Abstract
Background: Climate change impacts the vulnerability among pregnant women and newborns. The situation is predicted to worsen in disaster-prone low and middle-income countries (LMICs) like Nepal, where maternal and neonatal mortality is considerably high. This scoping review aims to map the evidence of the impact of climate change and existing adaptation interventions to improve maternal and perinatal health in LMICs.
Methodology: We conducted a comprehensive systematic literature search in PubMed/Medline, Scopus, Web of Science, Cochrane Library, Global Health, EMBASE and Google Scholar for articles on the impacts of climate change on maternal and perinatal outcomes as well as interventions to avert effects of climate change. Two authors independently screened and selected the relevant studies based on predefined eligibility criteria. Data on characteristics of the study, maternal and perinatal outcomes, and interventions were extracted. The findings were synthesized using narrative summaries.
Results: A total of 9006 records were identified from the initial search, of which 27 met the inclusion criteria and were included in this systematic review. The association between climate and maternal or neonatal health was reported in 22 articles, whilst five reported climate adaptation interventions. Most studies reported the impact of extreme temperature on gestational hypertension and maternal stress, preterm birth and low birth weight. Climate adaptation intervention included nutrition support, water supplies, social-behaviour change and education to address the impact of heat exposure on pregnant/postpartum women and newborns.
Conclusion: Although the impact of changing climate on maternal and perinatal health in LMICs is well documented, there is a huge gap in climate adaptation interventions to improve maternal and perinatal health in these countries. Co-creation of climate change adaptation interventions is essential to protecting the vulnerable population in climate-hit LMICs.
PROSPERO registration number: CRD42024514071
Methodology: We conducted a comprehensive systematic literature search in PubMed/Medline, Scopus, Web of Science, Cochrane Library, Global Health, EMBASE and Google Scholar for articles on the impacts of climate change on maternal and perinatal outcomes as well as interventions to avert effects of climate change. Two authors independently screened and selected the relevant studies based on predefined eligibility criteria. Data on characteristics of the study, maternal and perinatal outcomes, and interventions were extracted. The findings were synthesized using narrative summaries.
Results: A total of 9006 records were identified from the initial search, of which 27 met the inclusion criteria and were included in this systematic review. The association between climate and maternal or neonatal health was reported in 22 articles, whilst five reported climate adaptation interventions. Most studies reported the impact of extreme temperature on gestational hypertension and maternal stress, preterm birth and low birth weight. Climate adaptation intervention included nutrition support, water supplies, social-behaviour change and education to address the impact of heat exposure on pregnant/postpartum women and newborns.
Conclusion: Although the impact of changing climate on maternal and perinatal health in LMICs is well documented, there is a huge gap in climate adaptation interventions to improve maternal and perinatal health in these countries. Co-creation of climate change adaptation interventions is essential to protecting the vulnerable population in climate-hit LMICs.
PROSPERO registration number: CRD42024514071
| Originalsprog | Engelsk |
|---|---|
| Publikationsdato | 11. apr. 2025 |
| Status | Udgivet - 11. apr. 2025 |
| Begivenhed | 11th National Summit of Health and Population Scientists in Nepal, 10-12 April 2025, Kathmandu, Nepal - The Soaltee Kathmandu, Tahachal, Kathmandu, Nepal Varighed: 10. apr. 2025 → 12. apr. 2025 https://www.researchgate.net/publication/390666434_If_I_Had_Known_Earlier_I_Would_Have_Done_the_Test_Exploring_Cervical_Cancer_Screening_Uptake_in_Nepal_Through_Insights_from_a_Mixed-Methods_Study |
Konference
| Konference | 11th National Summit of Health and Population Scientists in Nepal, 10-12 April 2025, Kathmandu, Nepal |
|---|---|
| Lokation | The Soaltee Kathmandu, Tahachal |
| Land/Område | Nepal |
| By | Kathmandu |
| Periode | 10/04/2025 → 12/04/2025 |
| Internetadresse |