Fertility and contraception among women of reproductive age following a disaster: a scoping review

Author:

Strid PenelopeORCID,Snead Margaret Christine,Galang Romeo R.,Bish Connie L.,Ellington Sascha R.

Abstract

Abstract Background The prevalence and severity of disasters triggered by natural hazards has increased over the last 20 years. Women of reproductive age may encounter unique reproductive health challenges following a disaster. In this scoping review we identify gaps in literature to inform future research and search for potential associations between disasters by natural hazards and post-disaster fertility and contraception among women of reproductive age. Methods Medline (OVID), Embase (OVID), PsycInfo (OVID), CINAHL (Ebsco), Scopus, Environmental Science Collection (ProQuest Central), and Sociological Abstracts (ProQuest Central) were searched for articles published from 1980 through March 3, 2022 in English or Spanish language. Search terms were related to fertility, contraception, and disasters. We included original research that described a discrete natural hazard exposure, a population of women of reproductive age (15–49 years), and outcomes of fertility or contraception use or access, with pre- and post-disaster measures. Results Among 9788 citations, after initial exclusion 5121 remained for title and abstract review. One hundred and eighteen citations underwent full-text review and 26 articles met the inclusion criteria. Following critical appraisal, 20 articles were included in this review. Eighteen articles described outcomes related to fertility, five articles described contraception access, and three articles described contraception use. Conclusions Clearly defined exposure measures, robust analyses, and methodical post-disaster assessment periods, may address the current gaps within disaster research on fertility and contraception among women of reproductive age. Consistent patterns in fertility following a disaster triggered by natural hazards were not identified between or within disaster types. Studies that assessed contraception found no change in use, while some studies found a decrease in contraceptive access overall.

Publisher

Springer Science and Business Media LLC

Subject

Obstetrics and Gynecology,Reproductive Medicine

Reference30 articles.

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2. Zotti ME, Williams AM, Robertson M, Horney J, Hsia J. Post-disaster reproductive health outcomes. Matern Child Health J. 2012;17(5):783–96.

3. Cohan CL, Cole SW. Life course transitions and natural disaster: marriage, birth, and divorce following Hurricane Hugo. J Fam Psychol. 2002;16(1):14.

4. Tong VT, Zotti ME, Hsia J. Impact of the Red River catastrophic flood on women giving birth in North Dakota, 1994–2000. Maternal Child Health Journal. 2011;15(3):281–8.

5. Hamilton BE, Martin JA, Mathews T, Sutton PD, Ventura SJ. The effect of Hurricane Katrina: births in the US Gulf Coast region, before and after the storm. 2009.

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