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

• Published in: Journal of Mother and Child Vol. 27; no. 1; pp. 10 - 20
• Main Authors: Rekha, Shanmugam, Nalini, Sirala Jagadeesh, Bhuvana, Srinivasan, Kanmani, S., Vidhya, Venugopal
• Format: Journal Article
• Language: English
• Published: Poland Sciendo 01-06-2023
• Subjects: Abortion, Spontaneous - epidemiology; Congenital Abnormalities - epidemiology; Female; Heat stress; Heat-Shock Response; Hot Temperature - adverse effects; Humans; Infant, Low Birth Weight; Infant, Newborn; Low birthweight; Occupational Exposure - adverse effects; Physical exertion; Physiological strain; Pregnancy; Pregnancy Outcome - epidemiology; Pregnancy outcomes; Premature Birth - epidemiology; Recommendation; Review; Spontaneous abortion; Stillbirth - epidemiology; Women, Working; Workplace; Spontaneous abortion; Physical exertion; Pregnancy outcomes; Physiological strain; Low birthweight; Heat stress; Recommendation
• ISSN: 2719-535X; 2719-6488; 2719-535X
• DOI: 10.34763/jmotherandchild.20232701.d-22-00051

High workplace/ambient temperatures have been associated with Adverse Pregnancy Outcomes (APO). Millions of women working in developing nations suffer due to the rising temperatures caused by climate change. There are few pieces of research linking occupational heat stress to APO, and fresh evidence is required.
We used databases including PubMed, Google Scholar, and Science Direct to search for research on high ambient/workplace temperatures and their effects. Original articles, newsletters, and book chapters were examined. The literature we analysed was categorised as follows: Heat, strain, and physical activity harming both mother and fetus. After categorising the literature, it was examined to identify the major results.
We found a definite association between heat stress and APOs such as miscarriages, premature birth, stillbirth, low birthweight, and congenital abnormalities in 23 research articles. Our work provides important information for future research into the biological mechanisms that create APOs and various prevention measures.
Our data suggest that temperature has long-term and short-term effects on maternal and fetal health. Though small in number, this study stressed the need for bigger cohort studies in tropical developing countries to create evidence for coordinated policies to safeguard pregnant women.