气候驱动因素对孕产妇健康的影响范围审查:当前证据和临床影响
Claire Masters1,2, Chuhan Wu3, Dara Gleeson4
1Department of Health Policy and Management, Yale School of Public Health, New Haven, CT (Masters).
AJOG global reports
|March 3, 2025
概括
气候变化对孕妇产生重大影响,增加了早产,低出生体重和产妇死亡率的风险. 极端的热量在怀孕期间构成特别的威胁,需要提高临床意识和患者对气候相关健康风险的沟通.
科学领域:
- 环境健康 环境健康
- 生殖健康 生殖健康
- 气候科学 气候科学
背景情况:
- 气候变化带来越来越多的环境风险.
- 孕妇的不良健康结果是一个重大的公共卫生问题.
- 证据将气候驱动因素与孕产妇和分娩结果联系起来,需要用于临床应用的合成.
研究的目的:
- 系统地审查和综合现有关于气候驱动因素与孕妇健康结果之间的关联的文献.
- 为临床医生提供关于怀孕期间气候相关风险的全面概述.
- 通过实证证据来确定关键的气候因素和不良的围产期结果.
主要方法:
- 来自PubMed和clinicaltrials.gov (2010-2023) 的实证研究的系统范围审查.
- 包括英语的,同行评审的文章,检查气候驱动因素 (热量,风暴,海平面上升等). 和母亲/分娩的结果 (早产,低出生体重等). ) 的情况.
- 使用已建立的方法 (例如,纽卡斯尔-太华尺度) 进行偏差评估的质量和风险.
主要成果:
- 158项研究符合纳入标准,92.4%的研究表明气候驱动因素与周产期不良结果之间存在重大关联.
- 一致的发现将怀孕期间的极端高温暴露与早产和死产的风险增加联系起来.
- 具有低偏差风险的高质量研究表明,有关气候的不利影响有强有力的证据.
结论:
- 气候驱动因素始终与孕妇的不良健康结果有关.
- 加强临床医师教育和患者沟通对于应对气候变化和极端天气暴露风险至关重要.
- 调查结果应为临床指导方针,实践建议和多层次干预提供信息,以减轻气候变化的不良围产期健康影响.
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