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A Comprehensive Review on Hot Ambient Temperature and its Impacts on Adverse Pregnancy Outcomes Cover

A Comprehensive Review on Hot Ambient Temperature and its Impacts on Adverse Pregnancy Outcomes

Open Access
|Jun 2023

Figures & Tables

Figure 1.

PRISMA flow diagram of the study selection process.
PRISMA flow diagram of the study selection process.

Summary of study characteristics, significance within individual study findings

S.No.Author, YearLocationStudy DesignCausal factorMaternal outcomeFetal outcomeExposure windowConcluding remarks
Studies conducted among non-working pregnant women

1.Sun et al., 2019 [83]United States (403 countries)Retrospective cohort studyExtreme heat-PTB35 WeeksHigher number of heat days associated with higher risk of PTB.
2.Shashar, et al., 2020 [48]Unites StatesCohort studyTemperaturePreeclampsia-1 or 3 rd trimesterWarm seasons are associated with an increased risk of preeclampsia.
3.Van Zutphen et al., 2012 [38]United Statescase–control studyHeat exposureMultiple birthLBW, PTBWeeks 4–7Multiple ambient heat exposure indicates occurrence of LBW, PTB & congenital cataracts.
4.Zhang et al., 2019 [64]United Statescase–control studyHeat exposure-Fetal malformations, Congenital heart diseases3–8 weeks post conceptionSummer may see an increase in the burden of Congenital Heart Disease (CHD).
5.Auger et al. 2014 [8]Montreal, CanadaRetrospective cohort studyHot ambient temperature-Early birth1 week prior to deliveryExposure to very high ambient temperatures may decrease the gestational duration of warmer months pregnancies.
6.Basu et al. 2010 [84]California, USACase crossoverAmbient temperatureChronic infections and hypertensionPTB1 week prior to deliveryThe apparent temperature and premature delivery rates are higher during the warm season.
7.Kent et al. 2014 [85]Alabama, USACase crossoverHeat wave-PTB1 week prior to deliveryHeat wave days were associated with PTB.
8.Kloog et al. 2015 [86]Massachusetts, USATime seriesAir Temperature-PTB, LBWFull gestationIncreases in ambient temperature were linked with a reduction in gestational age.
9.Kloog et al. 2018 [74]Southern IsraelTime seriesTemperature-PTBFull gestationTemperatures as predicted by predictive modelling and risk is high (PTB)
10.Basu et al., 2017 [87]Northern California, USACase crossoverincreased heat percent change per 10°F (5.6°C) increase in apparent temperature-PTBFull gestationWarm season has a higher risk than the cold season.
11.Basu et al., 2018 [88]California, USATime seriesExtreme temperature-LBWFirst and third trimesterAll results are shown as a percentage change in the OR of LBW with a temperature rise of 10°F.
12.He et al. 2016 [89]Guangzhou, ChinaTime seriesAmbient Temperature-PTBFull gestationPregnancy-related exposure to both low and high temperatures was linked with an increased risk of PTB.
13.Dadvandet al. 2011 [90]Barcelona, SpainTime seriesExtreme heat-Early birth1 week prior to deliveryAverage gestational age of birth reduces after maternal exposure to severe HI episodes.
14.Dadvand et al. 2014 [75]Barcelona, SpainTime seriesheat exposures-LBWFull gestationIncreased risk of term LBW associated with heat exposure.
15.Vicedo-Cabrera et al. 2015 [91]Stockholm, SwedenTime seriesHeat-PTB4 weeks prior to deliveryExposure to moderate heat during the last month of pregnancy increases the chance of PTB.
16.Strand et al. 2012 [9]Brisbane, AustraliaTime seriesHigh temperaturesMaternal hyperthermiaEarly birth, PTB, still birth, abortion4 weeks prior to deliveryThe risk of stillbirth was similarly increased when the past four weeks of temperature exposure were used instead of the most recent week.
17.Mathew et al. 2017 [92]Alice Springs, Australia, Brandenburg and SaxonyTime seriesAmbient Temperature-PTB3 weeks prior to deliveryTemperature values have an impact on the consequences and risks of preterm birth at both the lowest and maximum temperatures.
18.Asamoah et al., 2018 [30]Multi-country representative surveyA cross-sectional studyHigh ambient temperatureMiscarriageStill birth, Congenital abnormalitiesYearly average and monthly average for second month of pregnancyEnvironmental heat exposures may be associated with APOs.
19.Lyndsay A. Avalos [93]Northern Californiacase-crossover studyWarmer season-Pre-Term birthFull gestationEvidence for an increase in the odds of spontaneous PTD associated with increases in apparent temperature.
20.Jeroen de Bont et al., 2022 [94]SwedenCase-crossover,Ambient temperature d-preterm birthFull gestationHigher ambient temperature demonstrated increased risk of extremely preterm birth

Studies conducted among working pregnant women

21.Flocks et al., 2013 [95]Hispanic and Haitian nurseryCross sectional studyHeatDizziness, Pre-Existing high and low blood pressure, Nausea, Vomiting, sun stroke, Feverish, DehydrationFetus become agitated, increased fetal heart rates, Increased fetal movement-Heat exposure can adversely affect pregnancy and fetal health.
22.Rahman et al., 2016 [10]BangladeshCross sectional studyHeat stressIncrease body temperatureFetal destruction or Anomaly-Outdoor work during pregnancy in hot, increasing body temperature up to levels that could induce fetal destruction or anomaly.
23.Banerjee, 2009 [37]-Continuing Medical education (CME)Heat stressDehydration--Women in various occupations have been found to be at an increased risk of experiencing a fetal death.
DOI: https://doi.org/10.34763/jmotherandchild.20232701.d-22-00051 | Journal eISSN: 2719-535X | Journal ISSN: 2719-6488
Language: English
Page range: 10 - 20
Submitted on: Aug 28, 2022
Accepted on: Dec 18, 2022
Published on: Jun 27, 2023
Published by: Institute of Mother and Child
In partnership with: Paradigm Publishing Services
Publication frequency: 1 issue per year

© 2023 Shanmugam Rekha, Sirala Jagadeesh Nalini, Srinivasan Bhuvana, S. Kanmani, Venugopal Vidhya, published by Institute of Mother and Child
This work is licensed under the Creative Commons Attribution 4.0 License.