From conception to care: a systematic review of the impact of the climate crisis on reproductive justice.

The climate crisis poses major challenges to reproductive justice. Climate-related events and natural disasters are severely impacting sexual and reproductive rights as well as the ability of individuals to become parents and care for their children. Through a systematic review conducted using the PRISMA method, this article addresses the impact of the climate crisis on the three core principles of reproductive justice: (1) the right not to have a child; (2) the right to have a child; and (3) the right to parent children in safe and healthy environments. While the review found no empirical studies addressing how the climate crisis impacts the right not to have children, the findings suggest that hurricanes, floods, heatwaves, droughts, and coastal erosion are associated with greater intentions of remaining childless and having fewer children, increasing fetal mortality and preterm births, decreasing new-born sex ratios and birth weight, rising birth risks, declining birth rates, and increasing challenges to parenting and childcare. We argue that the climate crisis fundamentally undermines reproductive justice by preventing individuals from fully and equitably exercising their reproductive rights to have children and to parent in safe and sustainable environments. In doing so, we stress that the climate crisis should be considered when addressing the challenges of reproductive justice and that addressing these challenges requires implementing policies that not only seek to mitigate the effects of climate disruptions but also strengthen the capacity of individuals and communities to adapt to changing environmental conditions, ensuring more sustainable reproductive futures.