Counseling women of reproductive age about emergency preparedness – Provider attitudes and practices

Pregnant, postpartum, and lactating women (PPLW) face unique challenges during disasters triggered by natural hazards (e.g., hurricanes, tornadoes, wildfires). These challenges may be mitigated by emergency preparedness (Ewing et al., 2008). Disasters are associated with adverse pregnancy outcomes such as pregnancy loss and preterm birth (Harville et al., 2010; Cordero, 1993; Zotti et al., 2013). Healthcare providers have unique opportunities to counsel this population on emergency preparedness (e.g., developing an evacuation plan, knowing the signs of obstetric emergencies, and assembling an emergency birth kit) (ACOG Committee Opinion No, 2010; Committee Opinion No, 2017). Multiple resources have been published to provide information for patient counseling, including safety messages for patients, outlined considerations for obstetric healthcare providers and facilities, and tools for ongoing provider training and support (ACOG Committee Opinion No, 2010; Committee Opinion No, 2017; Centers for Disease Control and Prevention, 2023; Daniels et al., 2014). The extent of this patient counseling has not been reported. Our objective is to describe healthcare provider attitudes and practices related to counseling women of reproductive age (WRA), including PPLW, on emergency preparedness (ACOG Committee Opinion No, 2010; Committee Opinion No, 2017), to provide useful information to mitigate adverse pregnancy health outcomes during emergencies.

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