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August 22, 2026Nature Communications0 citationsOpen Access

Ambient Heat Thresholds for Adverse Maternal and Birth Outcomes

A systematic review and meta-analysis on heat thresholds for maternal health and birth outcomes

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Authors

CHClara HeilLILeonidas G. IoannouGAGünter Alce

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Overview

Systematic review and meta-analysis reveals rising adverse pregnancy risks across ambient heat thresholds, highlighting climate vulnerabilities in maternal care.

Key Points

  • To synthesize evidence on the impact of ambient heat on pregnancy and determine temperature thresholds linked to heightened risk of adverse maternal and birth outcomes.
  • Systematic search of Medline, Web of Science, Scopus, GreenFile, and CINAHL up to June 2024 for peer-reviewed studies assessing ambient heat thresholds during pregnancy.
  • Assessed risk of bias using the Office of Health Assessment and Translation (OHAT) tool and performed random-effects meta-regression on 21 studies (N=5,589,862) alongside narrative synthesis of 103 studies (N=41,951,950).
  • Meta-regression identified maximum temperature (Tmax) thresholds of 30.55 °C, 34.11 °C, and 39.07 °C for 5%, 10%, and 20% increases in the risk of adverse pregnancy and birth outcomes.
  • Narrative synthesis highlighted significant methodological variability, exposure metric differences, and an absence of standardized comprehensive heat stress indices across studies.

Cite This Study

Heil et al. (2026) studied this question.

synapsesocial.com/papers/6a895fc4ca7ade938187e904https://doi.org/10.1038/s41467-026-76822-8
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