Scoping review of climate drivers on maternal health: current evidence and clinical implicationsAJOG Global Reports at a Glance
Objective: To systematically review the literature on associations between climate drivers and health outcomes among pregnant people. This review fills a gap by synthesizing evidence for a clinician audience. Data Sources: Systematic scoping review of articles published in PubMed and clinicaltrials....
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| Language: | English |
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Elsevier
2025-02-01
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| Series: | AJOG Global Reports |
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| Online Access: | http://www.sciencedirect.com/science/article/pii/S266657782500005X |
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| author | Claire Masters, MHP Chuhan Wu, MS Dara Gleeson, MPH Michaela Serafica, RN, MSN Jordan L. Thomas, PhD Jeannette R. Ickovics, PhD |
| author_facet | Claire Masters, MHP Chuhan Wu, MS Dara Gleeson, MPH Michaela Serafica, RN, MSN Jordan L. Thomas, PhD Jeannette R. Ickovics, PhD |
| author_sort | Claire Masters, MHP |
| collection | DOAJ |
| description | Objective: To systematically review the literature on associations between climate drivers and health outcomes among pregnant people. This review fills a gap by synthesizing evidence for a clinician audience. Data Sources: Systematic scoping review of articles published in PubMed and clinicaltrials.gov from January 2010 through December 2023. Study Eligibility Criteria: Empirical studies published in English-language peer-reviewed journals, assessing associations between select climate drivers and adverse maternal and birth outcomes. The review included studies examining heat, storms, sea level rise, flooding, drought, wildfires, and other climate-related factors. Health outcomes included preterm birth, low birthweight, small for gestational age, gestational diabetes, pre-eclampsia/eclampsia, miscarriage/stillbirth and maternal mortality. Study Appraisal and Synthesis Methods: The scoping review protocol was registered with the International Platform of Registered Systematic Review and Meta-analysis Protocols (INPLASY202410004, January 3, 2024) and conducted in accordance with the Preferred Reporting Items for Systematic Reviews and Meta-Analysis (PRISMA). Data were extracted by 2 authors; quality and risk of bias was assessed independently. Results: Total of 966 references were screened; 16.35% (k=158) met inclusion criteria. The majority of studies (146/158; 92.4%) documented statistically significant and clinically meaningful associations between climate drivers and adverse perinatal health outcomes, including risk of preterm birth, low birthweight, and stillbirth as well as preeclampsia, gestational diabetes, miscarriage, and maternal death. Among the most durable findings: extreme heat exposure in early and late pregnancy were associated with increased risk of preterm birth and stillbirth. Driven in part by large (often population-based) studies and objective outcomes from surveillance data or medical record reviews, studies in this scoping review were evaluated as high quality (scoring 7-9 on the Newcastle-Ottawa Scale). Risk of bias was generally low. Conclusions: Climate drivers are consistently associated with adverse health outcomes for pregnant people. Continuing education for clinicians, and clinician-patient communications should be expanded to address risks of climate change and extreme weather exposure, especially risks of extreme heat in late-pregnancy. Results from this review should inform multilevel interventions to address adverse health effects of climate during pregnancy as well as practice advisories, protocols, checklists, and clinical guidelines in obstetrics. |
| format | Article |
| id | doaj-art-d5d31a650144407a91639e0a8cb4d740 |
| institution | Kabale University |
| issn | 2666-5778 |
| language | English |
| publishDate | 2025-02-01 |
| publisher | Elsevier |
| record_format | Article |
| series | AJOG Global Reports |
| spelling | doaj-art-d5d31a650144407a91639e0a8cb4d7402025-02-12T05:32:55ZengElsevierAJOG Global Reports2666-57782025-02-0151100444Scoping review of climate drivers on maternal health: current evidence and clinical implicationsAJOG Global Reports at a GlanceClaire Masters, MHP0Chuhan Wu, MS1Dara Gleeson, MPH2Michaela Serafica, RN, MSN3Jordan L. Thomas, PhD4Jeannette R. Ickovics, PhD5Department of Health Policy and Management, Yale School of Public Health, New Haven, CT (Masters); Department of Environmental, Occupational, and Geospatial Health Sciences, City University of New York, New York City, NY (Masters)Department of Chronic Disease Epidemiology, Yale School of Public Health, New Haven, CT (Wu)Department of Social and Behavioral Sciences, Yale School of Public Health, New Haven, CT (Gleeson, Ickovics)Yale School of Nursing, West Campus, Orange CT (Serafica)Department of Psychology, University of California, Los Angeles, CA (Thomas)Department of Social and Behavioral Sciences, Yale School of Public Health, New Haven, CT (Gleeson, Ickovics); Corresponding author: Jeannette R. Ickovics, PhD.Objective: To systematically review the literature on associations between climate drivers and health outcomes among pregnant people. This review fills a gap by synthesizing evidence for a clinician audience. Data Sources: Systematic scoping review of articles published in PubMed and clinicaltrials.gov from January 2010 through December 2023. Study Eligibility Criteria: Empirical studies published in English-language peer-reviewed journals, assessing associations between select climate drivers and adverse maternal and birth outcomes. The review included studies examining heat, storms, sea level rise, flooding, drought, wildfires, and other climate-related factors. Health outcomes included preterm birth, low birthweight, small for gestational age, gestational diabetes, pre-eclampsia/eclampsia, miscarriage/stillbirth and maternal mortality. Study Appraisal and Synthesis Methods: The scoping review protocol was registered with the International Platform of Registered Systematic Review and Meta-analysis Protocols (INPLASY202410004, January 3, 2024) and conducted in accordance with the Preferred Reporting Items for Systematic Reviews and Meta-Analysis (PRISMA). Data were extracted by 2 authors; quality and risk of bias was assessed independently. Results: Total of 966 references were screened; 16.35% (k=158) met inclusion criteria. The majority of studies (146/158; 92.4%) documented statistically significant and clinically meaningful associations between climate drivers and adverse perinatal health outcomes, including risk of preterm birth, low birthweight, and stillbirth as well as preeclampsia, gestational diabetes, miscarriage, and maternal death. Among the most durable findings: extreme heat exposure in early and late pregnancy were associated with increased risk of preterm birth and stillbirth. Driven in part by large (often population-based) studies and objective outcomes from surveillance data or medical record reviews, studies in this scoping review were evaluated as high quality (scoring 7-9 on the Newcastle-Ottawa Scale). Risk of bias was generally low. Conclusions: Climate drivers are consistently associated with adverse health outcomes for pregnant people. Continuing education for clinicians, and clinician-patient communications should be expanded to address risks of climate change and extreme weather exposure, especially risks of extreme heat in late-pregnancy. Results from this review should inform multilevel interventions to address adverse health effects of climate during pregnancy as well as practice advisories, protocols, checklists, and clinical guidelines in obstetrics.http://www.sciencedirect.com/science/article/pii/S266657782500005Xclimate changeenvironmental healthpregnancymaternal and child outcomesscoping review |
| spellingShingle | Claire Masters, MHP Chuhan Wu, MS Dara Gleeson, MPH Michaela Serafica, RN, MSN Jordan L. Thomas, PhD Jeannette R. Ickovics, PhD Scoping review of climate drivers on maternal health: current evidence and clinical implicationsAJOG Global Reports at a Glance AJOG Global Reports climate change environmental health pregnancy maternal and child outcomes scoping review |
| title | Scoping review of climate drivers on maternal health: current evidence and clinical implicationsAJOG Global Reports at a Glance |
| title_full | Scoping review of climate drivers on maternal health: current evidence and clinical implicationsAJOG Global Reports at a Glance |
| title_fullStr | Scoping review of climate drivers on maternal health: current evidence and clinical implicationsAJOG Global Reports at a Glance |
| title_full_unstemmed | Scoping review of climate drivers on maternal health: current evidence and clinical implicationsAJOG Global Reports at a Glance |
| title_short | Scoping review of climate drivers on maternal health: current evidence and clinical implicationsAJOG Global Reports at a Glance |
| title_sort | scoping review of climate drivers on maternal health current evidence and clinical implicationsajog global reports at a glance |
| topic | climate change environmental health pregnancy maternal and child outcomes scoping review |
| url | http://www.sciencedirect.com/science/article/pii/S266657782500005X |
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