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Rather than ambient temperature, we aimed to use a composite bioclimatic metric (Universal Thermal Climate Index, UTCI) to identify critical susceptible windows for the associations between bioclimatic exposure and hypertensive disorders of pregnancy (HDPs) risk. Daily UTCI exposure from 12\u00a0weeks of preconception through pregnancy was linked to 415,091 singleton pregnancies between 1st January 2000 and 31st December 2015 in Western Australia. Adjusted weekly-specific and cumulative odds ratios (ORs) and 95% confidence intervals (CIs) of gestational hypertension and preeclampsia were estimated with distributed lag non-linear and standard non-linear logistic regressions. Exposures from early pregnancy to week 30 were associated with greater odds of HDPs with critical susceptible windows, particularly elevated at the 1st (10.2\u00a0\u00b0C) and 99th (26.0\u00a0\u00b0C) exposure centiles as compared to the median (14.2\u00a0\u00b0C). The most elevated ORs were 1.07 (95% CI 1.06, 1.08) in weeks 8\u201318 for gestational hypertension and 1.10 (95% CI 1.08, 1.11) in weeks 11\u201316 for preeclampsia for the 99th exposure centile. Cumulative exposures associated with HDPs with relatively higher but less precise ORs. The effects of high exposure to HDPs indicated sociodemographic inequalities. The identified critical periods and subpopulations could benefit from climate-related interventions.<\/jats:p>","DOI":"10.1007\/s11356-024-34689-6","type":"journal-article","created":{"date-parts":[[2024,8,15]],"date-time":"2024-08-15T15:02:11Z","timestamp":1723734131000},"page":"52279-52292","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":7,"title":["Maternal exposure to bioclimatic stress and hypertensive disorders of pregnancy in Western Australia: identifying potential critical windows of susceptibility"],"prefix":"10.1007","volume":"31","author":[{"given":"Amanuel T.","family":"Gebremedhin","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6233-0262","authenticated-orcid":false,"given":"Sylvester Dodzi","family":"Nyadanu","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ivan C.","family":"Hanigan","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Gavin","family":"Pereira","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"297","published-online":{"date-parts":[[2024,8,15]]},"reference":[{"key":"34689_CR1","doi-asserted-by":"publisher","first-page":"113703","DOI":"10.1016\/j.envres.2022.113703","volume":"213","author":"MSG Adnan","year":"2022","unstructured":"Adnan MSG, Dewan A, Botje D, Shahid S, Hassan QK (2022) Vulnerability of Australia to heatwaves: A systematic review on influencing factors, impacts, and mitigation options. 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