ArticleScientific reports2022
Extreme temperature increases the risk of stillbirth in the third trimester of pregnancy.
Article in Scientific reports, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 1 of them a synthesis that pooled it.
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Who cites it
11 citing papers in PubMed, 1 synthesis or guideline pooled it.
- From conception to care: a systematic review of the impact of the climate crisis on reproductive justice.Sexual and reproductive health matters · 2025Pooled it
- Developing a Hierarchical Algorithm to Identify Pregnancies and Determine Gestational Age from Nationwide Linked Health Data in Taiwan.Drug safety · 2026Article
- Maternal exposure to high ambient temperature and risk of stillbirth in South Australia: a statewide cohort study, 2000-2021.International journal of biometeorology · 2026Article
- Temperature extremes and stillbirth risk in Bihar, India: a panel data analysis, 2009-2019.BMC pregnancy and childbirth · 2026Article
- Extreme temperature events exposure and risks of stillbirths: nationwide large birth cohort study in China.Environment international · 2025Article
- Call to action: recognize and prevent the effects of extreme heat on early childhood development and health.Frontiers in public health · 2025Article
- A time-stratified, case-crossover study of heat exposure and perinatal mortality from 16 hospitals in sub-Saharan Africa.Nature medicine · 2024Article
- Integrating observational and modelled data to advance the understanding of heat stress effects on pregnant subsistence farmers in the gambia.Scientific reports · 2024Observational
- Maternal preconceptional and prenatal exposure to El Niño Southern Oscillation levels and child mortality: a multi-country study.Nature communications · 2024Article
- Geospatial techniques for monitoring and mitigating climate change and its effects on human health.International journal of health geographics · 2023Article
- Maternal exposure to heat and its association with miscarriage in rural KwaZulu-Natal, South Africa: A population-based cohort study.Women's health (London, England)Article
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3 authors.
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Abstract
Epidemiological studies have reported the association between extreme temperatures and adverse reproductive effects. However, the susceptible period of exposure during pregnancy remains unclear. This study aimed to assess the impact of extreme temperature on the stillbirth rate. We performed a time-series analysis to explore the associations between temperature and stillbirth with a distributed lag nonlinear model. A total of 22,769 stillbirths in Taiwan between 2009 and 2018 were enrolled. The mean stillbirth rate was 11.3 ± 1.4 per 1000 births. The relative risk of stillbirth due to exposure to extreme heat temperature (> 29 °C) was 1.18 (95% CI 1.11, 1.25). Pregnant women in the third trimester were most susceptible to the effects of extreme cold and heat temperatures. At lag of 0-3 months, the cumulative relative risk (CRR) of stillbirth for exposure to extreme heat temperature (29.8 °C, 97.5th percentile of temperature) relative to the optimal temperature (21 °C) was 2.49 (95% CI: 1.24, 5.03), and the CRR of stillbirth for exposure to extreme low temperature (16.5 °C, 1st percentile) was 1.29 (95% CI: 0.93, 1.80). The stillbirth rate in Taiwan is on the rise. Our findings inform public health interventions to manage the health impacts of climate change.
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