A Pilot Study on Evidence-Based Pograms for Pregnant Women after Calamity_Chinese Journal of Evidence-Based Medicine

Authors：

FU Jing , HU Lina , XU Liangzhi , ZHOU Rong , WANG He

The Department of Obstetrics and Gynecology, The Second University Hospital of Sichuan University, Chengdu 610041, China;

Corresponding author：

Keywords：

Medical rescue after calamity; Pregnant women health care; Evidence-based decision-making

DOI：

10.7507/1672-2531.20080157

Video：

Export PDF Favorites Scan Get Citation

Abstract Full text Figures/Tables Video References Cited by

Objective 　To provide evidence for establ ishing a health care system for pregnant women after disasters by evidence-based evaluation on the comparison of programs in different countries of the world.
Methods 　We electronically searched The Cochrane Library (Issue 2, 2008), MEDLINE (1966 to June 2008), EMbase (1984 to June 2008), VIP ( 1989 to June 2008), CBM ( 1978 to June 2008), Wangfang database (1997 to June 2008), CNKI (1994 to June 2008) and handsearched Journals such as Chinese Journal of Obstetrics and Gynecology to identify l iteratures and guidel ines on pregnant women healthy care system after calamity. The qual ity of l iteratures and guidel ines was assessed.
Results 　A total of 293 studies were searched, of which 25 studies were identified with the focuses on the consequence of pregnancy, development of fetus and first-aid of injuries of pregnant women. We found the studies on pregnant women’s health care were l imited, and most of them were retrospective and cohort studies, which was related to the paroxysmal ity, rarity and complexity of the disaster.?
Conclusions 　The high proportion of pregnant women among displaced persons underscores the importance of examining how behavioral changes and difficulties in access to health care influencing the maternal and infant health, which needs comprehensive planning and arrangement.

Citation： FU Jing,HU Lina,XU Liangzhi,ZHOU Rong,WANG He. A Pilot Study on Evidence-Based Pograms for Pregnant Women after Calamity. Chinese Journal of Evidence-Based Medicine, 2008, 08(9): 698-702. doi: 10.7507/1672-2531.20080157 Copy

1.	Biol, 1989, 31(3): 233-236.
2.	WHO. Reproductive health during conflict and displacement: a guide for programme managers. 2000.
3.	United Nations High Commissioner for Refugees. Reproductive health in refugee situations. 1999.
4.	United Nations High Commissioner for Refugees. UNHCR Handbook for the Protection of Women and Girls. 2008.
5.	Atlanta GA. Division of Reproductive Health, National Center for Chronic Disease Prevention and Health Promotion, Coordinating Center for Health Promotion, Centers for Disease Control and Prevention, Department of Health and Human Services. Reproductive Health Assessment Toolkit for Confl ict-Affected Women. 2007.
6.	Cooperative for Assistance and Rel ief. Everywhere Raising Awareness for Reproductive Health In Complex Emergencies: A Training Manual. 2002.
7.	Ewing B, Buchholtz S, Rotanz R. Assisting pregnant women to prepare for disaster.The American Journal of Maternal Child Nursing, 2008, 2: 98-103.
8.	Glynn LM, Wadfwa PD. When stress happens matters effects of earthquake timing on stress responsivity in pregnancy. Am J Obstetric Gynecology, 2001, 184: 637-642.
9.	Chang HL, Chang TC, Lin TY, et al. Psychiatric morbidity and pregnancy outcome in a disaster area of Taiwan 921 earthquake. Psychiatry Clin Neurosci, 2002, 56(2): 139-144.
10.	Engel SM, Berkowitz GS, Wolff MS, et al. Psychological trauma associated with the World Trade Center attacks and its effect on pregnancy outcome. Paediatric and Perinatal Epidemiology, 2005, 19(5): 334-341.
11.	Laplante DP, Barr RG, Brunet A, et al. Stress during pregnancy affects general intellectual and language functioning in human toddlers. Pediatr Res, 2004, 56(3): 400-410.
12.	Brand SR, Engel SM, Canfield RL, et al. The Effect of Maternal PTSD Following in Utero Trauma Exposure on Behavior and Temperament in the 9-Month-Old Infant. Annals of the New York Academy of Sciences, 2006, 1071(1): 454-458.
13.	Lederman SA, Rauh V, Weiss L, et al. The Effects of the World Trade Center Event on Birth Outcomes among Term Del iveries at Three Lower Manhattan Hospitals. Health Perspect, 2004, 112: 1772-1778.
14.	Renuka J, Aberra B, Piyasena CL, et al. Assessment of nutritional status of children under five years of age, pregnant women, and lactating women living in relief camps after the tsunami in Sri Lanka. Food & Nutrition Bulletin, 2006, 27(2): 144-152.
15.	Landrigan PJ, Forman J, Galvez M, et al. Impact of september 11 World Trade Center disaster on children and pregnant women. Mount Sinai Journal of Medicine, 2008, 75(2): 129-134.
16.	Rubacka JM, Schmeidler J, Nomura Y, et al. The relationship between PTSD arousal symptoms and depression among mothers exposed to the World Trade Center attacks. Journal of Nervous & Mental Disease, 2008, 196(6): 504-507.
17.	Selten JP, Yolanda van der G, van Duursen R, et al. Kahn. Psychotic illness after prenatal exposure to the 1953 Dutch Flood Disaster. Schizophrenia Research, 1999, 35: 243-245.
18.	Thul itha WKA. Family context of mental health risk in Tsunami affected mothers: findings from a pilot study in Sri Lanka. Social Science & Medicine, 2008, 66(4): 994-1007.
19.	Weissman A, Siegler E, Neiger R, et al. The influence of increased seismic activity on pregnancy outcome. Eur J Obstet Gynecol Reprod.
20.	Rudlo VU. Trauma in pregnancy. Arch Gynecol Obstet, 2007, 276: 101-117.
21.	Scorpio R, Esposito T, Smith G, et al. Blunt trauma during pregnancy: factors aVecting fetal outcome. J Trauma, 1992, 32: 213-216.
22.	Kady DE. Perinatal Outcomes of Traumatic Injuries During Pregnancy. Clinical Obstetrics and Gynecology, 2008, 50(3): 582-591.
23.	Sugrue M, Kolkman KA. Trauma During Pregnancy. Aust J Rural Health, 1999, 7: 82-84.
24.	Udo RV. Trauma in pregnancy. Arch Gynecol Obstet, 2007, 276: 101-117.
25.	Chames M, Pearlman M. Trauma During Pregnancy: Outcomes and Clinical Management. Clinical Obstetrics & Gynecology, 2008, 51(2): 398-408.
26.	Warner MW, Salfinger SG. Management of trauma during pregnancy. ANZ J Surg, 2004, 74: 125-128.

1. Biol, 1989, 31(3): 233-236.
2. WHO. Reproductive health during conflict and displacement: a guide for programme managers. 2000.
3. United Nations High Commissioner for Refugees. Reproductive health in refugee situations. 1999.
4. United Nations High Commissioner for Refugees. UNHCR Handbook for the Protection of Women and Girls. 2008.
5. Atlanta GA. Division of Reproductive Health, National Center for Chronic Disease Prevention and Health Promotion, Coordinating Center for Health Promotion, Centers for Disease Control and Prevention, Department of Health and Human Services. Reproductive Health Assessment Toolkit for Confl ict-Affected Women. 2007.
6. Cooperative for Assistance and Rel ief. Everywhere Raising Awareness for Reproductive Health In Complex Emergencies: A Training Manual. 2002.
7. Ewing B, Buchholtz S, Rotanz R. Assisting pregnant women to prepare for disaster.The American Journal of Maternal Child Nursing, 2008, 2: 98-103.
8. Glynn LM, Wadfwa PD. When stress happens matters effects of earthquake timing on stress responsivity in pregnancy. Am J Obstetric Gynecology, 2001, 184: 637-642.
9. Chang HL, Chang TC, Lin TY, et al. Psychiatric morbidity and pregnancy outcome in a disaster area of Taiwan 921 earthquake. Psychiatry Clin Neurosci, 2002, 56(2): 139-144.
10. Engel SM, Berkowitz GS, Wolff MS, et al. Psychological trauma associated with the World Trade Center attacks and its effect on pregnancy outcome. Paediatric and Perinatal Epidemiology, 2005, 19(5): 334-341.
11. Laplante DP, Barr RG, Brunet A, et al. Stress during pregnancy affects general intellectual and language functioning in human toddlers. Pediatr Res, 2004, 56(3): 400-410.
12. Brand SR, Engel SM, Canfield RL, et al. The Effect of Maternal PTSD Following in Utero Trauma Exposure on Behavior and Temperament in the 9-Month-Old Infant. Annals of the New York Academy of Sciences, 2006, 1071(1): 454-458.
13. Lederman SA, Rauh V, Weiss L, et al. The Effects of the World Trade Center Event on Birth Outcomes among Term Del iveries at Three Lower Manhattan Hospitals. Health Perspect, 2004, 112: 1772-1778.
14. Renuka J, Aberra B, Piyasena CL, et al. Assessment of nutritional status of children under five years of age, pregnant women, and lactating women living in relief camps after the tsunami in Sri Lanka. Food & Nutrition Bulletin, 2006, 27(2): 144-152.
15. Landrigan PJ, Forman J, Galvez M, et al. Impact of september 11 World Trade Center disaster on children and pregnant women. Mount Sinai Journal of Medicine, 2008, 75(2): 129-134.
16. Rubacka JM, Schmeidler J, Nomura Y, et al. The relationship between PTSD arousal symptoms and depression among mothers exposed to the World Trade Center attacks. Journal of Nervous & Mental Disease, 2008, 196(6): 504-507.
17. Selten JP, Yolanda van der G, van Duursen R, et al. Kahn. Psychotic illness after prenatal exposure to the 1953 Dutch Flood Disaster. Schizophrenia Research, 1999, 35: 243-245.
18. Thul itha WKA. Family context of mental health risk in Tsunami affected mothers: findings from a pilot study in Sri Lanka. Social Science & Medicine, 2008, 66(4): 994-1007.
19. Weissman A, Siegler E, Neiger R, et al. The influence of increased seismic activity on pregnancy outcome. Eur J Obstet Gynecol Reprod.
20. Rudlo VU. Trauma in pregnancy. Arch Gynecol Obstet, 2007, 276: 101-117.
21. Scorpio R, Esposito T, Smith G, et al. Blunt trauma during pregnancy: factors aVecting fetal outcome. J Trauma, 1992, 32: 213-216.
22. Kady DE. Perinatal Outcomes of Traumatic Injuries During Pregnancy. Clinical Obstetrics and Gynecology, 2008, 50(3): 582-591.
23. Sugrue M, Kolkman KA. Trauma During Pregnancy. Aust J Rural Health, 1999, 7: 82-84.
24. Udo RV. Trauma in pregnancy. Arch Gynecol Obstet, 2007, 276: 101-117.
25. Chames M, Pearlman M. Trauma During Pregnancy: Outcomes and Clinical Management. Clinical Obstetrics & Gynecology, 2008, 51(2): 398-408.
26. Warner MW, Salfinger SG. Management of trauma during pregnancy. ANZ J Surg, 2004, 74: 125-128.

Chinese Journal of Evidence-Based Medicine

A Pilot Study on Evidence-Based Pograms for Pregnant Women after Calamity

Abstract Full text Figures/Tables Video References Cited by

Previous Article

Next Article

Format

Content