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Reproductive and Birth Outcomes in Haiti Before and After the 2010 Earthquake

Published online by Cambridge University Press:  09 June 2015

Emily W. Harville  and
Mai Do
Emily W. Harville*
Affiliation:
Department of Epidemiology, Tulane School of Public Health and Tropical Medicine, New Orleans, Louisiana
Mai Do
Affiliation:
Department of Global Health Systems and Development, Tulane School of Public Health and Tropical Medicine, New Orleans, Louisiana
*
Correspondence and reprint requests to Emily W. Harville, PhD, Department of Epidemiology, Tulane School of Public Health and Tropical Medicine, 1440 Canal St. SL-18, New Orleans, LA 70112-2715 (e-mail: [email protected]).
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Abstract

Objective

We aimed to examine the relationship between exposure to the 2010 Haiti earthquake and pregnancy wantedness, interpregnancy interval, and birth weight.

Methods

From the nationally representative Haiti 2012 Demographic and Health Survey, information on “size of child at birth” (too small or not) was available for 7280 singleton births in the previous 5 years, whereas information on birth weight was available for 1607 births. Pregnancy wantedness, short (<1 year) interpregnancy interval, and maternal-reported birth weight were compared before and after the earthquake and by level of damage. Multiple logistic regression and linear regression analyses were conducted.

Results

Post-earthquake births were less likely to be wanted and more likely to be born after a short interpregnancy interval. Earthquake exposure was associated with increased likelihood of a child being born too small: timing of birth (after earthquake vs. before earthquake, adjusted odds ratio [aOR]: 1.27, 95% confidence interval [CI]: 1.12-1.45), region (hardest-hit vs. rest of country; aOR: 1.43, 95% CI: 1.14- 1.80), and house damage (aOR: 1.27 95% CI: 1.02-1.58). Mean birth weight was 150 to 300 g lower in those exposed to the earthquake.

Conclusions

Experience with the earthquake was associated with worse reproductive and birth outcomes, which underscores the need to provide reproductive health services as part of relief efforts. (Disaster Med Public Health Preparedness. 2016;10:59-66)

Keywords

disasterbirth weightpregnancyunwanteddeveloping country
Type
Original Research
Information
Disaster Medicine and Public Health Preparedness , Volume 10 , Issue 1 , February 2016 , pp. 59 - 66
Copyright
Copyright © Society for Disaster Medicine and Public Health, Inc. 2015 

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References

1. International Strategy for Disaster Reduction. DRR Glossary. HFA-Pedia website. http://www.eird.org/wikien/index.php/Glossary. Published October 15, 2008. Accessed September 28, 2009.Google Scholar
2. Xiong, X, Harville, EW, Mattison, DR, et al. Exposure to Hurricane Katrina, post-traumatic stress disorder and birth outcomes. Am J Med Sci. 2008;336:111-115.CrossRefGoogle ScholarPubMed
3. Lauderdale, DS. Birth outcomes for Arabic-named women in California before and after September 11. Demography. 2006;43:185-201.Google Scholar
4. El-Sayed, A, Hadley, C, Galea, S. Birth outcomes among Arab Americans in Michigan before and after the terrorist attacks of September 11, 2001. Ethn Dis. 2008;18:348-356.Google Scholar
5. Tong, VT, Zotti, ME, Hsia, J. Impact of the Red River catastrophic flood on women giving birth in North Dakota, 1994-2000. Matern Child Health J. 2011;15:281-288.Google Scholar
6. Dancause, KN, Laplante, DP, Oremus, C, et al. Disaster-related prenatal maternal stress influences birth outcomes: Project Ice Storm. Early Hum Dev. 2011;87:813-820.Google Scholar
7. Holstius, DM, Reid, CE, Jesdale, BM, et al. Birth weight following pregnancy during the 2003 Southern California wildfires. Environ Health Perspect. 2012;120:1340-1345.Google Scholar
8. Fuller, SC. The effect of prenatal natural disaster exposure on school outcomes. Demography. 2014;51:1501-1525.Google Scholar
9. Simeonova, E. Out of sight, out of mind? Natural disasters and pregnancy outcomes in the USA. CESifo Econ Stud. 2011;57:403-431.Google Scholar
10. Hamilton, BE, Sutton, PD, Mathews, TJ, et al. The effect of Hurricane Katrina: births in the U. S. Gulf Coast region, before and after the storm. Natl Vital Stat Rep. 2009;58(2).Google Scholar
11. Eskenazi, B, Marks, AR, Catalano, R, et al. Low birthweight in New York city and upstate New York following the events of September 11th. Hum Reprod. 2007;22:3013-3020.Google Scholar
12. Neuberg, M, Pawlosek, W, Lopuszanski, M, et al. [The analysis of the course of pregnancy, delivery and postpartum among women touched by flood disaster in Kotlin Klodzki in July 1997]. Ginekol Pol. 1998;69:866-870.Google ScholarPubMed
13. Maric, NP, Dunjic, B, Stojiljkovic, DJ, et al. Prenatal stress during the 1999 bombing associated with lower birth weight-a study of 3,815 births from Belgrade. Arch Womens Ment Health. 2009;13(1):83-89.Google Scholar
14. Catalano, R, Hartig, T. Communal bereavement and the incidence of very low birthweight in Sweden. J Health Soc Behav. 2001;42:333-341.CrossRefGoogle ScholarPubMed
15. Smits, L, Krabbendam, L, de Bie, R, et al. Lower birth weight of Dutch neonates who were in utero at the time of the 9/11 attacks. J Psychosom Res. 2006;61:715-717.CrossRefGoogle ScholarPubMed
16. Tan, CE, Li, HJ, Zhang, XG, et al. The impact of the Wenchuan earthquake on birth outcomes. PLoS One. 2009;4:e8200.Google Scholar
17. 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;56:139-144.CrossRefGoogle Scholar
18. Sekizuka, N, Sakai, A, Aoyama, K, et al. Association between the incidence of premature rupture of membranes in pregnant women and seismic intensity of the Noto Peninsula earthquake. Environ Health Prev Med. 2010;15:292-298.Google Scholar
19. Sanguanklin, N, McFarlin, BL, Park, CG, et al. Effects of the 2011 flood in Thailand on birth outcomes and perceived social support. J Obstet Gynecol Neonatal Nurs. 2014;43(4):435-444.Google Scholar
20. Camacho, A. Stress and birth weight: evidence from terrorist attacks. Am Econ Rev. 2008;98:511-515.CrossRefGoogle Scholar
21. Torche, F, Kleinhaus, K. Prenatal stress, gestational age and secondary sex ratio: the sex-specific effects of exposure to a natural disaster in early pregnancy. Hum Reprod. 2012;27:558-567.CrossRefGoogle ScholarPubMed
22. Torche, F. The effect of maternal stress on birth outcomes: exploiting a natural experiment. Demography. 2011;48:1473-1491.CrossRefGoogle ScholarPubMed
23. Bell, S, Prata, N, Lahiff, M, et al. Civil unrest and birthweight: an exploratory analysis of the 2007/2008 Kenyan Crisis. Soc Sci Med. 2012;74:1324-1330.Google Scholar
24. Lederman, SA, Rauh, V, Weiss, L, et al. The effects of the World Trade Center event on birth outcomes among term deliveries at three lower Manhattan hospitals. Environ Health Perspect. 2004;112:1772-1778.CrossRefGoogle ScholarPubMed
25. Neuberg, M, Jakubowska-Szwed, B, Neuberg, J. [Reproductive behavior after the flood disaster in Klodzko region--July 1997]. Ginekol Pol. 2001;72:1037-1041.Google Scholar
26. Tong, VT, Zotti, ME, Hsia, J. Impact of the Red River catastrophic flood on women giving birth in North Dakota, 1994-2000. Matern Child Health J. 2011;15(3):281-288.CrossRefGoogle ScholarPubMed
27. Endara, SM, Ryan, MA, Sevick, CJ, et al. Does acute maternal stress in pregnancy affect infant health outcomes? Examination of a large cohort of infants born after the terrorist attacks of September 11, 2001. BMC Public Health. 2009;9:252.Google Scholar
28. Berkowitz, GS, Wolff, MS, Janevic, TM, et al. The World Trade Center disaster and intrauterine growth restriction. JAMA. 2003;290:595-596.Google Scholar
29. Nour, NN. Maternal health considerations during disaster relief. Rev Obstet Gynecol. 2011;4:22-27.Google Scholar
30. Carballo, M, Hernandez, M, Schneider, K, et al. Impact of the tsunami on reproductive health. J R Soc Med. 2005;98:400-403.CrossRefGoogle ScholarPubMed
31. Bloem, CM, Miller, AC. Disasters and women’s health: reflections from the 2010 earthquake in Haiti. Prehosp Disaster Med. 2013;28:150-154.Google Scholar
32. Kissinger, P, Schmidt, N, Sanders, C, et al. The effect of the Hurricane Katrina disaster on sexual behavior and access to reproductive care for young women in New Orleans. Sex Transm Dis. 2007;34:883-886.CrossRefGoogle ScholarPubMed
33. Onyango, MA, Hixson, BL, McNally, S. Minimum Initial Service Package (MISP) for reproductive health during emergencies: time for a new paradigm? Glob Public Health. 2013;8:342-356.Google Scholar
34. Djafri, D, Chongsuvivatwong, V, Geater, A. Effect of the September 2009 Sumatra earthquake on reproductive health services and MDG 5 in the city of Padang, Indonesia. Asia Pac J Public Health. 2015;27(2):NP1444-NP1456.CrossRefGoogle ScholarPubMed
35. Hapsari, ED, Widyawati, Nisman, WA, et al. Change in contraceptive methods following the Yogyakarta earthquake and its association with the prevalence of unplanned pregnancy. Contraception. 2009;79:316-322.Google Scholar
36. Kapoor, R. Fetal loss and contraceptive acceptance among the Bhopal gas victims. Soc Biol. 1991;38:242-248.Google ScholarPubMed
37. Duff, EM, Cooper, ES. Neural tube defects in Jamaica following Hurricane Gilbert. Am J Public Health. 1994;84:473-476.CrossRefGoogle ScholarPubMed
38. Tsui, AO, Wasserheit, JN, Haaga, JG, eds. Reproductive Health in Developing Countries: Expanding Dimensions, Building Solutions. Washington, DC: National Academies Press; 1997.Google Scholar
39. Brown, G, Allen, L, Torkelson, A. Direct patient interventions that can reduce maternal mortality in developing countries: a systematic review. Fam Med. 2013;45:550-557.Google ScholarPubMed
40. Dunkel Schetter, C. Psychological science on pregnancy: stress processes, biopsychosocial models, and emerging research issues. Annu Rev Psychol. 2011;62:531-558.CrossRefGoogle ScholarPubMed
41. Bromet, EJ, Litcher, L, Havenaar, JM, et al. Psychological response of mothers of young children to the Three Mile Island and Chernobyl nuclear plant accidents one decade later. In: Havenaar JM, Cwikel J, Bromet EJ, eds. Toxic Turmoil: Psychological and Societal Consequences of Ecological Disasters. New York, NY: Kluwer Academic/Plenum Publishers; 2002:69-84.Google Scholar
42. Wickrama, KAS, Wickrama, KAT. Family context of mental health risk in Tsunami affected mothers: findings from a pilot study in Sri Lanka. Soc Sci Med. 2008;66:994-1007.Google Scholar
43. Cavallo, EA, Powell, A, Becerra, O. Estimating the Direct Economic Damage of the Earthquake in Haiti. Inter-American Development Bank Working Paper Series; 2010. http://www.iadb.org/en/research-and-data/publication-details,3169.html?pub_id=idb-wp-163. Accessed May 24, 2015.CrossRefGoogle Scholar
44. Countdown to 2015: Maternal, Newborn, & Child Survival. Fulfilling the Health Agenda for Women and Children: The 2014 Report. Haiti. 2014:108-109. http://www.countdown2015mnch.org/reports-and-articles/2014-report. Accessed May 24, 2015.Google Scholar
45. Barnes-Josiah, D, Myntti, C, Augustin, A. The “three delays” as a framework for examining maternal mortality in Haiti. Soc Sci Med. 1998;46:981-993.Google Scholar
46. Gage, AJ, Guirlene Calixte, M. Effects of the physical accessibility of maternal health services on their use in rural Haiti. Popul Stud (Camb). 2006;60:271-288.CrossRefGoogle ScholarPubMed
47. Harvard Center for Population and Development Studies. Sanctions in Haiti: Crisis in Humanitarian Action. Cambridge, MA: Harvard School of Public Health; 1993.Google Scholar
48. Pan American Health Organization (PAHO). Haiti: Profile of the Health Services System. Washington, DC: PAHO; 2000.Google Scholar
49. Caymittes, M. Enquête Mortalité Morbidité et Utilisation des Services, EMUS-III, Haiti 2000. Calverton, MD: Ministère de la Santé Publique et de la Population, Institut de l’Enfance et ORC Macro; 2001.Google Scholar
50. Mensch, BS. Quality of care: A neglected dimension. In Koblinsky M, Timyon J, Gay J, eds. The Health of Women: A Global Perspective. Boulder, CO: Westview Press; 1993:235-253.Google Scholar
51. StataCorp. Stata Statistical Software: Release 12. College Station, TX: StataCorp LP, 2011.Google Scholar
52. Eberhard, MO, Baldridge, S, Marshall, J, Mooney, W, Rix, GJ. The Mw 7.0 Haiti Earthquake of January 12, 2010: USGS/EERI Advance Reconaissance Team Report. Reston, VA: US Geological Survey; 2010. http://pubs.usgs.gov/of/2010/1048/. Accessed May 24, 2015.Google Scholar
53. International Planned Parenthood Federation. Haiti earthquake appeal. http://www.ippf.org/appeals/past/haiti-earthquake-appeal. Accessed March 12, 2015.Google Scholar
54. Amibor, P. What will it take to maintain the maternal and child health gains made in Haiti prior to the 2010 earthquake? An analysis of past progress, trends, and the prospects for the realization of the United Nations Millennium Development Goals 4 and 5. Matern Child Health J. 2013;17:1339-1345.Google Scholar
55. Human Rights Watch. “Nobody Remembers Us”: Failures to Protect Women’s and Girls’ Right to Health and Security in Post Earthquake Haiti. New York, NY: HRW; 2011.Google Scholar
56. Pullum, TW. An Assessment of the Quality of Data on Health and Nutrition in the DHS Surveys, 1993-2003. DHS Methodological Reports No. 6. Calverton, MD: Macro International Inc, 2008.Google Scholar
57. Cavemittes, M, Busangu, MF, JdD, Biziman, et al. Enquête Mortalité Morbidité et Utilisation des Services, Haiti, 2012. Calverton, MD: MSPP, IHE and ICF International; 2013.Google Scholar
58. Adegboye, AR, Heitmann, B. Accuracy and correlates of maternal recall of birthweight and gestational age. BJOG. 2008;115:886-893.Google Scholar
59. Tate, AR, Dezateux, C, Cole, TJ, et al. Factors affecting a mother’s recall of her baby’s birth weight. Int J Epidemiol. 2005;34:688-695.Google Scholar
60. O’Sullivan, JJ, Pearce, MS, Parker, L. Parental recall of birth weight: How accurate is it? Arch Dis Child. 2000;82:202-203.Google Scholar
61. Lule, SA, Webb, EL, Ndibazza, J, et al. Maternal recall of birthweight and birth size in Entebbe, Uganda. Trop Med Int Health. 2012;17:1465-1469.CrossRefGoogle ScholarPubMed
62. Lin, CY. Instability, investment, disasters, and demography: natural disasters and fertility in Italy (1820-1962) and Japan (1671-1965). Popul Environ. 2010;31:255-281.Google Scholar
63. Harville, EW, Xiong, X, Smith, BW, et al. Combined effects of Hurricane Katrina and Hurricane Gustav on the mental health of mothers of small children. J Psychiatr Ment Health Nurs. 2011;18:288-296.CrossRefGoogle ScholarPubMed
64. Bradley, M. Four years after the Haiti earthquake, the search for solutions to displacement continues. http://www.brookings.edu/blogs/up-front/posts/2014/01/13-haiti-earthquake-anniversary-bradley. Published January 13, 2014. Accessed March 10, 2015.Google Scholar
65. Patz, JA, Frumkin, H, Holloway, T, etal. Climate change: challenges and opportunities for global health. JAMA. 2014;312(15):1565-1580.CrossRefGoogle ScholarPubMed
66. Zotti, ME, Williams, AM. Reproductive health assessment after disaster: introduction to the RHAD toolkit. J Womens Health (Larchmt). 2011;20:1123-1127.CrossRefGoogle Scholar