining adequate pre- and post-natal care, are exposed to increased risk of miscarriage, premature delivery, and giving birth to low birth weight babies during and after disasters and are also more likely to suffer physical and mental health problems compared to the general population during and after disasters. A face-to-face questionnaire was administered to PROTECT participants who were pregnant during hurricanes Irma or Maria or who became pregnant shortly after in order to identify hurricane-related sources of stress and other adverse effects. This paper is based on the answers to the open-ended question at the end of the questionnaire where participants were asked to share their experiences during and after the hurricanes. Among the 375 participants who completed the survey, 76 answers to the open-ended question were considered due to data saturation. The answers to the open-ended question were transcribed into a document in order to facilitate the coding process. The transcribed text was analyzed first to identify emerging categories and then coded to identify common themes as well as divergence among participants. The following themes were identified: pregnancy and birth challenges, lack of access to basic services, housing conditions, stressful working conditions, concerns about health, concerns about their children, and positive or protective aspects. The results indicate how the disruption in access to basic services has a unique impact on the physical and mental health of pregnant and post-partum women in an emergency situation. These findings point to the potential benefit of developing specific protocols designed for emergency preparedness aimed at this population, which can inform healthcare providers and community organizations in case of future events.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
    refInfo:
    holdings:
      @attributes:
        islocal: N