Hurricane preparedness for pregnant women

Being pregnant during hurricane season in Louisiana requires special preparation to keep both you and your baby safe. Evacuation is strongly recommended for pregnant women and mothers with newborns, as storms can disrupt medical care and create dangerous conditions. Here's your comprehensive guide to staying prepared:

1. Create your pregnancy-specific evacuation plan

Essential evacuation checklist for pregnant women:

  • Complete copy of your prenatal records and medical history

  • Two weeks' worth of all prenatal vitamins and medications

  • Contact information for obstetricians and midwives in your evacuation area

  • Your pre-packed hospital bag with birth essentials

  • Breast pump and supplies if you're planning to breastfeed

  • Maternity clothes and comfortable shoes for extended stays

  • Phone chargers and backup battery packs

Planning your evacuation:

  • Identify your evacuation destination early in the season and confirm accommodations

  • Share your evacuation location and emergency contact information with your OB provider

  • Ensure your healthcare provider has your current phone number and knows your due date

  • Register with your parish for evacuation assistance if you need transportation

  • Plan multiple evacuation routes in case primary roads are blocked

2. Shelter and accommodation considerations

If staying in a shelter:

  • Notify shelter staff immediately about your pregnancy and due date

  • Request accommodation near restroom facilities

  • Bring extra pillows and blankets for comfort

  • Pack any special dietary needs or pregnancy-related supplies

For hotel or family accommodations:

  • Research nearby hospitals and birthing centers in your evacuation area

  • Confirm your insurance coverage extends to out-of-area providers

  • Keep a list of 24-hour pharmacies in case you need medications

3. Know the warning signs during evacuation

Signs of preterm labor to watch for:

  • Regular contractions before 37 weeks

  • Lower back pain that comes and goes

  • Pelvic pressure or cramping

  • Fluid leaking from the vagina

  • Vaginal bleeding or unusual discharge

When to seek immediate medical attention:

  • Any signs of preterm labor

  • Severe headaches with vision changes

  • Persistent nausea and vomiting

  • Decreased fetal movement

  • High fever or signs of infection

4. Nutrition and hydration during evacuation

Essential food and water supplies:

  • At least one gallon of clean water per day for drinking and food preparation

  • High-protein, nutrient-dense snacks (nuts, protein bars, dried fruits)

  • Prenatal vitamins and any prescribed supplements

  • Foods rich in folic acid and iron

  • Electrolyte drinks to prevent dehydration

Special considerations:

  • Avoid foods that require refrigeration unless you have reliable cold storage

  • Pack extra snacks as pregnancy increases caloric needs

  • Stay hydrated, especially in hot weather or stressful situations

  • Consider food safety carefully, as foodborne illness is more dangerous during pregnancy

5. Feeding your newborn during evacuation

For breastfeeding mothers:

  • Breastfeeding is the safest feeding option during emergencies

  • Pack a battery-operated or manual breast pump to maintain milk supply

  • Bring storage bags and containers for expressed milk

  • Stay well-hydrated and nourished to support milk production

For formula feeding:

  • Pack at least 3 days' worth of powdered formula

  • Bring pre-sterilized bottles and sippy cups

  • Pack bottle brushes and sterilizing tablets

  • Ensure access to clean water for formula preparation

Stored breastmilk guidelines:

  • Thawed frozen breastmilk: use within 24 hours

  • Refrigerated breastmilk: good for 4 days

  • Room temperature breastmilk: use within 4 hours

6. Managing pregnancy stress during storms

Emotional well-being strategies:

  • Practice deep breathing and relaxation techniques

  • Stay connected with your support network through phone or video calls

  • Maintain as normal a routine as possible

  • Don't hesitate to ask for help from family, friends, or shelter staff

Managing physical discomfort:

  • Elevate your feet when possible to reduce swelling

  • Move around regularly to prevent blood clots

  • Use pillows to support your belly while sleeping

  • Stay cool and avoid overheating

7. Healthcare access during and after the storm

Telehealth options:

  • Many OB providers offer telehealth consultations during emergencies

  • Download your provider's patient portal app before the storm

  • Keep a list of telehealth platforms that accept your insurance

  • Have a reliable internet connection or cellular data plan

Continuing medical care:

  • Contact your healthcare provider as soon as it's safe after the storm

  • Don't skip prenatal appointments, even if rescheduling is needed

  • Monitor your blood pressure if you have pregnancy-related hypertension

  • Keep taking prenatal vitamins and prescribed medications

8. Special considerations for high-risk pregnancies

If you have pregnancy complications:

  • Evacuate earlier than the general population recommendations

  • Bring detailed medical records including recent test results

  • Pack extra medications and medical supplies

  • Consider staying closer to a major medical center

  • Discuss your specific evacuation plan with your healthcare provider well before hurricane season

9. Postpartum recovery during evacuation

For new mothers:

  • Pack postpartum supplies including pads, pain medication, and breast care items

  • Monitor for signs of postpartum complications like excessive bleeding or infection

  • Maintain proper hygiene to prevent infection

  • Seek medical attention immediately for fever, severe pain, or heavy bleeding

10. Financial and insurance considerations

For Medicaid recipients:

  • Emergency Medicaid coverage may extend to out-of-state providers during disasters

  • Keep your Medicaid card and identification easily accessible

  • WIC benefits may be available in your evacuation location

  • Ask about emergency prescription assistance programs

Important reminders:

  • Verify that your insurance covers emergency care in your evacuation location

  • Keep cash on hand for unexpected expenses

  • Document any storm-related medical expenses for potential FEMA assistance

Emergency contacts and resources

Keep these numbers easily accessible:

  • Your OB provider's emergency line

  • Local emergency services (911)

  • Poison Control: 1-800-222-1222

  • Your insurance company's 24-hour nurse line

  • March of Dimes pregnancy helpline: 1-800-311-BABY

Helpful apps and websites:

  • FEMA app for emergency alerts and assistance

  • What to Expect pregnancy tracker

  • Your healthcare provider's patient portal

  • Red Cross emergency app

Remember: Your safety and your baby's health are the top priority. Don't hesitate to evacuate early if recommended, and always follow the guidance of emergency officials and your healthcare provider. Having a solid plan in place helps ensure the best possible outcomes for both you and your baby during hurricane season.