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Seasonal variation in fetal growth: accounting for sociodemographic, biological, and environmental exposures
Gavin Pereira1, Angus Cook, Fatima Haggar
1School of Population Health, The University of Western Australia, Crawley, Sydney, New South Wales, Australia. gavin.pereira@uwa.edu.au
Insights
Seasonal variations in temperature impact fetal growth. Higher temperatures during pregnancy, particularly in the third trimester, were linked to reduced optimal birthweight and increased risk of babies being small for gestational age.
Area of Science:
- Environmental Epidemiology
- Perinatal Health
- Reproductive Biology
Background:
- Seasonal variations can influence fetal development.
- Sociodemographic, biological, and environmental factors play a role in fetal growth.
- Understanding these influences is crucial for public health initiatives.
Purpose of the Study:
- To investigate seasonal variations in fetal growth.
- To assess the impact of temperature, season, and sunlight on fetal growth.
- To account for sociodemographic, biological, and environmental exposures.
Main Methods:
- Utilized birth records from Perth, Western Australia (1998-2006, N=147,357).
- Examined small for gestational age (SGA) and proportion of optimal birthweight (POBW).
- Analyzed seasonal exposures (season, temperature, sunlight) by trimester, adjusting for risk factors.
Main Results:
- Third-trimester summer births showed 0.18% lower POBW than winter births.
- Increased third-trimester temperature (9.15°C IQR) correlated with a 0.14% decrease in POBW.
- Elevated temperature throughout pregnancy (0.73°C IQR) increased odds of SGA by 1.02 (1.00-1.05).
Conclusions:
- Elevated ambient temperatures during pregnancy are associated with reduced fetal growth.
- This association is independent of air pollution and other identified risk factors.
- Findings highlight the impact of environmental temperature on perinatal outcomes.
Objective:
We sought to investigate seasonal variation in fetal growth, accounting for important sociodemographic, biological, and environmental exposures.
Study Design:
Records of births 1998 through 2006 in Perth, Western Australia were obtained (N = 147,357). We investigated small for gestational age and sex and the proportion of optimal birthweight (POBW) in relation to seasonal exposures (season, temperature, sunlight) by trimester of pregnancy. Adjustment was made for a wide range of risk factors.
Results:
The POBW for neonates with third trimesters predominantly in summer was 0.18% (0.00-0.36%) lower than for those in winter. POBW decreased by 0.14% (0.01-0.27%) per interquartile range increase in third-trimester temperature (9.15°C). An interquartile range increase in temperature over pregnancy (0.73°C) was associated with an odds ratio of 1.02 (95% confidence interval, 1.00-1.05) for small for gestational age and sex.
Conclusion:
Reduced fetal growth was associated with elevated ambient temperatures throughout and late in pregnancy, independently of air pollution and other risk factors.
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