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Indicators for disaster-affected pregnant women, postpartum women, and infant
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    Introduction -- Focus -- Populations of Interest -- Process -- Use of Indicators -- Important -- PREGNANT WOMEN: Indicator 1: Health Problems during Pregnancy; Indicator 2: Access to Prenatal Care; Indicator 3: Access to WIC; Indicator 4: Disaster Exposure and Access to Mental Health Services; Indicator 5: Gender-Based Violence; Indicator 6: Substance Use; Indicator 7: Family and Social Support; Indicator 8: Access to Sexually Transmitted Infection (STI) Services; Indicator 9: Need for Services -- POSTPARTUM WOMEN: Indicator 1: Breastfeeding; Indicator 2: Access to Infant Care Supplies; Indicator 3: Access to WIC; Indicator 4: Access to Contraception; Indicator 5: Access to Postpartum Care; Indicator 6: Access to Mental Health Services; Indicator 7: Gender-Based Violence; Indicator 8: Substance Use; Indicator 9: Family and Social Support;;Indicator 10: Need for Services -- INFANTS: Indicator 1: Birth Outcomes; Indicator 2: Infant Feeding and Access To WIC; Indicator 3: Infant Health and Safety Outcomes; Indicator 4: Access to Subspecialty Services; Indicator 5: Safe Sleep Environments; Indicator 6: Access to Well Baby Care -- OTHER MEASURES -- Other Measures for Pregnant and Postpartum Women -- Other Measures for Infants -- Works Cited.

    Disaster has been associated with a decrease in access to healthcare and medications, increased stress and maternal risk factors, and poor birth outcomes. However, these associations have not been shown consistently, perhaps partly due to disparate study designs, measures of exposure, and outcomes. To bring consistency to the study of post-disaster factors affecting pregnant and postpartum women and infants, the CDC Division of Reproductive Health (DRH) Emergency Preparedness and Response Program initiated a collaborative process with partners to identify a list of common post-disaster epidemiologic indicators for this at-risk group. The purposes of the project are below.

    Purposes for developing a list of common epidemiologic indicators for pregnant and postpartum (P/PP) women and infants affected by disaster:

    1. To identify salient conditions (e.g. infant feeding, gender-based violence) and outcomes (e.g. maternal and birth outcomes) to be monitored via surveillance or post-disaster data collection.

    2. To promote use of consistent measures across post-disaster studies.

    3. To build scientific knowledge regarding disaster effects on P/PP women and infants.

    The focus was on catastrophic events, defined as any disaster “including terrorism, that results in extraordinary levels of mass casualties, damage, or disruption severely affecting the population, infrastructure, environment, economy, national morale, and/or government functions” (National Response Framework, January 2008). For this project we did not focus on infectious diseases or pandemic illnesses.

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