Maternal and Newborn Care During Disasters: Thinking Outside the Hospital Paradigm

Pfeiffer, Jeanne; Avery, Melissa D.; Benbenek, Mary Mescher; Prepas, Robbie; Summers, Lisa; Wachdorf, Cecilia M.; O’Boyle, Carol

doi:10.1016/j.cnur.2008.04.008

Cited by 18 publications

(21 citation statements)

References 23 publications

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“…An effective response to the crisis depends on health systems developing evidence-based strategic plans to ensure safe care during childbirth. 1 Throughout this crisis, women will continue to become pregnant and give birth, deserving the same right to safe maternity services and compassionate care as they always have. This includes physical and emotional safety for the mother, baby and the birth partner.…”

Section: Abstract: Midwifery; Birthing Centers; Pandemics; Global Heamentioning

confidence: 99%

“…Lessons learned from previous disasters include the prioritizing maternity care as an essential service for vulnerable population. 1 Midwifery units are community-based healthcare facilities offering sexual and reproductive healthcare, using the midwifery model of care. Present in high, middle-and low-income countries, they vary in services offered, model and integration within health systems.…”

Section: Ringfencing and Expanding Community And Primary Care Servicesmentioning

confidence: 99%

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Where do women birth during a pandemic? Changing perspectives on Safe Motherhood during the COVID-19 pandemic

Rocca‐Ihenacho

Alonso

2020

J Glob Health Sci

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During the coronavirus disease 2019 (COVID-19) pandemic, health systems all over the world are either stressed to their maximum capacity or anticipating becoming overwhelmed. The population is advised not to attend hospital unless strictly necessary, yet this advice seems to apply to all but healthy women during childbirth.Specialized hospital care during childbirth can be lifesaving in case of obstetric complications or for COVID-19 symptomatic women, while strong evidence suggests the appropriateness of midwifery units that are integrated into the healthcare system for eligible women. We must ask ourselves whether obstetric units are the appropriate birthing facilities for healthy women during the pandemic.We have learned from previous crises that the needs of women and children are often badly served during disasters. The COVID-19 pandemic raises concerns over escalation of mistreatment and abuse media are already reporting on restrictions to the rights of birthing women in Europe and the US. In addition, concerns have emerged over increased risk of infection to COVID-19 among birthing women and familied by concentrating all women in obstetric units and lack of optimal care due to pressure on staff and resources. Women's rights in childbirth are being threatened by lack of care during labor, restrictions on accompaniment, unnecessary interventions including inductions, separation of mother and baby and prohibition on breastfeeding.An effective response to the crisis depends on strong and coordinated health care systems where mothers can birth safely, and the needs of the newborn babies are met.The interpretation of what constitute safe care is a stimulus for a strong debate between those who argue for strengthening community and primary care services and those who recommend for centralization of all births in hospitals. This debate is particularly salient during this pandemic and in preparation of future pandemics.We propose a strategic response in the face of the pandemic by expanding the use of midwifery units both alongside the obstetric unit and freestanding (in the community). Where midwifery units are absent pop-up units can be created quickly following the example of the Netherlands.

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Section: Abstract: Midwifery; Birthing Centers; Pandemics; Global Heamentioning

confidence: 99%

Section: Ringfencing and Expanding Community And Primary Care Servicesmentioning

confidence: 99%

Where do women birth during a pandemic? Changing perspectives on Safe Motherhood during the COVID-19 pandemic

Rocca‐Ihenacho

Alonso

2020

J Glob Health Sci

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“…Detecting infectious disease outbreaks (e.g., gastrointestinal and respiratory illness) is crucial, especially when large numbers of displaced persons are being sheltered together. [11][12][13] Healthcare maintenance needs, including medication refills and blood glucose levels and blood pressure checks, also should be monitored, especially in temporary housing for vulnerable populations (e.g., older adults, those with low socioeconomic status, and minorities). [7][8][9] Surveillance data collected after Hurricane Katrina showed that 58% of all visits to healthcare facilities were for injuries and that 33% of all visits in evacuation shelters were for the treatment of chronic illnesses (e.g., diabetes, asthma, and cardiovascular diseases).…”

Section: Methodsmentioning

confidence: 99%

Evaluation of a Standardized Morbidity Surveillance Form for Use during Disasters Caused by Natural Hazards

Schnall

Wolkin

Noe

et al. 2011

Prehosp. Disaster med.

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With modifications to increase sensitivity for capturing certain clinical presentations, the Morbidity Surveillance Form can be a useful tool for capturing data needed to guide public health interventions during a disaster. A validated collection instrument for a post-disaster event facilitates rapid and standardized comparison and aggregation of data across multiple jurisdictions, thus, improving the coordination, timeliness, and accuracy of public health responses. The DSWG revised the Morbidity Surveillance Form based on information from this study.

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“…Like other specialists, volunteer obstetricians must integrate with the local team in an effective manner and quickly "foster functional working relationships with local and regional critical care clinicians." 31,32 Traditional hierarchies may not always be in place and it is important to resist the urge to recreate them and instead remain focused on optimizing patient outcomes. The nurse midwife from a local relief group may be more helpful in assisting laboring mothers while the obstetrician from a different team performs postpartum rounds.…”

Section: Interface Of Pediatric Care With Emergency Obstetric Carementioning

confidence: 99%

Pediatric Emergency Care in Disaster-Affected Areas: A Firsthand Perspective after Typhoons Bopha and Haiyan in the Philippines

Shilkofski

Agueh

Fonseka

et al. 2016

J Pediatr Intensive Care

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Disasters are defined as man-made or natural causes that disrupt a population and cause widespread human, material, economic, or environmental losses, exceeding that population's capacity to cope using its own resources. This review highlights the epidemiology and disease patterns in disasters, with specific application to the care of children in the austere environments created in the aftermath of disasters. The review also attempts to describe the experience from a firsthand field hospital perspective of a multinational team in caring for patients in the aftermath of two natural disasters in the Philippines, during both Typhoon Bopha and Typhoon Haiyan. In doing so, we will place these experiences in the context of the current literature on the subject of pediatric management during disaster emergencies and describe lessons learned to refine team approaches and patient care methodologies. The review also discusses methods for improvement in emergency preparedness for disasters, with specific mention of the roles of telemedicine and just-in-time simulation training, when feasible. Lastly, it will review the importance of community and military collaboration and planning for aftercare post-departure of foreign medical teams.

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Maternal and Newborn Care During Disasters: Thinking Outside the Hospital Paradigm

Cited by 18 publications

References 23 publications

Where do women birth during a pandemic? Changing perspectives on Safe Motherhood during the COVID-19 pandemic

Where do women birth during a pandemic? Changing perspectives on Safe Motherhood during the COVID-19 pandemic

Evaluation of a Standardized Morbidity Surveillance Form for Use during Disasters Caused by Natural Hazards

Pediatric Emergency Care in Disaster-Affected Areas: A Firsthand Perspective after Typhoons Bopha and Haiyan in the Philippines

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