温度对围产和怀孕结果的不利影响:方法上的挑战和知识上的差距
Maitry Mehta1, Rupa Basu2, Rakesh Ghosh1,3
1Sawyer Business School, Suffolk University, Boston, MA, United States.
Frontiers in public health
|November 29, 2023
概括
温度上升对早产等怀孕结果构成风险. 需要更多关于怀孕期间体温如何变化以及有效干预措施的研究,特别是在脆弱的地区.
科学领域:
- 环境健康 环境健康
- 生殖健康 生殖健康
- 孕产妇健康 孕产妇健康
背景情况:
- 新出现的证据将环境温度与不良产周和怀孕结果联系起来.
- 研究的主要结果包括早产,低出生体重,死产和妊娠高血压障碍.
研究的目的:
- 审查有关温度和怀孕结果的现有文献.
- 识别当前研究中的知识差距和方法挑战.
- 强调在全球变暖的背景下需要有效的干预措施.
主要方法:
- 在PubMed,Web of Science和文章参考列表中进行文献搜索.
- 包括到2023年1月30日发表的研究.
- 专注于通常研究的不良妊娠结果.
主要成果:
- 在理解怀孕期间在极端高温下核心体温调节方面存在重大差距.
- 身体温度不调节和触发生理平衡的临床意义尚不清楚.
- 很少有研究来自经常暴露于极端温度的地区,例如南亚和撒哈拉以南非洲.
- 对于弱势社区的成本有效干预措施的知识是有限的.
结论:
- 迫切需要研究母亲在暴露于热量的过程中对核心体温的调节.
- 需要对怀孕期间临床显著的温度值进行进一步的研究.
- 开发和实施有针对性的,具有成本效益的干预措施对于面临气候变化的弱势群体至关重要.
- 解决知识差距对于减轻全球变暖加剧的不良妊娠结果至关重要.
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