ArticleThe Science of the total environment2021
Increased risk of multiple pregnancy complications following large-scale power outages during Hurricane Sandy in New York State.
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 23 papers, 1 of them a synthesis that pooled it.
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Who cites it
23 citing papers in PubMed, 1 synthesis or guideline pooled it, 42 citations in OpenAlex.
- Climate Change-Related Environmental Exposures and Perinatal and Maternal Health Outcomes in the U.S.International journal of environmental research and public health · 2023Pooled it
- Recurrent power outages and the mental health burden of grid reliability in Maryland.iScience · 2026Article
- Estimating Spatial and Temporal Patterns of Residential Power Outages in Massachusetts from 2013 to 2022 Using Public Records.Journal of urban health : bulletin of the New York Academy of Medicine · 2026Article
- Prevalence and trends of gestational diabetes in a large university hospital in Lebanon before and during the COVID-19 pandemic.BMC public health · 2026Article
- Do Power Outages Impact Mental Health? Empirical evidence from Maryland.Research square · 2026Article
- The association between power outages and cardiovascular and respiratory hospitalizations among US Medicare beneficiaries in 2018: A case-crossover study.PLoS medicine · 2026Article
- The distributional effects of power outages on regional economies: evidence from dynamic panel data and machine learning models.The Annals of regional science · 2026Article
- Electricity inaccessibility across historically redlined and present-day disadvantaged areas in New York City.Journal of exposure science & environmental epidemiology · 2025Article
- Assessing bias in measuring power outage exposure with simulations.Environmental epidemiology (Philadelphia, Pa.) · 2025Article
- Scoping review of climate drivers on maternal health: current evidence and clinical implications.AJOG global reports · 2025Review
- Strengthening Maternal and Infant Health Resilience Before Weather and Climate Disasters: Preparedness Resources from CDC's Division of Reproductive Health.Journal of women's health (2002) · 2024Article
- Impact of Climate Change on Reproductive Health and Pregnancy Outcomes: A Systematic Review.Cureus · 2024Review
- Health Disparities in the Aftermath of Flood Events: A Review of Physical and Mental Health Outcomes with Methodological Considerations in the USA.Current environmental health reports · 2024Review
- The Joint Effects of Thunderstorms and Power Outages on Respiratory-Related Emergency Visits and Modifying and Mediating Factors of This Relationship.Environmental health perspectives · 2024Article
- Obstetric care for environmental migrants.Irish journal of medical science · 2024Review
- Association of social vulnerability factors with power outage burden in Washington state: 2018-2021.PloS one · 2024Article
- Health disparities among older adults following tropical cyclone exposure in Florida.Nature communications · 2023Article
- How do El Niño Southern Oscillation (ENSO) and local meteorological factors affect the incidence of seasonal influenza in New York state.Hygiene and environmental health advances · 2022Article
- Maternal mental health and breastfeeding amidst the Covid-19 pandemic: cross-sectional study in Catalonia (Spain).BMC pregnancy and childbirth · 2022Observational
- Racial Disparities in Climate Change-Related Health Effects in the United States.Current environmental health reports · 2022Review
Corrections and comments
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Authors and funding
13 authors at 8 institutions in 2 countries.
Funding
Abstract
backgroundLarge-scale power outages (PO) are increasing in the context of climate change. Although some research has been conducted into the adverse health impacts of POs, significant gaps remain regarding whether POs would affect the health of pregnant women. We investigated the association between ED visits due to pregnancy complications and the occurence, intensity, and duration of large-scale POs in eight Sandy-affected counties in New York State (NYS).
methodsIn this cross-sectional study, daily ED visits for pregnancy complications and large-scale PO data in eight counties in NYS from October to December in 2005-2014 were collected. Using time-series analysis, we estimated the relative increase in ED visits for pregnancy complications during POs compared with non-PO periods at lag 0-7 days. Short-term health impacts of PO intensity and PO duration were investigated. Estimations were also stratified by sociodemographic characteristics and disease subtypes including threatened or spontaneous abortion, threatened or early labor, hypertension complications, infections of genitourinary tract, renal diseases, gestational diabetes mellitus, mental illnesses, and cardiovascular diseases during pregnancy.
resultsFrom October to December in 2005-2014, there were 307,739 ED visits for pregnancy complications in the eight counties. We found significant increases in ED visits for overall pregnancy complications (16.6%, 95% confidence interval [CI]: 10.3%, 23.2%) during the Hurricane-PO period at lag 0-7 days. The ED visits increased by 8.8% per level increase in PO intensity and 1.4% per day increase in PO duration. Specifically, threatened/early delivery and gestational diabetes mellitus during the PO period increased by 26.7% (95% CI: 8.2%, 48.4%) and 111.8% (95% CI: 16.7%, 284.4%), respectively. Young adult, Black, Hispanic, and uninsured individuals were at higher risk of complications.
conclusionsPOs may adversely impact pregnancy, especially for certain pregnancy complications and among low sociodemographic women.
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Registered trials
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.