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Exposure to EWEs was consistently associated with elevated anxiety, depression, PTSD, and eco-anxiety among WRA, alongside increased risks of preterm birth, low birth weight, and pregnancy loss. Socioeconomic disadvantage, rural residence, caregiving responsibilities, and pre-existing vulnerabilities exacerbated these impacts. Quality assessment revealed moderate to high risk of bias across most studies. EWEs significantly affect the mental and physical health of WRA, amplified by gender-specific roles and socioeconomic stressors. Evidence-based recommendations include integrating mental health screening into antenatal care in disaster-prone regions, developing climate-resilient maternal health services, and prioritizing longitudinal research in low-income settings.<\/jats:p>","DOI":"10.1177\/13591053261470607","type":"journal-article","created":{"date-parts":[[2026,8,3]],"date-time":"2026-08-03T06:46:45Z","timestamp":1785739605000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":3,"title":["Mental and physical health impacts of extreme weather events on women of reproductive age: A systematic review"],"prefix":"10.1177","author":[{"given":"Odochi O.","family":"Chukwu","sequence":"first","affiliation":[{"name":"Department of Physiology, Faculty of Basic Medical Sciences, College of Medical Sciences, David Umahi Federal University of Health Sciences, Ebonyi State, Nigeria"},{"name":"Department of Psychology, Faculty of Social Sciences, Nnamdi Azikwe University, Awka, Nigeria"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michael","family":"Ezenwa","sequence":"additional","affiliation":[{"name":"Department of Psychology, Faculty of Social Sciences, Nnamdi Azikwe University, Awka, Nigeria"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michael Okemefuna","family":"Okpala","sequence":"additional","affiliation":[{"name":"Department of Psychology, Faculty of Social Sciences, Nnamdi Azikwe University, Awka, Nigeria"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5462-9950","authenticated-orcid":false,"given":"Abdullateef Isiaka","family":"Alagbonsi","sequence":"additional","affiliation":[{"name":"Department of Physiology, School of Medicine and Pharmacy, College of Medicine and Health Sciences, University of Rwanda, Butare, Rwanda"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2026,8,2]]},"reference":[{"key":"e_1_3_2_2_1","doi-asserted-by":"crossref","unstructured":"Abdo M Ward I O\u2019Dell K et al. 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