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  1. Article ; Online: Changes in Breastfeeding and Related Maternity Care Practices After Hurricanes Irma and Maria in Puerto Rico.

    Kortsmit, Katherine / Salvesen von Essen, Beatriz / Anstey, Erica / Ellington, Sascha / Hernández Virella, Wanda I / D'Angelo, Denise V / Strid, Penelope / Magly Olmos, Idennys / Vargas Bernal, Manuel / Warner, Lee

    Breastfeeding medicine : the official journal of the Academy of Breastfeeding Medicine

    2024  Volume 19, Issue 3, Page(s) 177–186

    Abstract: Background: ...

    Abstract Background:
    MeSH term(s) Infant ; Humans ; Female ; Pregnancy ; Breast Feeding ; Puerto Rico ; Cyclonic Storms ; Maternal Health Services ; Risk Assessment
    Language English
    Publishing date 2024-04-01
    Publishing country United States
    Document type Journal Article
    ZDB-ID 2234680-6
    ISSN 1556-8342 ; 1556-8253
    ISSN (online) 1556-8342
    ISSN 1556-8253
    DOI 10.1089/bfm.2023.0261
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article ; Online: Pregnant Women's Experiences During and After Hurricanes Irma and Maria, Pregnancy Risk Assessment Monitoring System, Puerto Rico, 2018.

    Simeone, Regina M / House, L Duane / Salvesen von Essen, Beatriz / Kortsmit, Katherine / Hernandez Virella, Wanda / Vargas Bernal, Manuel I / Galang, Romeo R / D'Angelo, Denise V / Shapiro-Mendoza, Carrie K / Ellington, Sascha R

    Public health reports (Washington, D.C. : 1974)

    2023  Volume 138, Issue 6, Page(s) 916–924

    Abstract: Objective: Exposure to natural disasters during and after pregnancy may increase adverse mental health outcomes. Hurricanes Irma and Maria struck Puerto Rico in September 2017. Our objectives were to understand hurricane-related experiences, maternal ... ...

    Abstract Objective: Exposure to natural disasters during and after pregnancy may increase adverse mental health outcomes. Hurricanes Irma and Maria struck Puerto Rico in September 2017. Our objectives were to understand hurricane-related experiences, maternal health concerns, and the impact of hurricane experiences on postpartum depressive symptoms (PDS).
    Methods: We used data from the 2018 Pregnancy Risk Assessment Monitoring System to describe differences in maternal hurricane experiences among women who were pregnant during and after the 2017 hurricanes. We assessed maternal concerns and PDS. We estimated adjusted prevalence ratios (aPRs) and 95% CIs for the associations between hurricane experiences and PDS.
    Results: The most frequently reported hurricane experiences were losing power for ≥1 week (97%) and feeling unsafe due to lack of order/security (70%). Almost 30% of women who were pregnant during the hurricanes reported missing prenatal care. PDS were reported by 13% of women. Most hurricane experiences were associated with an increased prevalence of PDS. Feeling unsafe (aPR = 2.4; 95% CI, 1.2-4.9) and having difficulty getting food (aPR = 2.1; 95% CI, 1.1-4.1) had the strongest associations.
    Conclusions: Most women who were pregnant during or after hurricanes Irma and Maria struck Puerto Rico reported negative hurricane experiences, and most experiences were associated with an increased prevalence of PDS. Understanding the experiences of pregnant women during and after disasters and identifying risks for adverse mental health outcomes after pregnancy are important to inform emergency preparedness and prenatal and postpartum care.
    MeSH term(s) Pregnancy ; Humans ; Female ; Puerto Rico/epidemiology ; Cyclonic Storms ; Pregnant Women ; Disasters ; Risk Assessment
    Language English
    Publishing date 2023-01-06
    Publishing country United States
    Document type Journal Article
    ZDB-ID 120953-x
    ISSN 1468-2877 ; 0033-3549
    ISSN (online) 1468-2877
    ISSN 0033-3549
    DOI 10.1177/00333549221142571
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article ; Online: Rapid Population-Based Surveillance of Prenatal and Postpartum Experiences During Public Health Emergencies, Puerto Rico, 2016‒2018.

    Salvesen von Essen, Beatriz / D'Angelo, Denise V / Shulman, Holly B / Virella, Wanda Hernández / Kortsmit, Katherine / Herrera, Beatriz Ríos / Díaz, Patricia García / Taraporewalla, Aspy / Harrison, Leslie / Warner, Lee / Vargas Bernal, Manuel

    American journal of public health

    2022  Volume 112, Issue 4, Page(s) 574–578

    Abstract: The Pregnancy Risk Assessment Monitoring System-Zika Postpartum Emergency Response study, implemented in Puerto Rico during the Zika virus outbreak (2016-2017) and after Hurricanes Irma and María (2017-2018), collected pregnancy-related data using ... ...

    Abstract The Pregnancy Risk Assessment Monitoring System-Zika Postpartum Emergency Response study, implemented in Puerto Rico during the Zika virus outbreak (2016-2017) and after Hurricanes Irma and María (2017-2018), collected pregnancy-related data using postpartum hospital-based surveys and telephone follow-up surveys. Response rates of 75% or more were observed across five study surveys. The study informed programs, increased the Puerto Rico Department of Health's capacity to conduct maternal‒infant health surveillance, and demonstrated the effectiveness of this methodology for collecting data during public health emergencies. (
    MeSH term(s) Emergencies ; Female ; Humans ; Postpartum Period ; Pregnancy ; Public Health ; Puerto Rico/epidemiology ; Surveys and Questionnaires ; Vitamins ; Zika Virus ; Zika Virus Infection/epidemiology
    Chemical Substances Vitamins
    Language English
    Publishing date 2022-03-22
    Publishing country United States
    Document type Journal Article
    ZDB-ID 121100-6
    ISSN 1541-0048 ; 0090-0036 ; 0002-9572
    ISSN (online) 1541-0048
    ISSN 0090-0036 ; 0002-9572
    DOI 10.2105/AJPH.2021.306687
    Database MEDical Literature Analysis and Retrieval System OnLINE

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    Un I Zs.279: Show issues Location:
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  4. Article ; Online: Infant Receipt of Health Care Services during the 2016-2017 Zika Virus Outbreak in Puerto Rico.

    D'Angelo, Denise / Smith, Ruben A / Salvesen von Essen, Beatriz / Kortsmit, Katherine / Ellington, Sascha / Galang, Romeo / Hernández-Virella, Wanda / Shulman, Holly / Vargas-Bernal, Manuel / Warner, Lee

    Puerto Rico health sciences journal

    2022  Volume 41, Issue 4, Page(s) 202–209

    Abstract: Objective: To assess the receipt of health care services among live-born infants of women with and without evidence of Zika virus (ZIKV) infection while pregnant during the 2016-2017 ZIKV outbreak in Puerto Rico.: Methods: We used data from the ... ...

    Abstract Objective: To assess the receipt of health care services among live-born infants of women with and without evidence of Zika virus (ZIKV) infection while pregnant during the 2016-2017 ZIKV outbreak in Puerto Rico.
    Methods: We used data from the Pregnancy Risk Assessment Monitoring System-Zika Postpartum Emergency Response study telephone surveys to examine maternal reports of the receipt of health care services by infants born in Puerto Rico from August through December 2016 and November through December 2017. Evidence of ZIKV infection was ascertained from the infant's birth certificate or was self-reported in the survey.
    Results: Fourteen percent of women in 2016 and 9% in 2017 had evidence of ZIKV infection during pregnancy. Most infants of women with evidence of ZIKV received the recommended health care services in 2016 and 2017, respectively, including a hearing test (91% vs. 92%), developmental assessment (90% vs. 92%), and an eye exam (74% vs. 70%); fewer received a head scan (45% vs. 36%) and evaluation for physical therapy (17% vs. 10%). From 2016 to 2017, the proportion of infants having a personal doctor increased for all infants; for infants of women without evidence of ZIKV infection, receiving hearing, developmental, and eye assessments increased.
    Conclusion: Most infants of women with evidence of ZIKV infection during pregnancy received the recommended hearing and developmental assessments during the ZIKV outbreak. Experiences with increasing service capacity during the ZIKV outbreak can be evaluated to inform the response to future emergencies that affect maternal and child health.
    MeSH term(s) Pregnancy ; Child ; Infant ; Female ; Humans ; Zika Virus ; Zika Virus Infection/epidemiology ; Zika Virus Infection/prevention & control ; Puerto Rico/epidemiology ; Pregnancy Complications, Infectious/epidemiology ; Pregnancy Complications, Infectious/prevention & control ; Disease Outbreaks ; Delivery of Health Care
    Language English
    Publishing date 2022-11-04
    Publishing country Puerto Rico
    Document type Journal Article
    ZDB-ID 639137-0
    ISSN 2373-6011 ; 0738-0658
    ISSN (online) 2373-6011
    ISSN 0738-0658
    Database MEDical Literature Analysis and Retrieval System OnLINE

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    Zs.B 3093: Show issues Location:
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  5. Article ; Online: Opportunities to Address Men's Health During the Perinatal Period - Puerto Rico, 2017.

    Salvesen von Essen, Beatriz / Kortsmit, Katherine / D'Angelo, Denise V / Warner, Lee / Smith, Ruben A / Simon, Clarissa / Garfield, Craig F / Virella, Wanda Hernández / Vargas Bernal, Manuel I

    MMWR. Morbidity and mortality weekly report

    2021  Volume 69, Issue 5152, Page(s) 1638–1641

    Abstract: Decreased use of health care services (1), increased exposure to occupational hazards, and higher rates of substance use (2) might contribute to men's poorer health outcomes when compared with such outcomes for women (3). During the transition to ... ...

    Abstract Decreased use of health care services (1), increased exposure to occupational hazards, and higher rates of substance use (2) might contribute to men's poorer health outcomes when compared with such outcomes for women (3). During the transition to fatherhood, paternal health and involvement during pregnancy might have an impact on maternal and infant outcomes (4-6). To assess men's health-related behaviors and participation in fatherhood-related activities surrounding pregnancy, the Puerto Rico Department of Health and CDC analyzed data from the paternal survey of the Pregnancy Risk Assessment Monitoring System-Zika Postpartum Emergency Response (PRAMS-ZPER)* study. Fewer than one half (48.3%) of men attended a health care visit for themselves in the 12 months before their newborn's birth. However, most fathers attended one or more prenatal care visits (87.2%), were present at the birth (83.1%), and helped prepare for the newborn's arrival (e.g., by preparing the home [92.4%] or purchasing supplies [93.9%]). These findings suggest that opportunities are available for public health messaging directed toward fathers during the perinatal period to increase attention to their own health and health behaviors, and to emphasize the role they can play in supporting their families' overall health and well-being.
    MeSH term(s) Adult ; Female ; Health Promotion/methods ; Humans ; Infant, Newborn ; Male ; Men's Health ; Perinatal Care ; Pregnancy ; Puerto Rico ; Young Adult
    Language English
    Publishing date 2021-01-01
    Publishing country United States
    Document type Journal Article
    ZDB-ID 412775-4
    ISSN 1545-861X ; 0149-2195
    ISSN (online) 1545-861X
    ISSN 0149-2195
    DOI 10.15585/mmwr.mm695152a2
    Database MEDical Literature Analysis and Retrieval System OnLINE

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    Zs.B 1827: Show issues Location:
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