Conference Abstract Compendium Examples from the ... - CityMatCH

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2009 CityMatCH Urban MCH Leadership ConferenceResults from a pre-hurricane maternal child health preparedness focus groupPRIMARY CONTACT:Mirine R Dye, MPHFlorida International University134 Harbor DrTavernier, FL, 33070Phone: (305) 852-3601Fax: (305) 233-8300Email: mirine@bellsouth.netCATEGORYOther: PreparednessFOCUSProgram Policy FocusCO-PRESENTER(S)/AUTHOR(S):Anamarie Garces deMarcilla,agarces@med.miami.edu (Author)Lena Camperlengo, LCamperlengo@cdc.gov(Author)OBJECTIVEPreparedness efforts have rarely included pregnant and lactating women with young children. Thisvulnerable population is not targeted with preparedness information specific to their situation. Thisresearch sought to provide inputs as about health behavior and intent (prospective) with this vulnerablepopulation. Lessons from Hurricane Katrina in New Orleans in 2005 and the many hurricanes that havehit the Florida Keys have clearly demonstrated that women and families need specific instructions when adisaster hits their homes. What do pregnant, lactating and parenting women (with children under age 3)living in the Florida Keys know about emergency preparedness?METHODSTen English speaking pregnant women or women with a child under the age of three in the home wererecruited from a local new mother support group. Data was collected with the use of a transcriptionist andback up audio, and then reviewed by the principal investigator. Participants received a $25 gift card to alocal grocery retailer for participation, lasting approximately an hour and half.RESULTSThe results of the (n=7) women participating in the focus group suggest that pregnant, lactating andparenting women in the Florida Keys may be unprepared for an emergency such as a hurricane and do nothave adequate plans for childbirth delivery, feeding and caring of their infants when impending hurricanemandates evacuation or shelter in place. Family “rules” for evacuation often do not match those practicedin the region by emergency planners, and unlikely sources for information emerged as commonthemes.CONCLUSIONSPregnant, lactating women and young families parenting infants represent a vulnerable population oftenoverlooked by disaster planners. This project assessed the level of readiness and identified trustworthycommunication sources in a disaster by conducting a focus group of the local target population in theFlorida Keys.128
2009 CityMatCH Urban MCH Leadership ConferenceIronically, the focus group was held on the eve of an evacuation order for the Florida Keys because ofimpending Hurricane Ike.The need for standardized evidence-based protocols in place to assist this vulnerable population wasreinforced by the results of the Florida Key focus group perceptions. The need for clear instructions forwomen who must give birth during any type of crisis with minimal or no assistance can be introducedduring prenatal visits and childbirth education classes. Information should include instructions forgathering supplies for a basic birth kit and basic delivery instructions.Priorities should also include preventing unnecessary post-disaster mortality in both mother and baby.Emergency relief staff must be trained in proper health protection of infants specific to breastfeeding, safefeeding, and relactation.INFORMATION FOR REPLICATIONWe believe that every community and hospital should work with local maternal and child health groups toaddress childbirth and care of postpartum women and care of infants. Of concern is the need for prenatalcare to continue to prevent preterm birth, provide skilled care during birth, especially if services areunreachable or unavailable, and proper care and feeding of newborns.The need for clear instructions for women who must give birth during any type of crisis with minimal orno assistance can be introduced during prenatal visits and childbirth education classes. Information shouldinclude instructions for gathering supplies for a basic birth kit and basic delivery instructions.Healthy Start Programs, WIC programs and emergency management agencies would be considered keystakeholders to ensure policy development and implementation.129
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Conference Abstract Compendium Examples from the ... - CityMatCH

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