Study protocol for an observational cohort study of heat stress impacts in pregnancy in The Gambia, West Africa DOI Creative Commons
Ana Bonell, Leonidas G. Ioannou, Abdul Karim Sesay

et al.

Wellcome Open Research, Journal Year: 2024, Volume and Issue: 9, P. 624 - 624

Published: Oct. 28, 2024

Climate change has resulted in an increase heat exposure globally. There is strong evidence that this increased stress associated with poor maternal and fetal outcomes, especially vulnerable populations. However, there remains understanding of the biological pathways mechanisms involved impact pregnancy. This observational cohort study 764 pregnant participants based sub-Saharan Africa, a geographical region at risk extreme events, aims to evaluate physiological biochemical changes occur pregnancy due stress. The key objectives are 1) map understand what environmental, social community factors exposure; 2) assess on health, e.g. strain, subjective psychological well-being, sleep activity level; 3) how impacts placenta structure function; 4) determine chronic birth outcomes; 5) explore epigenetic infant by per trimester. Pregnant women will be recruited from two distinct regions Gambia exploit naturally occurring gradient across country. Microclimate mapping area recruitment give detailed measurements. Participants asked wear watch-style device 28- 35-weeks gestational age heart rate, sleep. At end week, ultrasound scan performed size placental blood flow. delivery, outcomes recorded maternal, cord samples taken for epigenetic, histological evaluation. Evaluation neuro-behaviour final 1 month following birth.

Language: Английский

Expert Review: Confronting Climate-Driven Heat Risks to Maternal and Fetal Health DOI
Catherine P. Marudo,

Vikasni Mohan,

Michael J. Paidas

et al.

Obstetrical & Gynecological Survey, Journal Year: 2025, Volume and Issue: 80(3), P. 174 - 185

Published: March 1, 2025

Importance In the current era of climate change, extreme heat exposure poses escalating threats to maternal-fetal health. Despite expansive scale worldwide, dramatized by record-breaking global ocean and atmospheric temperatures throughout 2023 into 2024, extent threat posed is underestimated underappreciated. Unlike physical destruction wrought climate-driven events like hurricanes wildfires, does not cause severe damage built environment. Yet, in most years, has been deadliest hazard United States. Objective This expert review aims illuminate how climate-related affects health exacerbates inequities. It will also discuss knowledge gaps underscore crucial role that obstetric providers play safeguarding pregnant persons from hazardous increasing patient awareness heat. Evidence Acquisition for this was primarily acquired through a comprehensive search PubMed-indexed articles using MeSH terms text words concepts related “climate change,” “heat,” “obstetrics,” “pregnancy,” “heat stress disorders,” their synonyms. Results Extreme threatens well-being elevates likelihood poor birth outcomes preterm birth, fetal demise, stillbirth, among other pregnancy complications. increases risk dehydration, exhaustion, stroke, gestational hypertension persons. Conclusions Relevance Ultimately, professionals are essential improving care at increased salient exposure. Target Audience Obstetricians gynecologists, family physicians Learning Objectives After completing activity, learner be better able explain adverse associated with or exposure; describe literature what research guidelines needed field's understanding patients; identify strategies communities, providers, patients minimize harms

Language: Английский

Citations

0
Ten new insights in climate science 2024 DOI Creative Commons

Roberto Schaeffer,

E. Lisa F. Schipper, Daniel Ospina

et al.

One Earth, Journal Year: 2025, Volume and Issue: unknown, P. 101285 - 101285

Published: May 1, 2025

Language: Английский

Citations

0
Understanding the physiological and biological response to ambient heat exposure in pregnancy: protocol for a systematic review and meta-analysis DOI Creative Commons
Ana Bonell, Leonidas G. Ioannou, Jane E. Hirst

et al.

BMJ Open, Journal Year: 2024, Volume and Issue: 14(7), P. e085314 - e085314

Published: July 1, 2024

Introduction Climate change increases not only the frequency, intensity and duration of extreme heat events but also annual temperatures globally, resulting in many negative health effects, including harmful effects on pregnancy outcomes. As continue to increase precipitously, there is a growing need understand underlying biological pathways this association. This systematic review will focus maternal, placental fetal changes that occur due environmental stress exposure, order identify evidence-based play role Methods analysis We follow Preferred Reporting Items for Systematic Reviews Meta-Analyses guidelines. search PubMed Ovid Embase databases from inception using tested validated algorithms. Inclusion any studies involve pregnant women have measured exposure either or physiological biochemical are available English. Modelling those with animals be excluded. The risk bias assessed Office Health Assessment Translation tool. Abstract screening, data extraction assessment conducted by two independent reviewers. Environmental parameters reported each study where possible these combined calculate indicator allow comparison between studies. A narrative synthesis presented following standard Where outcome measures at least levels we conduct dose–response meta-analysis should three same outcome. random give Ethics dissemination does require ethical approval. Dissemination through peer-reviewed journal publication presentation international conferences/interest groups. PROSPERO registration number CRD42024511153.

Language: Английский

Citations

2
Association of Postpartum Temperature Exposure with Postpartum Depression: A Retrospective Cohort Study in Southern California DOI Creative Commons
Yi Sun,

Kathryne S. Headon,

Wajeeha Umer

et al.

Environmental Health Perspectives, Journal Year: 2024, Volume and Issue: 132(11)

Published: Nov. 1, 2024

Postpartum depression (PPD) has been associated with biological, emotional, social, and environmental factors. However, evidence regarding the effect of temperature on PPD is extremely limited.

Language: Английский

Citations

1
Indoor Temperature and Energy Insecurity: Implications for Prenatal Health Disparities in Extreme Heat Events DOI Creative Commons
Gabriella Meltzer, Pam Factor‐Litvak, Julie B. Herbstman

et al.

Environmental Health Perspectives, Journal Year: 2024, Volume and Issue: 132(3)

Published: March 1, 2024

Extreme heat events are a major public health concern and only expected to increase in intensity severity as climate change continues accelerate. Pregnant people physiologically more vulnerable the effects of extreme heat, exposure can induce harm on both pregnant person fetus.

Language: Английский

Citations

1
Impacts de la crise environnementale et climatique sur la santé de la femme : quelles spécificités ? Que peut-on faire ? DOI

Catherine Azoulay

Gynécologie Obstétrique Fertilité & Sénologie , Journal Year: 2024, Volume and Issue: 52(9), P. 524 - 532

Published: Sept. 1, 2024

Language: Английский

Citations

0
Climate Change and Mental Health from a Developmental and Life Course Perspective DOI
Sandie Ha

Springer eBooks, Journal Year: 2024, Volume and Issue: unknown, P. 31 - 71

Published: Jan. 1, 2024

Language: Английский

Citations

0
Strengthening Maternal and Infant Health Resilience Before Weather and Climate Disasters: Preparedness Resources from CDC’s Division of Reproductive Health DOI
Romeo R. Galang, Jessica Meeker,

J. Leonard

et al.

Journal of Women s Health, Journal Year: 2024, Volume and Issue: 33(10), P. 1289 - 1295

Published: Aug. 12, 2024

This report describes opportunities to address emergency preparedness incorporate the needs of pregnant and postpartum populations. briefly summarizes data on impacts weather climate disasters maternal infant health outlines for individuals, care providers, public practitioners increase capacity prepare these occurrences, which are becoming more frequent costly. Specific resources from U.S. Centers Disease Control Prevention's Division Reproductive Health shared support individual preparedness, communication disaster safety messages, planning among providers departments.

Language: Английский

Citations

0
Study protocol for an observational cohort study of heat stress impacts in pregnancy in The Gambia, West Africa DOI Creative Commons
Ana Bonell, Leonidas G. Ioannou, Abdul Karim Sesay

et al.

Wellcome Open Research, Journal Year: 2024, Volume and Issue: 9, P. 624 - 624

Published: Oct. 28, 2024

Climate change has resulted in an increase heat exposure globally. There is strong evidence that this increased stress associated with poor maternal and fetal outcomes, especially vulnerable populations. However, there remains understanding of the biological pathways mechanisms involved impact pregnancy. This observational cohort study 764 pregnant participants based sub-Saharan Africa, a geographical region at risk extreme events, aims to evaluate physiological biochemical changes occur pregnancy due stress. The key objectives are 1) map understand what environmental, social community factors exposure; 2) assess on health, e.g. strain, subjective psychological well-being, sleep activity level; 3) how impacts placenta structure function; 4) determine chronic birth outcomes; 5) explore epigenetic infant by per trimester. Pregnant women will be recruited from two distinct regions Gambia exploit naturally occurring gradient across country. Microclimate mapping area recruitment give detailed measurements. Participants asked wear watch-style device 28- 35-weeks gestational age heart rate, sleep. At end week, ultrasound scan performed size placental blood flow. delivery, outcomes recorded maternal, cord samples taken for epigenetic, histological evaluation. Evaluation neuro-behaviour final 1 month following birth.

Language: Английский

Citations

0