ArticleInternational journal of biometeorology2026
Temperature extremes and maternal health: differential risks of severe maternal morbidity during heatwaves and coldwaves in North Carolina.
Article in International journal of biometeorology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
1 citing paper in PubMed.
- A Spatial Analytic Approach to Maternal Health Following Hurricane Florence (2018).Maternal and child health journal · 2026Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
4 authors.
Funding
Abstract
Objective Climate change is increasingly recognized as a significant public health threat, particularly for vulnerable populations such as pregnant women. This study examines the association between heatwave and coldwave exposure and the risk of severe maternal morbidity (SMM) at delivery in North Carolina from 2011 to 2019. Methods We incorporate a matched analysis design using patient delivery data to identify disparities across the rural-urban continuum, measurements of neighborhood racial and economic inequality, geographic region, and sociodemographic groups (age, race/ethnicity, and insurance type). Results We found elevated risks of SMM associated with heatwave and coldwave exposures We observed an increased risk of severe maternal morbidity (SMM20) at delivery following exposure to heatwave (HW RR: 1.07, CI: 1.02 to 1.11) and coldwave (CW RR: 1.05, CI: 1.02 to 1.09) events during the last week of gestation in the advanced maternal age (> 35) subgroup. For coldwaves, the risk of SMM20 was elevated during the last week of gestation in both the western mountains (RR: 1.10, CI: 1.02 to 1.18) and rural (RR: 1.14, CI: 1.01 to 1.29) regions. Hispanic subgroups exhibited elevated SMM risks, particularly during heatwaves (lag0 to lag7, RR: 1.09, CI: 1.00 to 1.18) and coldwaves (lag0 to lag3, RR: 1.10, CI: 1.01 to 1.19; lag0 to lag7, RR: 1.04, CI: 1.00 to 1.07). Conclusion Our findings suggest that extreme temperature events exacerbate vulnerabilities in specific maternal subpopulations, underscoring the need to account for local context and population characteristics in maternal health assessments. Future research should continue to explore these associations and the role of additional environmental and social factors in SMM risk.
Indexed as
Identifiers
What OpenQuestion holds
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.