Evidence map›Paper›PMID 21375788›Full record

SynthesisObstetrical & gynecological survey2010

Disasters and perinatal health:a systematic review.

Emily Harville, Xu Xiong, Pierre Buekens

Open access · greenAbstract readSystematic Review
In one paragraph

Synthesis in Obstetrical & gynecological survey, 2010. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 146 papers, 10 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
146citing papers in PubMed, 10 pooled it
4.6field-weighted citation impact, top 6% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

146 citing papers in PubMed, 10 syntheses or guidelines pooled it, 373 citations in OpenAlex.

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  10. Post-disaster reproductive health outcomes.Maternal and child health journal · 2013
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  15. Review
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  19. Witnessing Trauma in the Modern Era: The Role of Uncensored Media in Mental Health.medRxiv : the preprint server for health sciences · 2026
    Article
  20. Observational

86 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

3 authors at 1 institution in 1 country.

Emily HarvilleDepartment of Epidemiology, Tulane University School of Public Health and Tropical Medicine, New Orleans LA 70012-2715, USA. eharvill@tulane.edu
Xu Xiong
Pierre Buekens
Tulane University · US

Funding

Tulane Building Interdisciplinary Research Careers in Women's Health (BIRCWH)K12HD043451 · NICHD · TULANE UNIVERSITY OF LOUISIANA · PI KROUSEL-WOOD, MARIE · 2002 to 2023
$9.9M
NICHD NIH HHS K12 HD043451NICHD NIH HHS K12HD043451
6 · The paper itself

Abstract

backgroundThe empirical literature on the effects of disaster on pregnancy and the postpartum period is limited. The objective of this review was to examine the existing evidence on the effect of disasters on perinatal health.

methodsA systematic review was conducted by searching electronic databases (MEDLINE, EMBASE, Cinahl, PsycInfo), including literature on disasters and pregnancy outcomes (e.g., preterm birth, low birth weight, congenital anomalies), mental health, and child development. A total of 110 articles were identified, but many published reports were anecdotes or recommendations rather than systematic studies. The final review included 49 peer-reviewed studies that met inclusion criteria.

resultsStudies addressing the World Trade Center disaster of September 11 and other terrorist attacks, environmental/chemical disasters, and natural disasters such as hurricanes and earthquakes were identified. Disasters of various types may reduce fetal growth in some women, although there does not appear to be an effect on gestational age at birth. Severity of exposure is the major predictor of mental health issues among pregnant and postpartum women. After a disaster, mental health of the mother may more strongly influence on child development than any direct effect of disaster-related prenatal stress.

conclusionsThere is evidence that disaster impacts maternal mental health and some perinatal health outcomes, particular among highly exposed women. Future research should focus on understudied outcomes such as spontaneous abortion. Relief workers and clinicians should concentrate on the most exposed women, particularly with respect to mental health. TARGET AUDIENCE: Obstetricians & Gynecologists. LEARNING

objectivesAfter completion of this educational activity, the obstetrician/gynecologist should be better able to compare and contrast the effects of different types of disasters (hurricanes, earthquakes, chemical spills) on pregnant and postpartum women in order to prepare for patient care in the aftermath of such disasters; differentiate the birth outcomes likely to be affected by disaster, in order to identify patients likely to be at high risk; and assess the extent to which pregnant and postpartum women are a uniquely vulnerable population after disaster, to assist in organizing care under such circumstances.

Indexed as

DisastersMental HealthPerinatal CareDepression, PostpartumFemaleHumansInfant, NewbornMaternal WelfarePregnancyPregnancy OutcomeStress Disorders, Post-Traumatic

Identifiers

PMID21375788
PMCPMC3472448
OpenAlexW2131168153

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.