Effects of the 2011 Flood in Thailand on birth outcomes and perceived social support

Natthananporn Sanguanklin, Barbara L. Mcfarlin, Chang Gi Park, Carmen Giurgescu, Lorna Finnegan, Rosemary White-Traut, Janet L. Engstrom

Research output: Contribution to journalArticle

13 Citations (Scopus)

Abstract

Objective: To determine the effects of displacement due to flooding during pregnancy on birth outcomes (infant birth weight and gestational age) and the moderating effect of perceived social support on the relationship between displacement and birth outcomes. Design: A descriptive, longitudinal study. Setting: A university-affiliated hospital in Pathum Thani, Thailand. Participants: Pregnant women (N = 175) in the third trimester that had uncomplicated pregnancies and no history of mental illness. Methods: During pregnancy, the participants completed standardized measurements of depression symptoms, perceived social support, and questionnaires concerning the effect of the flood. After giving birth, infant birth weight and gestational age at birth were retrieved from delivery records. Results: Seventy percent (n = 123) of the participants experienced displacement during the flood. The displaced women had a mean infant birth weight of 175 grams less than that of the nondisplaced women, t(173) = -2.38, p = .02, whereas infant gestational age was not different. Displacement and other variables explained approximately 8% of the variance in infant birth weight. The interaction term between displacement and perceived social support was statistically significant and additionally explained the variance in infant birth weight, F(6, 168) = 3.24, p = .005. Conclusion: Being displaced during pregnancy due to a natural disaster affected fetal growth rather than length of gestation. Health care providers should closely monitor maternal weight gain and fetal growth of pregnant women who experience displacement. Among the displaced women, social support was associated with higher infant birth weight; therefore, high levels of perceived social support may be protective for pregnant women who experience stressful events such as displacement from flooding.

Original languageEnglish (US)
Pages (from-to)435-444
Number of pages10
JournalJOGNN - Journal of Obstetric, Gynecologic, and Neonatal Nursing
Volume43
Issue number4
DOIs
StatePublished - Jan 1 2014
Externally publishedYes

Fingerprint

Thailand
Social Support
Birth Weight
Parturition
Gestational Age
Pregnant Women
Pregnancy
Fetal Development
Reproductive History
Third Pregnancy Trimester
Disasters
Health Personnel
Weight Gain
Longitudinal Studies
Mothers

Keywords

  • Birth outcomes
  • Displacement
  • Natural disaster
  • Social support

ASJC Scopus subject areas

  • Pediatrics
  • Critical Care
  • Maternity and Midwifery

Cite this

Effects of the 2011 Flood in Thailand on birth outcomes and perceived social support. / Sanguanklin, Natthananporn; Mcfarlin, Barbara L.; Park, Chang Gi; Giurgescu, Carmen; Finnegan, Lorna; White-Traut, Rosemary; Engstrom, Janet L.

In: JOGNN - Journal of Obstetric, Gynecologic, and Neonatal Nursing, Vol. 43, No. 4, 01.01.2014, p. 435-444.

Research output: Contribution to journalArticle

Sanguanklin, Natthananporn ; Mcfarlin, Barbara L. ; Park, Chang Gi ; Giurgescu, Carmen ; Finnegan, Lorna ; White-Traut, Rosemary ; Engstrom, Janet L. / Effects of the 2011 Flood in Thailand on birth outcomes and perceived social support. In: JOGNN - Journal of Obstetric, Gynecologic, and Neonatal Nursing. 2014 ; Vol. 43, No. 4. pp. 435-444.
@article{62683b931c844144976f3debf5f0cc0b,
title = "Effects of the 2011 Flood in Thailand on birth outcomes and perceived social support",
abstract = "Objective: To determine the effects of displacement due to flooding during pregnancy on birth outcomes (infant birth weight and gestational age) and the moderating effect of perceived social support on the relationship between displacement and birth outcomes. Design: A descriptive, longitudinal study. Setting: A university-affiliated hospital in Pathum Thani, Thailand. Participants: Pregnant women (N = 175) in the third trimester that had uncomplicated pregnancies and no history of mental illness. Methods: During pregnancy, the participants completed standardized measurements of depression symptoms, perceived social support, and questionnaires concerning the effect of the flood. After giving birth, infant birth weight and gestational age at birth were retrieved from delivery records. Results: Seventy percent (n = 123) of the participants experienced displacement during the flood. The displaced women had a mean infant birth weight of 175 grams less than that of the nondisplaced women, t(173) = -2.38, p = .02, whereas infant gestational age was not different. Displacement and other variables explained approximately 8{\%} of the variance in infant birth weight. The interaction term between displacement and perceived social support was statistically significant and additionally explained the variance in infant birth weight, F(6, 168) = 3.24, p = .005. Conclusion: Being displaced during pregnancy due to a natural disaster affected fetal growth rather than length of gestation. Health care providers should closely monitor maternal weight gain and fetal growth of pregnant women who experience displacement. Among the displaced women, social support was associated with higher infant birth weight; therefore, high levels of perceived social support may be protective for pregnant women who experience stressful events such as displacement from flooding.",
keywords = "Birth outcomes, Displacement, Natural disaster, Social support",
author = "Natthananporn Sanguanklin and Mcfarlin, {Barbara L.} and Park, {Chang Gi} and Carmen Giurgescu and Lorna Finnegan and Rosemary White-Traut and Engstrom, {Janet L.}",
year = "2014",
month = "1",
day = "1",
doi = "10.1111/1552-6909.12466",
language = "English (US)",
volume = "43",
pages = "435--444",
journal = "JOGNN - Journal of Obstetric, Gynecologic, and Neonatal Nursing",
issn = "0884-2175",
publisher = "Wiley-Blackwell",
number = "4",

}

TY - JOUR

T1 - Effects of the 2011 Flood in Thailand on birth outcomes and perceived social support

AU - Sanguanklin, Natthananporn

AU - Mcfarlin, Barbara L.

AU - Park, Chang Gi

AU - Giurgescu, Carmen

AU - Finnegan, Lorna

AU - White-Traut, Rosemary

AU - Engstrom, Janet L.

PY - 2014/1/1

Y1 - 2014/1/1

N2 - Objective: To determine the effects of displacement due to flooding during pregnancy on birth outcomes (infant birth weight and gestational age) and the moderating effect of perceived social support on the relationship between displacement and birth outcomes. Design: A descriptive, longitudinal study. Setting: A university-affiliated hospital in Pathum Thani, Thailand. Participants: Pregnant women (N = 175) in the third trimester that had uncomplicated pregnancies and no history of mental illness. Methods: During pregnancy, the participants completed standardized measurements of depression symptoms, perceived social support, and questionnaires concerning the effect of the flood. After giving birth, infant birth weight and gestational age at birth were retrieved from delivery records. Results: Seventy percent (n = 123) of the participants experienced displacement during the flood. The displaced women had a mean infant birth weight of 175 grams less than that of the nondisplaced women, t(173) = -2.38, p = .02, whereas infant gestational age was not different. Displacement and other variables explained approximately 8% of the variance in infant birth weight. The interaction term between displacement and perceived social support was statistically significant and additionally explained the variance in infant birth weight, F(6, 168) = 3.24, p = .005. Conclusion: Being displaced during pregnancy due to a natural disaster affected fetal growth rather than length of gestation. Health care providers should closely monitor maternal weight gain and fetal growth of pregnant women who experience displacement. Among the displaced women, social support was associated with higher infant birth weight; therefore, high levels of perceived social support may be protective for pregnant women who experience stressful events such as displacement from flooding.

AB - Objective: To determine the effects of displacement due to flooding during pregnancy on birth outcomes (infant birth weight and gestational age) and the moderating effect of perceived social support on the relationship between displacement and birth outcomes. Design: A descriptive, longitudinal study. Setting: A university-affiliated hospital in Pathum Thani, Thailand. Participants: Pregnant women (N = 175) in the third trimester that had uncomplicated pregnancies and no history of mental illness. Methods: During pregnancy, the participants completed standardized measurements of depression symptoms, perceived social support, and questionnaires concerning the effect of the flood. After giving birth, infant birth weight and gestational age at birth were retrieved from delivery records. Results: Seventy percent (n = 123) of the participants experienced displacement during the flood. The displaced women had a mean infant birth weight of 175 grams less than that of the nondisplaced women, t(173) = -2.38, p = .02, whereas infant gestational age was not different. Displacement and other variables explained approximately 8% of the variance in infant birth weight. The interaction term between displacement and perceived social support was statistically significant and additionally explained the variance in infant birth weight, F(6, 168) = 3.24, p = .005. Conclusion: Being displaced during pregnancy due to a natural disaster affected fetal growth rather than length of gestation. Health care providers should closely monitor maternal weight gain and fetal growth of pregnant women who experience displacement. Among the displaced women, social support was associated with higher infant birth weight; therefore, high levels of perceived social support may be protective for pregnant women who experience stressful events such as displacement from flooding.

KW - Birth outcomes

KW - Displacement

KW - Natural disaster

KW - Social support

UR - http://www.scopus.com/inward/record.url?scp=84904473167&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84904473167&partnerID=8YFLogxK

U2 - 10.1111/1552-6909.12466

DO - 10.1111/1552-6909.12466

M3 - Article

VL - 43

SP - 435

EP - 444

JO - JOGNN - Journal of Obstetric, Gynecologic, and Neonatal Nursing

JF - JOGNN - Journal of Obstetric, Gynecologic, and Neonatal Nursing

SN - 0884-2175

IS - 4

ER -