A scoping review on heat indices used to measure the effects of heat on maternal and perinatal health

Objectives To provide a scoping review on heat stress and indices for those interested in the epidemiology and working in extreme heat and maternal perinatal health.Methods This study is a scoping review based on a previous review guided by the Preferred Reporting Items for Systematic Reviews and Me...

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Main Authors: Anayda Portela, Debra Jackson, Nathalie Roos, Chuansi Gao, Francesca Conway, Ijeoma Solarin, Chloe Brimicombe, Darshnika Lakhoo
Format: Article
Language:English
Published: BMJ Publishing Group 2024-04-01
Series:BMJ Public Health
Online Access:https://bmjpublichealth.bmj.com/content/2/1/e000308.full
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author Anayda Portela
Debra Jackson
Nathalie Roos
Chuansi Gao
Francesca Conway
Ijeoma Solarin
Chloe Brimicombe
Darshnika Lakhoo
author_facet Anayda Portela
Debra Jackson
Nathalie Roos
Chuansi Gao
Francesca Conway
Ijeoma Solarin
Chloe Brimicombe
Darshnika Lakhoo
author_sort Anayda Portela
collection DOAJ
description Objectives To provide a scoping review on heat stress and indices for those interested in the epidemiology and working in extreme heat and maternal perinatal health.Methods This study is a scoping review based on a previous review guided by the Preferred Reporting Items for Systematic Reviews and Meta-Analyses extension for scoping reviews. It identifies the main ways heat stress through different heat indices impacts maternal and perinatal health in available literature. For documents that met the inclusion criteria, we extracted 23 publications.Results We find four heat indices: heat index, apparent temperature, wet bulb globe temperature and universal thermal climate index. Exposure to elevated levels of heat stress can be associated with preterm birth. In addition, the more intense and prolonged duration of exposure to heat stress, the greater the risk of stillbirth. Negative birth outcomes can occur from change in hormonal levels (ie, cortisol), dehydration and blood flow diversion away from the placenta and fetus when suffering from heat stress. All studies demonstrate that certain socioeconomic factors influence the effect of heat on maternal and perinatal health outcomes.Conclusion We make three suggestions based on the results: (1) heat indices should be standardised across studies and explained. (2) An increased number of perinatal and maternal health outcomes explored. Finally, (3) enhanced collaboration across climate and health to improve understanding.
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spelling doaj-art-d79895d5711b4aba86807f09f65870bf2025-01-28T22:55:10ZengBMJ Publishing GroupBMJ Public Health2753-42942024-04-012110.1136/bmjph-2023-000308A scoping review on heat indices used to measure the effects of heat on maternal and perinatal healthAnayda Portela0Debra Jackson1Nathalie Roos2Chuansi Gao3Francesca Conway4Ijeoma Solarin5Chloe Brimicombe6Darshnika Lakhoo7Department of Maternal, Newborn, Child and Adolescent Health, World Health Organization, Geneva, Switzerland6 University of the Western Cape, Bellville, South AfricaDepartment of Medicine, Karolinska Institutet, Stockholm, SwedenFaculty of Engineering, Lund University, Lund, Sweden1 National Heart and Lung Institute, Imperial College London, London, UKWits RHI, Faculty of Health Sciences, University of Witwatersrand, Johannesburg, South AfricaWegener Center, University of Graz, Graz, AustriaWits RHI, Faculty of Health Sciences, University of the Witwatersrand, Johannesburg, South AfricaObjectives To provide a scoping review on heat stress and indices for those interested in the epidemiology and working in extreme heat and maternal perinatal health.Methods This study is a scoping review based on a previous review guided by the Preferred Reporting Items for Systematic Reviews and Meta-Analyses extension for scoping reviews. It identifies the main ways heat stress through different heat indices impacts maternal and perinatal health in available literature. For documents that met the inclusion criteria, we extracted 23 publications.Results We find four heat indices: heat index, apparent temperature, wet bulb globe temperature and universal thermal climate index. Exposure to elevated levels of heat stress can be associated with preterm birth. In addition, the more intense and prolonged duration of exposure to heat stress, the greater the risk of stillbirth. Negative birth outcomes can occur from change in hormonal levels (ie, cortisol), dehydration and blood flow diversion away from the placenta and fetus when suffering from heat stress. All studies demonstrate that certain socioeconomic factors influence the effect of heat on maternal and perinatal health outcomes.Conclusion We make three suggestions based on the results: (1) heat indices should be standardised across studies and explained. (2) An increased number of perinatal and maternal health outcomes explored. Finally, (3) enhanced collaboration across climate and health to improve understanding.https://bmjpublichealth.bmj.com/content/2/1/e000308.full
spellingShingle Anayda Portela
Debra Jackson
Nathalie Roos
Chuansi Gao
Francesca Conway
Ijeoma Solarin
Chloe Brimicombe
Darshnika Lakhoo
A scoping review on heat indices used to measure the effects of heat on maternal and perinatal health
BMJ Public Health
title A scoping review on heat indices used to measure the effects of heat on maternal and perinatal health
title_full A scoping review on heat indices used to measure the effects of heat on maternal and perinatal health
title_fullStr A scoping review on heat indices used to measure the effects of heat on maternal and perinatal health
title_full_unstemmed A scoping review on heat indices used to measure the effects of heat on maternal and perinatal health
title_short A scoping review on heat indices used to measure the effects of heat on maternal and perinatal health
title_sort scoping review on heat indices used to measure the effects of heat on maternal and perinatal health
url https://bmjpublichealth.bmj.com/content/2/1/e000308.full
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