{"title":"Vector-borne disease, climate change and perinatal health","authors":"Austin M Oberlin , Blair J Wylie","doi":"10.1016/j.semperi.2023.151841","DOIUrl":"10.1016/j.semperi.2023.151841","url":null,"abstract":"<div><p><span>Vector-borne diseases (VBDs) are caused by infectious pathogens<span> that spread from an infected human or animal reservoir to an uninfected human via a vector (mosquito, tick, rodent, others) and remain an important cause of morbidity and mortality worldwide. Pregnant individuals and their fetuses are especially at risk, as certain pathogens, such as Zika virus, have specific implications in pregnancy and for </span></span>neonatal health<span><span>. Global climate change is affecting the incidence and geographic spread of many VBDs. Thus, it is important for clinicians in the fields of obstetrics/gynecology and newborn<span> medicine, regardless of geographic location, to familiarize themselves with a basic understanding of these conditions and how climate change is altering their distributions. In this chapter, we review the incidence, clinical presentation, implications during pregnancy and intersection with climate change for four of the most important VBDs in pregnancy: malaria, Zika, dengue and </span></span>Chagas disease<span>. Although not exhaustive of all VBDs, a more extensive table is included for reference, and our discussion provides a helpful framework for understanding other vector-borne pathogens and perinatal health.</span></span></p></div>","PeriodicalId":21761,"journal":{"name":"Seminars in perinatology","volume":"47 8","pages":"Article 151841"},"PeriodicalIF":3.4,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49682113","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"The impacts of climate migration on perinatal health and opportunities to safeguard perinatal well-being","authors":"Adesh Sundaresan , Raisa Uddin , Cecilia Sorensen","doi":"10.1016/j.semperi.2023.151845","DOIUrl":"10.1016/j.semperi.2023.151845","url":null,"abstract":"<div><p>The disparate health consequences of climate change and migration have been separately explored, and the gendered impacts of climate change have been previously established. Nonetheless, there is limited research on the specific nexus of climate change-migration-sexual and reproductive health<span> (SRH). This chapter reviews specific vulnerabilities faced by women and infants throughout the perinatal period<span>, and how these are affected by climate change-induced migration in different migratory contexts. The available literature refers to antenatal and postnatal care utilization, access to water, sanitation, and hygiene facilities, childbirth and delivery challenges, and infant feeding barriers, amongst other concerns. The discussion explored in this chapter highlights the need to develop disaster frameworks that reflect the heterogeneity of outcomes related to specific and unique climate migration contexts.</span></span></p></div>","PeriodicalId":21761,"journal":{"name":"Seminars in perinatology","volume":"47 8","pages":"Article 151845"},"PeriodicalIF":3.4,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49682112","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Juan Aguilera , Katherine Konvinse , Alexandra Lee , Holden Maecker , Mary Prunicki , Shruthi Mahalingaiah , Vanitha Sampath , Paul J. Utz , Emily Yang , Kari C. Nadeau
{"title":"Air pollution and pregnancy","authors":"Juan Aguilera , Katherine Konvinse , Alexandra Lee , Holden Maecker , Mary Prunicki , Shruthi Mahalingaiah , Vanitha Sampath , Paul J. Utz , Emily Yang , Kari C. Nadeau","doi":"10.1016/j.semperi.2023.151838","DOIUrl":"10.1016/j.semperi.2023.151838","url":null,"abstract":"<div><p>Increased fossil fuel usage and extreme climate change events have led to global increases in greenhouse gases and particulate matter<span><span> with 99% of the world's population now breathing polluted air that exceeds the World Health Organization's recommended limits. Pregnant women and neonates with exposure to high levels of air pollutants are at increased risk of adverse health outcomes such as maternal hypertensive disorders, postpartum depression<span><span>, placental abruption, low birth weight, preterm birth, infant mortality, and adverse lung and </span>respiratory effects. While the exact mechanism by which air pollution exerts adverse health effects is unknown, </span></span>oxidative stress<span> as well as epigenetic and immune mechanisms are thought to play roles. Comprehensive, global efforts are urgently required to tackle the health challenges posed by air pollution through policies and action for reducing air pollution as well as finding ways to protect the health of vulnerable populations in the face of increasing air pollution.</span></span></p></div>","PeriodicalId":21761,"journal":{"name":"Seminars in perinatology","volume":"47 8","pages":"Article 151838"},"PeriodicalIF":3.4,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49682108","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Health system decarbonization on obstetric and newborn units","authors":"Jordan Emont , Melissa Wang , Kelly Wright","doi":"10.1016/j.semperi.2023.151844","DOIUrl":"10.1016/j.semperi.2023.151844","url":null,"abstract":"<div><p>The healthcare industry makes up 4.6 % of greenhouse gas (GHS) emissions worldwide. Although it is not known what proportion of GHGs come from obstetric<span><span> and newborn<span> units, newborns and pregnant individuals are likely to face some of the largest consequences from climate change. We review the literature in the areas of decarbonization on labor and delivery (L&D) and neonatal units and describe innovations from the fields of surgery and anesthesia. Best practices for L&D include refining disposable equipment packs, decreasing the use of single-use medical devices<span><span>, adequately triaging waste, and decreasing the use of potent anesthetic gases such as </span>nitrous oxide and </span></span></span>desflurane<span>. In neonatal settings, similarly triaging waste and decreasing the use of plastics containing endocrine disrupting chemicals can lower the carbon and environmental footprint and improve neonatal health<span>. Additionally, avoiding unnecessary cesarean deliveries and increasing breastfeeding practices are also likely to improve the carbon footprint of L&D and neonatal units.</span></span></span></p></div>","PeriodicalId":21761,"journal":{"name":"Seminars in perinatology","volume":"47 8","pages":"Article 151844"},"PeriodicalIF":3.4,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49682111","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Natural disasters resulting from climate change: The impact of hurricanes and flooding on perinatal outcomes","authors":"Melissa A. Suter, Kjersti M. Aagaard","doi":"10.1016/j.semperi.2023.151840","DOIUrl":"10.1016/j.semperi.2023.151840","url":null,"abstract":"<div><p>Although the earth's climate has been continuously changing over billions of years, human influence has accelerated that rate of change. While high latitudes suffer the greatest increase in incremental temperature, moderate latitudes are highly vulnerable due to their temperate/tropical rain storms and hurricanes that bring about extreme flooding events. We and others have shown that there is a link between the occurrence and severity of these climate events and risk of adverse perinatal outcomes. In this review, we will discuss the data and consider interacting near and intermediate sequelae of worsening natural disasters–including food scarcity, disrupted or compromised built environments and infrastructure, and loss of communities with human migration. While certainly tackling these and other proximal mediators of adverse perinatal outcomes will benefit maternal and child health, a failure to meaningfully address the root causes of climate change and resultant environmental chemical exposures will be of little long-term benefit.</p></div>","PeriodicalId":21761,"journal":{"name":"Seminars in perinatology","volume":"47 8","pages":"Article 151840"},"PeriodicalIF":3.4,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S014600052300143X/pdfft?md5=56b1517b644669405c16cc6c3cbc1996&pid=1-s2.0-S014600052300143X-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41238349","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Climate change as a threat multiplier to environmental reproductive justice","authors":"Emily B. Weaver, Laila Gad, Ami R. Zota","doi":"10.1016/j.semperi.2023.151843","DOIUrl":"10.1016/j.semperi.2023.151843","url":null,"abstract":"<div><p><span><span>Legacies of racial capitalism and colonialism drive present day racial disparities in </span>perinatal health outcomes. Climate change amplifies existing social inequalities associated with environmental exposures and </span>reproductive health<span>, of which BIPOC (Black, Indigenous, and people of color) communities bear a disproportionate burden. Through case studies, this article summarizes three examples of climate justice issues with reproductive healthcare outcomes: traffic related air pollution exposure, chemical exposures in personal care products and plastics, and natural disaster frequency. We advocate for incorporation of climate justice and environmental health impact into medical school curriculum, increased prenatal screening<span> for environmental toxins, and physician engagement with local environmental issues.</span></span></p></div>","PeriodicalId":21761,"journal":{"name":"Seminars in perinatology","volume":"47 8","pages":"Article 151843"},"PeriodicalIF":3.4,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41238348","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Kristie Hadley , Jennifer Talbott , Sanjana Reddy , Stefan Wheat
{"title":"Impacts of climate change on food security and resulting perinatal health impacts","authors":"Kristie Hadley , Jennifer Talbott , Sanjana Reddy , Stefan Wheat","doi":"10.1016/j.semperi.2023.151842","DOIUrl":"10.1016/j.semperi.2023.151842","url":null,"abstract":"<div><p>Climate change's impact on global food security is a pressing concern with profound consequences. Climate change disrupts the global food system through a number of mechanisms including extreme weather events, rising food prices, and compromised food quality. In this article, we explore the effect of climate change on food security and the resulting health impacts of poor nutrition on pregnant women and infants in the perinatal period. Inadequate nutrition during pregnancy raises the risk of vitamin deficiencies, obstetric complications, maternal mortality, and infant malnutrition. Climate change exacerbates these challenges and perpetuates intergenerational cycles of poor nutrition. Addressing these issues requires traditional approaches to combating the climate impacts on general food security as well as specific approaches to bridge the food security gender gap. Empowering women as key stakeholders is crucial for overcoming the complex barriers to food insecurity caused by climate change, as well as protecting the well-being of vulnerable populations during the perinatal period.</p></div>","PeriodicalId":21761,"journal":{"name":"Seminars in perinatology","volume":"47 8","pages":"Article 151842"},"PeriodicalIF":3.4,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S0146000523001453/pdfft?md5=9b021ea04d6e0247b8d918a1bfd50072&pid=1-s2.0-S0146000523001453-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135654002","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Competency-based assessment in neonatal simulation-based training","authors":"Taylor Sawyer , Megan M. Gray","doi":"10.1016/j.semperi.2023.151823","DOIUrl":"10.1016/j.semperi.2023.151823","url":null,"abstract":"<div><p>Simulation is a cornerstone of training in neonatal clinical care, allowing learners to practice skills in a safe and controlled environment. Competency-based assessment provides a systematic approach to evaluating technical and behavioral skills observed in the simulation environment to ensure the learner is prepared to safely perform the skill in a clinical setting. Accurate assessment of competency requires the creation of tools with evidence of validity and reliability. There has been considerable work on the use of competency-based assessment in the field of neonatology. In this chapter, we review neonatal simulation-based training, examine competency-based assessment tools, explore methods to gather evidence of the validity and reliability, and review an evidence-based approach to competency-based assessment using simulation.</p></div>","PeriodicalId":21761,"journal":{"name":"Seminars in perinatology","volume":"47 7","pages":"Article 151823"},"PeriodicalIF":3.4,"publicationDate":"2023-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41147305","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Simulation-based operations testing in new neonatal healthcare environments","authors":"Rita Dadiz , Jesse Bender , Beverley Robin","doi":"10.1016/j.semperi.2023.151828","DOIUrl":"10.1016/j.semperi.2023.151828","url":null,"abstract":"<div><p><span>In situ simulations, those conducted in the actual clinical environment, confer a high level of contextual fidelity and have been applied to the operations testing of new healthcare environments (HCE) to identify potential threats to patient, family and staff safety. By conducting simulation-based operations testing, these latent safety threats (LSTs) – which are weaknesses in communications, human factors, system process and technologies, and the way they are linked together – can be identified and corrected prior to moving patients into the new HCE. Simulation-based operations testing has extended to the neonatal HCE, as </span>neonatal intensive care units (NICUs) transition from open-bay to single-family room design. In this section, we define LSTs, review simulation-based operations testing in new neonatal and perinatal HCEs, review challenges associated with conducting simulation-based operations testing, and briefly review pre-construction simulation-based user-centered design of new HCEs.</p></div>","PeriodicalId":21761,"journal":{"name":"Seminars in perinatology","volume":"47 7","pages":"Article 151828"},"PeriodicalIF":3.4,"publicationDate":"2023-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41150917","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}