Pregnant Women's Experiences during Hurricane Maria: Impact, Personal Meaning, and Health Care Needs.

Pregnant Women's Experiences during Hurricane Maria: Impact, Personal Meaning, and Health Care Needs.
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DOI:
10.3390/ijerph18168541
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发表时间:
2021-08-12
影响因子:
--
通讯作者:
Rivera-Leon S
Rivera-Leon S
中科院分区:
综合性期刊3区
文献类型:
--
作者:
Silva-Suarez G;Rabionet SE;Zorrilla CD;Perez-Menendez H;Rivera-Leon S

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在灾难期间,孕妇被认为是最脆弱的群体之一。背景:2017年9月20日,加勒比地区遭受4级飓风袭击。这项研究的目的是探讨飓风期间和之后对孕妇获得保健、社会服务和支助系统的影响。方法:对10名在活动期间怀孕的妇女进行深入访谈。研究者采用基于解释现象学分析框架的质性研究方法对叙事进行了解释。结果如下:出现了五个主要主题:在灾难中生存的意义、恐惧、保护自己和未出生婴儿的双重负担、医疗保健的中断以及应对机制。尽管有消极的感觉,但大多数参与者都经历了积极的转变。他们讲述了他们如何保持冷静和应对,以保护他们的怀孕。他们对医疗保健系统的总体评价是积极的。在灾前和灾后,朋友和家人的支持至关重要。结论:访谈提供了丰富的第一手资料的妇女经历了自然灾害,而怀孕。研究结果强调,需要将情感支持纳入孕妇的准备和应对计划。在这些努力中,教育、赋权和融入家庭和社区至关重要。
During a disaster, pregnant women are considered among the most vulnerable. Background: On 20 September 2017, the Caribbean was hit by a category 4 hurricane. The purpose of the study was to explore the impact on pregnant women during and after the hurricane regarding access to health care, social services, and support systems. Methods: In-depth interviews were conducted to 10 women that were pregnant during the event. Qualitative inquiry based on the Interpretative Phenomenological Analysis framework was used to interpret the narratives. Results: Five major themes emerged: meaning of living through a disaster, fear, the dual burden of protecting themselves and their unborn baby, disruption in health care, and coping mechanisms. Despite the negative feelings, most participants experienced positive transformations. They narrated how they stayed calm and coped in order to protect their pregnancy. Their overall evaluation of the healthcare system was positive. The support of friends and family was crucial pre and post-disaster. Conclusions: The interviews provided a wealth of firsthand information of women experiencing a natural disaster while pregnant. The findings underscore the need to incorporate emotional support in the preparedness and response plans for pregnant women. Educating, empowering, and incorporating families and communities is vital in these efforts.
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发表时间: 2020-08-01
影响因子: 3.7
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