ArticleBMC pregnancy and childbirth2022
Experiences of pregnant women exposed to Hurricanes Irma and Maria in the US Virgin Islands: a qualitative study.
Article in BMC pregnancy and childbirth, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.
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Who cites it
7 citing papers in PubMed.
- Article
- Diet and Mental Health Relationships in Caribbean Populations: A Scoping Review and Evidence Gap Map.Nutrients · 2025Article
- Planning a Perinatal Mental Health Intervention for a Post-Disaster Rural Community: Caregivers' and Women's Perspectives.Journal of community psychology · 2025Article
- Sex and Gender Influences on the Impacts of Disasters: A Rapid Review of Evidence.International journal of environmental research and public health · 2025Review
- Scoping review of the societal impacts of compound climate events.Discover Environment · 2025Review
- Mental health impacts of climate change and extreme weather events on mothers.European journal of psychotraumatology · 2024Article
- Impact of climate change on maternal health outcomes: An evidence gap map review.PLOS global public health · 2024Article
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Authors and funding
6 authors.
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Abstract
introductionHurricanes Irma and Maria made landfall in the US Virgin Islands (USVI) in 2017. To date, there is no published literature available on the experiences of pregnant women in the USVI exposed to these hurricanes. Understanding how hurricanes affect pregnant women is key to developing and executing targeted hurricane preparedness and response policies. The purpose of this study was to explore the experiences of pregnancy and birth among women in the USVI exposed to Hurricanes Irma and Maria.
methodsWe employed a qualitative descriptive methodology to guide sampling, data collection, and analysis. Semi-structured interviews of 30-60 min in length were conducted with a purposive sample of women (N = 18) in the USVI who were pregnant during or became pregnant within two months after the hurricanes. Interviews were transcribed verbatim and data managed in MAXQDA. Team members developed a codebook, applied codes for content, and reconciled discrepancies. We thematically categorized text according to a socioecological conceptual framework of risk and resilience for maternal-neonatal health following hurricane exposure.
resultsWomen's experiences were organized into two main categories (risk and resilience). We identified the following themes related to risk at 3 socioecological levels including: (1) individual: changes in food access (We had to go without) and stress (I was supposed to be relaxing); (2) household/community: diminished psychosocial support (Everyone was dealing with their own things) and the presence of physical/environmental hazards (I was really scared); and (3) maternity system: compromised care capacity (The hospital was condemned). The themes related to resilience included: (1) individual: personal coping strategies (Being calm); (2) household/community: mutual psychosocial and tangible support (We shared our resources); and (3) the maternity system: continuity of high-quality care (On top of their game).
conclusionsA socioecological approach provides a useful framework to understand how risk and resilience influence the experience of maternal hurricane exposure. As the frequency of the most intense hurricanes is expected to increase, clinicians, governments, and health systems should work collaboratively to implement hurricane preparedness and response plans that address pregnant women's unique needs and promote optimal maternal-infant health.
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