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Heat exposure associated with the consequences of poor childbirth

Heat exposure associated with the consequences of poor childbirth

 


November 5, 2020

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Disclosure: Chersich et al. Report that the work submitted is supported by NERC, RCN, and Forte in collaboration with Vetenska psrådet, coordinated through a partnership with the Belmont Forum. Chersich also reports that it is investing in the fossil fuel industry through a pension fund. See the survey for relevant financial disclosures of all other authors.

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Exposure to high temperatures during pregnancy was associated with adverse consequences such as preterm birth and stillbirth, according to a study published in The BMJ..

“More things need to be done to protect pregnant women from exposure to extreme heat, especially in late pregnancy.” Matthew Francis Chersich, doctorate, Members of the Whit Reproductive Health and HIV Institute and the Faculty of Health Sciences at the University of the Witwatersland (Johannesburg, South Africa) told Healtho Primary Care. “In high-income groups, this is primarily air-conditioned, but many other women do not have access to cooling spaces and some continue to work physically until late in pregnancy.”

Quote from Chersich on Extreme Fever Exposure of Pregnant Women

Chersich et al. Conducted a systematic review and meta-analysis of studies on heat exposure or heat adaptation to evaluate pregnancy and childbirth outcomes. They identified the study through online searches on Medline and the Web of Science.

A total of 70 studies completed in 27 countries were included in the review. Of the countries, seven were considered low-income or middle-income countries.

Forty studies confirmed the association between high temperatures and preterm birth. In a meta-analysis of six studies, researchers found that preterm birth odds increased by 1.16 (95% CI, 1.10-1.23) with heat waves and 1.05 (95% CI; 1.03-1.07) for every 1 ° C increase. I found that. At temperature.

Chersich et al. Found that all eight studies, including information on stillbirth, found that higher temperatures increased stillbirth. A meta-analysis of three studies showed that stillbirth increased by 1.05 (95% CI; 1.01-1.08) for every 1 ° C increase in temperature.

Researchers also said that 18 studies found that higher temperatures were associated with birth weight loss. They said most studies reported small changes in birth weight, but even small changes would have a significant impact on public health, as high-temperature exposure is common and increasing.

Chersich et al. Suggest that the association between high temperatures and childbirth outcomes appears to be more pronounced among women living in low- and middle-income countries, and is particularly at risk.

Chersich said the “imbalance between heat production and heat loss” may facilitate the association between heat exposure and the consequences of poor childbirth.

“The fetus and placenta generate a lot of heat because of their fast metabolism,” he said. “Exercise time during labor can also generate a large amount of heat and prolong labor, which may explain the increase in stillbirth in situations where caesarean section is not readily available. . ”

He said doctors are usually pregnant women Protect yourself from extreme heat, “But that should change.”

“Exercise outdoors in hot weather, adequate hydration, and access to cooling areas are especially helpful advice. As the world gets hotter,” He said.

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