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Maternal Hurricane Exposure and Fetal Distress Risk

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  • Sammy Zahran
  • Jeffrey G. Snodgrass
  • Lori Peek
  • Stephan Weiler

Abstract

Logistic regression and spatial analytic techniques are used to model fetal distress risk as a function of maternal exposure to Hurricane Andrew. First, monthly time series compare the proportion of infants born distressed in hurricane affected and unaffected areas. Second, resident births are analyzed in Miami‐Dade and Broward counties, before, during, and after Hurricane Andrew. Third, resident births are analyzed in all Florida locales with 100,000 or more persons, comparing exposed and unexposed gravid females. Fourth, resident births are analyzed along Hurricane Andrew's path from southern Florida to northeast Mississippi. Results show that fetal distress risk increases significantly with maternal exposure to Hurricane Andrew in second and third trimesters, adjusting for known risk factors. Distress risk also correlates with the destructive path of Hurricane Andrew, with higher incidences of fetal distress found in areas of highest exposure intensity. Hurricane exposed African‐American mothers were more likely to birth distressed infants. The policy implications of in utero costs of natural disaster exposure are discussed.

Suggested Citation

  • Sammy Zahran & Jeffrey G. Snodgrass & Lori Peek & Stephan Weiler, 2010. "Maternal Hurricane Exposure and Fetal Distress Risk," Risk Analysis, John Wiley & Sons, vol. 30(10), pages 1590-1601, October.
    • Handle: RePEc:wly:riskan:v:30:y:2010:i:10:p:1590-1601
    DOI: 10.1111/j.1539-6924.2010.01453.x
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    1. Dole, N. & Savitz, D.A. & Siega-Riz, A.M. & Hertz-Picciotto, I. & McMahon, M.J. & Buekens, P., 2004. "Psychosocial factors and preterm birth among African American and white women in central North Carolina," American Journal of Public Health, American Public Health Association, vol. 94(8), pages 1358-1365.
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    2. Margaret M. MacDonell & Richard C. Hertzberg & Glenn E. Rice & J. Michael Wright & Linda K. Teuschler, 2018. "Characterizing Risk for Cumulative Risk Assessments," Risk Analysis, John Wiley & Sons, vol. 38(6), pages 1183-1201, June.
    3. Dell Saulnier & Kim Brolin, 2015. "A systematic review of the health effects of prenatal exposure to disaster," International Journal of Public Health, Springer;Swiss School of Public Health (SSPH+), vol. 60(7), pages 781-787, November.
    4. Sammy Zahran & Lori Peek & Jeffrey Snodgrass & Stephan Weiler & Lynn Hempel, 2013. "Abnormal labor outcomes as a function of maternal exposure to a catastrophic hurricane event during pregnancy," Natural Hazards: Journal of the International Society for the Prevention and Mitigation of Natural Hazards, Springer;International Society for the Prevention and Mitigation of Natural Hazards, vol. 66(1), pages 61-76, March.
    5. Sellers, Samuel & Gray, Clark, 2019. "Climate shocks constrain human fertility in Indonesia," World Development, Elsevier, vol. 117(C), pages 357-369.
    6. Ke Pan & Leslie Beitsch & Elaina Gonsoroski & Samendra P. Sherchan & Christopher K. Uejio & Maureen Y. Lichtveld & Emily W. Harville, 2021. "Effects of Hurricane Michael on Access to Care for Pregnant Women and Associated Pregnancy Outcomes," IJERPH, MDPI, vol. 18(2), pages 1-17, January.

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