{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,14]],"date-time":"2026-10-14T03:00:08Z","timestamp":1791946808232,"version":"4.3.4"},"reference-count":41,"publisher":"Public Library of Science (PLoS)","issue":"8","license":[{"start":{"date-parts":[[2024,8,19]],"date-time":"2024-08-19T00:00:00Z","timestamp":1724025600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"name":"World Universities Network Research Development Funds","award":["Grant # RES0061104"],"award-info":[{"award-number":["Grant # RES0061104"]}]}],"content-domain":{"domain":["www.plosglobalpublichealth.org"],"crossmark-restriction":false},"short-container-title":["PLOS Glob Public Health"],"abstract":"<jats:p>Climate change poses unique challenges to maternal well-being and increases complications during pregnancy and childbirth globally. This evidence gap map (EGM) aims to identify gaps in existing knowledge and areas where further research related to climate change and its impact on maternal health is required. The following databases were searched individually from inception to present: Medline, EMBASE, and Global Health via OVID; Cumulative Index to Nursing and Allied Health Literature (CINAHL) via EBSCOhost; Scopus; and organizational websites. In this EGM, we integrated 133 studies published in English, including qualitative, quantitative, reviews and grey literature that examined the impact of climate change on maternal health (women aged 15\u201345). We used Covidence to screen studies and Evidence for Policy and Practice Information (Eppi reviewer)\/Eppi Mapper software to generate the EGM. Data extraction and qualitative appraisal of the studies was done using critical appraisal tools. The study protocol was registered in International Platform of Registered Systematic Review and Meta-analysis Protocols (INPLASY) # INPLASY202370085. Out of 133 included studies, forty seven studies were of high quality, seventy nine moderate equality and seven low quality. This EGM found notable gaps in the literature regarding the distribution of research across regions. We found significant research in North America (51) and Asia (40 studies). However, Africa and the Caribbean had fewer studies, highlighting potential disparities in research attention and resources. Moreover, while the impact of extreme heat emerged as a prominent factor impacting maternal well-being, there is a need for further investigation into other climate-related factors such as drought. Additionally, while preterm stillbirth and maternal mortality have gained attention, there is an overlook of malnutrition and food insecurity indicators that require attention in future research. The EGM identifies existing research gaps in climate change and maternal health. It emphasizes the need for global collaboration and targeted interventions to address disparities and inform climate-responsive policies.<\/jats:p>","DOI":"10.1371\/journal.pgph.0003540","type":"journal-article","created":{"date-parts":[[2024,8,19]],"date-time":"2024-08-19T17:25:30Z","timestamp":1724088330000},"page":"e0003540","update-policy":"https:\/\/doi.org\/10.1371\/journal.pgph.corrections_policy","source":"Crossref","is-referenced-by-count":38,"title":["Impact of climate change on maternal health outcomes: An evidence gap map review"],"prefix":"10.1371","volume":"4","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-8132-8600","authenticated-orcid":true,"given":"Salima","family":"Meherali","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0009-6818-9907","authenticated-orcid":true,"given":"Saba","family":"Nisa","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yared Asmare","family":"Aynalem","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Megan","family":"Kennedy","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bukola","family":"Salami","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Samuel","family":"Adjorlolo","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Parveen","family":"Ali","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3924-2122","authenticated-orcid":true,"given":"K\u00eania Lara","family":"Silva","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lydia","family":"Aziato","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Solina","family":"Richter","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Zohra S.","family":"Lassi","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"340","published-online":{"date-parts":[[2024,8,19]]},"reference":[{"key":"pgph.0003540.ref001","unstructured":"World Health Organization. (2019, September 23). Maternal health. https:\/\/www.who.int\/health-topics\/maternal-health#tab=tab_1."},{"key":"pgph.0003540.ref002","unstructured":"World Health Organization. (2023, February 22). Maternal mortality. World Health Organization (WHO). https:\/\/www.who.int\/news-room\/fact-sheets\/detail\/maternal-mortality."},{"key":"pgph.0003540.ref003","first-page":"1","article-title":"COVID-19 in Africa: care and protection for frontline healthcare workers","volume":"16","author":"MF Chersich","year":"2020","journal-title":"Global Health"},{"issue":"4","key":"pgph.0003540.ref004","doi-asserted-by":"crossref","first-page":"566","DOI":"10.1111\/aogs.14124","article-title":"Maternal and newborn health risks of climate change: a call for awareness and global action","volume":"100","author":"N Roos","year":"2021","journal-title":"Acta Obstet Gynecol Scand"},{"issue":"2","key":"pgph.0003540.ref005","doi-asserted-by":"crossref","first-page":"405","DOI":"10.1002\/ijgo.14479","article-title":"The mental health of women and climate change: direct neuropsychiatric impacts and associated psychological concerns","volume":"160","author":"J Rothschild","year":"2023","journal-title":"Int J Gynaecol Obstet"},{"issue":"6","key":"pgph.0003540.ref006","doi-asserted-by":"crossref","first-page":"1336","DOI":"10.1111\/1365-2664.13876","article-title":"The changes in species composition mediate direct effects of climate change on future fire regimes of boreal forests in northeastern China","volume":"58","author":"C Huang","year":"2021","journal-title":"J Appl Ecol"},{"issue":"11","key":"pgph.0003540.ref007","doi-asserted-by":"crossref","first-page":"2066","DOI":"10.1111\/risa.12767","article-title":"Potential climate change health risks from increases in heat waves: abnormal birth outcomes and adverse maternal health conditions","volume":"37","author":"G Cil","year":"2017","journal-title":"Risk Anal"},{"key":"pgph.0003540.ref008","doi-asserted-by":"crossref","first-page":"113596","DOI":"10.1016\/j.envres.2022.113596","article-title":"Ambient temperature during pregnancy and risk of maternal hypertensive disorders: A time-to-event study in Johannesburg, South Africa","volume":"212","author":"C Part","year":"2022","journal-title":"Environ Res"},{"key":"pgph.0003540.ref009","doi-asserted-by":"crossref","first-page":"146134","DOI":"10.1016\/j.scitotenv.2021.146134","article-title":"Ambient extreme heat exposure in summer and transitional months and emergency department visits and hospital admissions due to pregnancy complications","volume":"777","author":"Y Qu","year":"2021","journal-title":"Sci Total Environ"},{"key":"pgph.0003540.ref010","doi-asserted-by":"crossref","first-page":"136747","DOI":"10.1016\/j.scitotenv.2020.136747","article-title":"A population-based study on the prevalence of gestational diabetes mellitus in association with temperature in Taiwan","volume":"714","author":"W-L Su","year":"2020","journal-title":"Sci Total Environ"},{"key":"pgph.0003540.ref011","doi-asserted-by":"crossref","first-page":"421","DOI":"10.1016\/j.envres.2017.06.034","article-title":"Association between temperature and maternal stress during pregnancy","volume":"158","author":"Y Lin","year":"2017","journal-title":"Environ Res"},{"key":"pgph.0003540.ref012","doi-asserted-by":"crossref","first-page":"116223","DOI":"10.1016\/j.socscimed.2023.116223","article-title":"\u201cMothers get really exhausted!\u201d The lived experience of pregnancy in extreme heat: Qualitative findings from Kilifi, Kenya","volume":"335","author":"F Scorgie","year":"2023","journal-title":"Soc Sci Med"},{"issue":"1","key":"pgph.0003540.ref013","doi-asserted-by":"crossref","first-page":"19538","DOI":"10.3402\/gha.v6i0.19538","article-title":"Climate change and the potential effects on maternal and pregnancy outcomes: an assessment of the most vulnerable\u2013the mother, fetus, and newborn child","volume":"6","author":"C Rylander","year":"2013","journal-title":"Glob Health Action"},{"issue":"9","key":"pgph.0003540.ref014","doi-asserted-by":"crossref","first-page":"e0257357","DOI":"10.1371\/journal.pone.0257357","article-title":"Clinical, financial and social impacts of COVID-19 and their associations with mental health for mothers and children experiencing adversity in Australia","volume":"16","author":"H Bryson","year":"2021","journal-title":"PLoS One"},{"issue":"14","key":"pgph.0003540.ref015","doi-asserted-by":"crossref","first-page":"2747","DOI":"10.3390\/en12142747","article-title":"Impacts of climate change and climate variability on hydropower potential in data-scarce regions subjected to multi-decadal variability","volume":"12","author":"P Arriagada","year":"2019","journal-title":"Energies"},{"key":"pgph.0003540.ref016","first-page":"305","article-title":"Climate change impacts, vulnerabilities and adaptations: Western and Central Pacific Ocean marine fisheries","author":"D Bell","year":"2018","journal-title":"Impacts Clim Change Fish Aquacult"},{"key":"pgph.0003540.ref017","first-page":"1","article-title":"Child-focused climate change and health content in medical schools and pediatric residencies","author":"A Goshua","year":"2023","journal-title":"Pediatr Res"},{"key":"pgph.0003540.ref018","doi-asserted-by":"crossref","first-page":"179","DOI":"10.1007\/s40572-018-0188-x","article-title":"Interactions of climate change, air pollution, and human health","volume":"5","author":"L. Kinney","year":"2018","journal-title":"Curr Environ Health Rep"},{"issue":"4","key":"pgph.0003540.ref019","doi-asserted-by":"crossref","first-page":"e1125","DOI":"10.1002\/cl2.1125","article-title":"Guidance for producing a Campbell evidence and gap map","volume":"16","author":"H White","year":"2020","journal-title":"Campbell Syst Rev"},{"issue":"2","key":"pgph.0003540.ref020","doi-asserted-by":"crossref","first-page":"68","DOI":"10.5596\/c14-016","article-title":"Product review: Covidence (systematic review software)","volume":"35","author":"J. Babineau","year":"2014","journal-title":"J Can Health Libr Assoc"},{"key":"pgph.0003540.ref021","doi-asserted-by":"crossref","DOI":"10.1108\/9781802624656","volume-title":"Wellness Culture: how the wellness movement has been used to empower, profit and misinform","author":"A. Baker","year":"2022"},{"issue":"8","key":"pgph.0003540.ref022","doi-asserted-by":"crossref","first-page":"2129","DOI":"10.1177\/23998083221098740","article-title":"Co-developing evidence-informed adaptation actions for resilient citywide sanitation: Local government response to climate change in Indonesia","volume":"49","author":"J Willetts","year":"2022","journal-title":"Environ Plan B Urban Anal City Sci"},{"key":"pgph.0003540.ref023","doi-asserted-by":"crossref","first-page":"107192","DOI":"10.1016\/j.engappai.2023.107192","article-title":"An intuitionistic fuzzy-based model for performance evaluation of EcoPorts","volume":"126","author":"C Yal\u00e7\u0131n","year":"2023","journal-title":"Eng Appl Artif Intell"},{"issue":"6","key":"pgph.0003540.ref024","doi-asserted-by":"crossref","first-page":"1645","DOI":"10.1111\/gcb.12181","article-title":"Potential for evolutionary responses to climate change\u2013evidence from tree populations","volume":"19","author":"J Alberto","year":"2013","journal-title":"Glob Chang Biol"},{"issue":"2","key":"pgph.0003540.ref025","first-page":"1","article-title":"Changes in Adolescent Fertility in Benin From 2006 to 2017","volume":"23","author":"A. Onambele","year":"2023","journal-title":"London J Med Health Res"},{"issue":"11","key":"pgph.0003540.ref026","doi-asserted-by":"crossref","first-page":"1410","DOI":"10.3390\/ijerph14111410","article-title":"Indoor temperatures in low cost housing in Johannesburg, South Africa","volume":"14","author":"N Naicker","year":"2017","journal-title":"Int J Environ Res Public Health"},{"issue":"2","key":"pgph.0003540.ref027","doi-asserted-by":"crossref","first-page":"161","DOI":"10.1108\/IJBPA-04-2022-156","article-title":"Guest editorial: Global energy transformation for combating climate change in the built environment: challenges and opportunities in developing countries","volume":"40","author":"R Opoku","year":"2022","journal-title":"Int J Build Pathol Adapt"},{"issue":"6354","key":"pgph.0003540.ref028","doi-asserted-by":"crossref","first-page":"917","DOI":"10.1126\/science.aal4760","article-title":"Global climatic drivers of leaf size","volume":"357","author":"IJ Wright","year":"2017","journal-title":"Science"},{"key":"pgph.0003540.ref029","article-title":"The Impact of Extreme Heat Exposure on Pregnant People and Neonates: A State of the Science Review","author":"Y Baharav","year":"2023","journal-title":"Journal of Midwifery & Women\u2019s Health"},{"issue":"8","key":"pgph.0003540.ref030","doi-asserted-by":"crossref","first-page":"853","DOI":"10.3390\/ijerph14080853","article-title":"Heat exposure and maternal health in the face of climate change","volume":"14","author":"L Kuehn","year":"2017","journal-title":"Int J Environ Res Public Health"},{"key":"pgph.0003540.ref031","doi-asserted-by":"crossref","first-page":"100433","DOI":"10.1016\/j.envc.2021.100433","article-title":"Climate Impacts on the agricultural sector of Pakistan: Risks and solutions","volume":"6","author":"A Syed","year":"2022","journal-title":"Environmental Challenges"},{"key":"pgph.0003540.ref032","article-title":"Protecting the health of pregnant women in Turkey and Syria earthquake-affected areas: Challenges and opportunities","volume":"19","author":"SK Ahmed","year":"2023","journal-title":"Women\u2019s Health"},{"issue":"3","key":"pgph.0003540.ref033","doi-asserted-by":"crossref","first-page":"487","DOI":"10.1016\/j.jhealeco.2013.01.004","article-title":"Weathering the storm: Hurricanes and birth outcomes","volume":"32","author":"J Currie","year":"2013","journal-title":"J Health Econ"},{"issue":"1","key":"pgph.0003540.ref034","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1186\/s12884-022-05232-7","article-title":"Experiences of pregnant women exposed to Hurricanes Irma and Maria in the U.S. Virgin Islands: a qualitative study","volume":"22","author":"NK Jeffers","year":"2022","journal-title":"BMC Pregnancy Childbirth"},{"issue":"12","key":"pgph.0003540.ref035","doi-asserted-by":"crossref","first-page":"1705","DOI":"10.1002\/hec.4162","article-title":"Maternal stress and birth outcomes: Evidence from an unexpected earthquake swarm","volume":"29","author":"AK Menclova","year":"2020","journal-title":"Health Econ"},{"key":"pgph.0003540.ref036","article-title":"Health effects of drought: a systematic review of the evidence","volume":"5","author":"C Stanke","year":"2013","journal-title":"PLoS Curr"},{"issue":"1","key":"pgph.0003540.ref037","doi-asserted-by":"crossref","first-page":"e12","DOI":"10.1016\/S2542-5196(17)30008-6","article-title":"Understanding drought\u2019s impacts on human health","volume":"1","author":"J. Balbus","year":"2017","journal-title":"Lancet Planet Health"},{"issue":"7","key":"pgph.0003540.ref038","doi-asserted-by":"crossref","first-page":"8359","DOI":"10.3390\/ijerph120708359","article-title":"Climate change, drought and human health in Canada","volume":"12","author":"A Yusa","year":"2015","journal-title":"nt J Environ Res Public Health"},{"issue":"3","key":"pgph.0003540.ref039","doi-asserted-by":"crossref","first-page":"283","DOI":"10.15296\/ijwhr.2018.47","article-title":"Path analysis of the association between socio-economic status, anxiety, perceived stress, social support and women\u2019s depression","volume":"6","author":"R Vameghi","year":"2018","journal-title":"International Journal of Women\u2019s Health and Reproduction Sciences"},{"key":"pgph.0003540.ref040","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1186\/s40066-020-00267-5","article-title":"Prevalence of food insecurity in pregnant women and its association with gestational weight gain pattern, neonatal birth weight, and pregnancy complications in Hamadan County, Iran, in 2018","volume":"9","author":"F Kazemi","year":"2020","journal-title":"Agriculture & Food Security"},{"issue":"1","key":"pgph.0003540.ref041","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1080\/00224499.2019.1707466","article-title":"Sexual and reproductive health outcomes of violence against women and girls in lower-income countries: a review of reviews","volume":"58","author":"G Grose","year":"2021","journal-title":"The Journal of Sex Research"}],"container-title":["PLOS Global Public Health"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/dx.plos.org\/10.1371\/journal.pgph.0003540","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,8,19]],"date-time":"2024-08-19T17:26:07Z","timestamp":1724088367000},"score":1,"resource":{"primary":{"URL":"https:\/\/dx.plos.org\/10.1371\/journal.pgph.0003540"}},"subtitle":[],"editor":[{"given":"Rahul","family":"Goel","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"editor"}]}],"short-title":[],"issued":{"date-parts":[[2024,8,19]]},"references-count":41,"journal-issue":{"issue":"8","published-online":{"date-parts":[[2024,8,19]]}},"URL":"https:\/\/doi.org\/10.1371\/journal.pgph.0003540","relation":{},"ISSN":["2767-3375"],"issn-type":[{"value":"2767-3375","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,8,19]]}}}