高温环境温度及其对不良妊娠结局的影响综述。

Journal of mother and child Pub Date : 2023-06-27 eCollection Date: 2023-06-01 DOI:10.34763/jmotherandchild.20232701.d-22-00051
Shanmugam Rekha, Sirala Jagadeesh Nalini, Srinivasan Bhuvana, S Kanmani, Venugopal Vidhya
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引用次数: 0

摘要

引言:工作场所/环境温度高与不良妊娠结局(APO)有关。数百万在发展中国家工作的妇女因气候变化导致的气温上升而受苦。很少有研究将职业热应激与APO联系起来,需要新的证据。方法:我们使用PubMed、Google Scholar和Science Direct等数据库搜索关于高环境/工作场所温度及其影响的研究。对原创文章、时事通讯和书籍章节进行了审查。我们分析的文献分为以下几类:高温、紧张和体力活动对母亲和胎儿都有伤害。在对文献进行分类后,对其进行检查以确定主要结果。结果:我们在23篇研究文章中发现,热应激与流产、早产、死产、低出生体重和先天性异常等APO之间存在明确的联系。我们的工作为未来研究产生APO的生物学机制和各种预防措施提供了重要信息。结论:我们的数据表明,温度对母婴健康有长期和短期影响。这项研究虽然数量不多,但强调需要在热带发展中国家进行更大规模的队列研究,为保护孕妇的协调政策提供证据。
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A Comprehensive Review on Hot Ambient Temperature and its Impacts on Adverse Pregnancy Outcomes.

Introduction: High workplace/ambient temperatures have been associated with Adverse Pregnancy Outcomes (APO). Millions of women working in developing nations suffer due to the rising temperatures caused by climate change. There are few pieces of research linking occupational heat stress to APO, and fresh evidence is required.

Methodology: We used databases including PubMed, Google Scholar, and Science Direct to search for research on high ambient/workplace temperatures and their effects. Original articles, newsletters, and book chapters were examined. The literature we analysed was categorised as follows: Heat, strain, and physical activity harming both mother and fetus. After categorising the literature, it was examined to identify the major results.

Results: We found a definite association between heat stress and APOs such as miscarriages, premature birth, stillbirth, low birthweight, and congenital abnormalities in 23 research articles. Our work provides important information for future research into the biological mechanisms that create APOs and various prevention measures.

Conclusion: Our data suggest that temperature has long-term and short-term effects on maternal and fetal health. Though small in number, this study stressed the need for bigger cohort studies in tropical developing countries to create evidence for coordinated policies to safeguard pregnant women.

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