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The Impact of Extreme Heat Exposure on Pregnant People and Neonates: A State of the Science Review
Authors:Yuval Baharav BS  Lilly Nichols MPH  Anya Wahal BS  Owen Gow BA  Kurt Shickman MA  Maya Edwards BA  Katie Huffling CNM  DNP   RN
Affiliation:1. Adrienne Arsht-Rockefeller Foundation Resilience Center, Atlantic Council, Washington, District of Columbia;2. Adrienne Arsht-Rockefeller Foundation Resilience Center, Atlantic Council, Washington, District of Columbia

Department of Environmental Health, Boston University School of Public Health, Boston, Massachusetts;3. Alliance of Nurses for Healthy Environments, Mount Rainier, Maryland

Abstract:The relationship between heat exposure and perinatal morbidity and mortality is of increasing concern as global temperatures rise and extreme heat events become more frequent and intense. Heat exposure can lead to a multitude of harmful outcomes for pregnant individuals and neonates, including hospitalization and death. This state of the science review explored the evidence on the associations between heat exposure and negative health outcomes during pregnancy and the neonatal period. Findings suggest that improving health care provider and patient awareness of heat-related risks and implementing specific interventions could mitigate adverse outcomes. Furthermore, public health and other policy interventions are needed to increase thermal comfort and reduce societal exposure to extreme heat and related risks. Early warning systems, medical alerts, provider and patient education, and increased access to health care and thermal comfort may improve pregnancy and early life health outcomes.
Keywords:climate/environmental health  global health/international  health policy  newborn care  patient education  patient safety and risk management  pregnancy complications  public health
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