NDLI: Abnormal labor outcomes as a function of maternal exposure to a catastrophic hurricane event during pregnancy

Content Provider	Springer Nature Link
Author	Zahran, Sammy Peek, Lori Sdgrass, Jeffrey G. Weiler, Stephan Hempel, Lynn
Copyright Year	2011
Abstract	Hurricane Andrew, which made landfall on August 24, 1992, was one of the most destructive hurricanes in American history, causing atypically high levels of psychological and physical health impairment among the resident population and especially among vulnerable groups. This article investigates whether maternal exposure to Hurricane Andrew during pregnancy increased the risk of dystocia (or dysfunctional labor) and infant delivery by cesarean section, the standard medical response to abnormal labor progression. We analyze 297,996 birth events in Miami-Dade and Broward counties in Florida from 1992 to 1993 using propensity score methodology with stratification and nearest-neighbor matching algorithms. Results show that hurricane-exposed pregnant women were significantly more likely to experience stress-induced abnormal labor and cesarean delivery outcomes as compared to statistically matched comparison groups. The conclusion details the policy implications of our results, with particular attention to the importance of maternal prenatal care in the aftermath of disasters.
Starting Page	61
Ending Page	76
Page Count	16
File Format	PDF
ISSN	0921030X
Journal	Natural Hazards
Volume Number	66
Issue Number	1
e-ISSN	15730840
Language	English
Publisher	Springer Netherlands
Publisher Date	2012-01-05
Publisher Place	Dordrecht
Access Restriction	One Nation One Subscription (ONOS)
Subject Keyword	Dysfunctional labor Cesarean section Maternal exposure Hurricane Andrew Disaster Gender Vulnerability Propensity scoring Natural Hazards Hydrogeology Geophysics/Geodesy Geotechnical Engineering & Applied Earth Sciences Civil Engineering Environmental Management
Content Type	Text
Resource Type	Article
Subject	Atmospheric Science Water Science and Technology

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4	Project PI / Joint PI	Principal Investigator and Joint Principal Investigators of the project	Dr. B. Sutradhar bsutra@ndl.gov.in Prof. Saswat Chakrabarti will be added soon
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