ArticleThe Science of the total environment2021
Ambient extreme heat exposure in summer and transitional months and emergency department visits and hospital admissions due to pregnancy complications.
Article in The Science of the total environment, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 1 of them a synthesis that pooled it.
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Who cites it
20 citing papers in PubMed, 1 synthesis or guideline pooled it, 56 citations in OpenAlex.
- A systematic review and meta-analysis of heat exposure impacts on maternal, fetal and neonatal health.Nature medicine · 2025Pooled it
- Temperature extremes and maternal health: differential risks of severe maternal morbidity during heatwaves and coldwaves in North Carolina.International journal of biometeorology · 2026Article
- Heat spells and birth and peripartum pregnancy complications in Germany: a scoping review.Archives of gynecology and obstetrics · 2026Article
- Impact of climate change on spontaneous abortion: a systematic review and meta-analysis.Frontiers in global women's health · 2026Review
- Article
- Exposure to acute ambient temperature extremes and neonatal intensive care unit admissions: A case-crossover study.The Science of the total environment · 2024Article
- Exposure to Ambient Heat and Risk of Spontaneous Abortion: A Case-Crossover Study.Epidemiology (Cambridge, Mass.) · 2024Article
- Integrating observational and modelled data to advance the understanding of heat stress effects on pregnant subsistence farmers in the gambia.Scientific reports · 2024Observational
- Climate change and public health in California: A structured review of exposures, vulnerable populations, and adaptation measures.Proceedings of the National Academy of Sciences of the United States of America · 2024Review
- Heat exposure induced risks of preterm birth mediated by maternal hypertension.Nature medicine · 2024Article
- Extreme heat, pregnancy and women's well-being in Burkina Faso: an ethnographical study.BMJ global health · 2024Article
- Ambient heat and diabetes hospitalizations: Does the timing of heat exposure matter?The Science of the total environment · 2024Article
- Article
- Impact of climate change on maternal health outcomes: An evidence gap map review.PLOS global public health · 2024Article
- Examining the Relationship Between Extreme Temperature, Microclimate Indicators, and Gestational Diabetes Mellitus in Pregnant Women Living in Southern California.Environmental epidemiology (Philadelphia, Pa.) · 2023Article
- Increasing global temperatures threaten gains in maternal and newborn health in Africa: A review of impacts and an adaptation framework.International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics · 2023Review
- Identifying joint impacts of sun radiation, temperature, humidity, and rain duration on triggering mental disorders using a high-resolution weather monitoring system.Environment international · 2022Article
- Heat wave adaptation paradigm and adaptation strategies of community: A qualitative phenomenological study in Iran.Journal of education and health promotion · 2022Article
- "When the climate changes, we feel it first": Gendered perceptions of environmental change and women's health in Pakistan.Women's health (London, England)Article
- Colliding crises: The global diabetes pandemic meets climate change-A scoping review.The journal of climate change and healthReview
Corrections and comments
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Authors and funding
7 authors at 4 institutions in 2 countries.
Funding
Abstract
Although extreme heat exposure (EHE) was reported to be associated with increased risks of multiple diseases, little is known about the effects of EHE on pregnancy complications. We examined the EHE-pregnancy complications associations by lag days, subtypes, sociodemographic characteristics, and areas in New York State (NYS). We conducted a case-crossover analysis to assess the EHE-pregnancy complications associations in summer (June-August) and transitional months (May and September). All emergency department (ED) visits and hospital admissions due to pregnancy complications (ICD 9 codes: 630-649) from 2005 to 2013 in NYS were included. Daily mean temperature > 90th percentile of the monthly mean temperature in each county was defined as an EHE. We used conditional logistic regression while controlling for other weather factors, air pollutants and holidays to assess the EHE-pregnancy complications associations. EHE was significantly associated with increased ED visits for pregnancy complications in summer (ORs ranged: 1.01-1.04 from lag days 0-5). There was also a significant and stronger association in transitional months (ORs ranged: 1.02-1.06, Lag 0). Furthermore, we found EHE affected multiple subtypes of pregnancy complications, including threatened/spontaneous abortion, renal diseases, infectious diseases, diabetes, and hypertension (ORs range: 1.13-1.90) during transitional months. A significant concentration response effect between the number of consecutive days of EHE and ED visits in summer (P for trend <0.001), ED visits in September (P for trend =0.03), and hospital admission in May (P for trend<0.001) due to pregnancy complications was observed, respectively. African Americans and residents in lower socioeconomic position (SEP) counties were more susceptible to the effects of EHE. In conclusion, we found an immediate and prolonged effect of EHE on pregnancy complications in summer and a stronger, immediate effect in transitional months. These effects were stronger in African Americans and counties with lower SEP. Earlier warnings regarding extreme heat are recommended to decrease pregnancy complications.
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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.