背景:高工作场所/环境温度与不良妊娠结局(APO)相关。数百万在发展中国家工作的妇女因气候变化引起的气温上升而受苦。很少有研究将职业性热应激与APO联系起来,需要新的证据.
方法:我们使用的数据库包括PubMed、谷歌学者,和ScienceDirect寻找有关高环境/工作场所温度及其影响的研究。原创文章,时事通讯,并检查了书籍章节。我们分析的文献分类如下:热,应变,和身体活动伤害母亲和胎儿。在对文献进行分类之后,对其进行检查以确定主要结果。
结果:我们发现热应激与流产等APO之间存在明确的关联,早产,死产,低出生体重,23篇研究文章中的先天性异常。我们的工作为将来研究产生APO和各种预防措施的生物学机制提供了重要信息。
结论:我们的数据表明,温度对母婴健康有长期和短期影响。虽然数量少,这项研究强调需要在热带发展中国家开展更大规模的队列研究,为采取协调一致的政策保护孕妇提供证据.
BACKGROUND: 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.
METHODS: 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.
CONCLUSIONS: 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.