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How can we help pregnant women better cope with heat?

· Confirmed

Health Desk

In Short: The findings from this study could lead to better policies and interventions to protect pregnant women and their unborn children from the adverse effects of heat stress.

Staircase - London School of Hygiene and Tropical Medicine - 2017-09-17
Photo: Colin / Wikimedia Commons (CC BY-SA 4.0)

A study in Gambia is shedding light on the risks faced by pregnant women working as subsistence farmers during extreme heat conditions.

Led by Ana Bonell, an academic clinician from the London School of Hygiene and Tropical Medicine (LSHTM) based at its Gambia Medical Research Unit, the project aimed to understand the impact of heat stress on pregnant women and their unborn children.

For the study, 92 pregnant farmers in and around Keneba were examined for signs of heat stress once every two months as they went about their daily tasks.

The research, which began roughly a decade ago, has seen an acceleration in recent years, with mounting evidence suggesting that heat is detrimental for pregnant women and their unborn babies.

Kristie Ebi, an epidemiologist at the University of Washington in Seattle, noted that publications first started to come out suggesting pregnant women might be at particular risk during heat waves around a decade ago.

In a 2020 review of 68 studies conducted between 2007 and 2019, which together analyzed 32.7 million births in the US, DeNicola and his co-authors found a link between extreme heat and pre-term contractions, as well as premature birth.

The study's findings highlight the need for better understanding and management of heat stress during pregnancy, especially in regions where subsistence farming is common.

Frequently, women come to Sinjanka dehydrated, with cracking lips, and complaining of headaches, indicating the severity of heat stress they face.

Health officials are now calling for more attention to be paid to pregnant women during heatwaves, with a focus on tracking health indicators and integrating these considerations into routine monitoring systems.

Four UN agencies have launched a set of indicators to help governments track the health toll of extreme heat on mothers and newborns, urging countries to watch for spikes in preterm births, stillbirths, and child deaths during heatwaves.

The study also underscores the broader implications of climate change on human health, particularly for vulnerable populations like pregnant women and their unborn children.

Dr. Pascale Allotey, director of WHO’s Department of Sexual, Reproductive, Maternal, Child and Adolescent Health and Ageing, emphasized the urgent need to address these risks as the world continues to heat up.

Background

A study in Gambia examines how heat stress affects pregnant women working as subsistence farmers and their unborn children.

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