Association between high ambient temperature and spontaneous abortion: A systematic review and meta-analysis

High temperature may adversely affect pregnant women. However, inconsistent findings were existed in the published studies. This systematic review and meta-analysis were performed to clarify the effects of high-temperature exposure on spontaneous abortion (SA). Four databases including Web of Scienc...

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Main Authors: Jie Xu, Haoyi Xu, Xiaoyu Zhao, Ziwei Guo, Shuangshuang Zhao, Qing Xu
Format: Article
Language:English
Published: Elsevier 2025-06-01
Series:Ecotoxicology and Environmental Safety
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Online Access:http://www.sciencedirect.com/science/article/pii/S0147651325005706
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author Jie Xu
Haoyi Xu
Xiaoyu Zhao
Ziwei Guo
Shuangshuang Zhao
Qing Xu
author_facet Jie Xu
Haoyi Xu
Xiaoyu Zhao
Ziwei Guo
Shuangshuang Zhao
Qing Xu
author_sort Jie Xu
collection DOAJ
description High temperature may adversely affect pregnant women. However, inconsistent findings were existed in the published studies. This systematic review and meta-analysis were performed to clarify the effects of high-temperature exposure on spontaneous abortion (SA). Four databases including Web of Science, Cochrane Library, PubMed and EMBASE were used to search for relevant studies, the latest ones were available until June 2024. After the inclusion and exclusion for the obtained literatures, nine of which were included to finally investigate the effect of high temperature exposure on SA. As a result, maternal exposure to ambient high temperature significantly increased the risk of SA with an OR value of 1.09 (95 % CI: 1.02, 1.15). Subgroup analyses indicated that the heterogeneity observed in our findings might be mainly attributed to climate pattern. Furthermore, pregnancy women living in hot area and low-income country were more susceptible to SA when exposed to high temperature. Additionally, combining data from studies focusing on SA before 28 weeks (OR: 1.10; 95 % CI: 1.02, 1.18) showed a connection of high temperature with an elevated risk of SA. Thus, we give the conclusion that high temperature in pregnancy increase the risk of SA. Further research should more comprehensively account for the impact of climate pattern. This study offers a valuable insight into preventing SA linked to meteorological factors.
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institution Kabale University
issn 0147-6513
language English
publishDate 2025-06-01
publisher Elsevier
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series Ecotoxicology and Environmental Safety
spelling doaj-art-f08e7f7482df40fbb762b3f461bcae3e2025-08-20T03:53:12ZengElsevierEcotoxicology and Environmental Safety0147-65132025-06-0129711823410.1016/j.ecoenv.2025.118234Association between high ambient temperature and spontaneous abortion: A systematic review and meta-analysisJie Xu0Haoyi Xu1Xiaoyu Zhao2Ziwei Guo3Shuangshuang Zhao4Qing Xu5Department of Obstetrics and Gynecology, Women’s Hospital of Nanjing Medical University, Nanjing Women and Children’s Healthcare Hospital, Nanjing, ChinaDepartment of Obstetrics and Gynecology, Women’s Hospital of Nanjing Medical University, Nanjing Women and Children’s Healthcare Hospital, Nanjing, ChinaDepartment of Obstetrics and Gynecology, Women’s Hospital of Nanjing Medical University, Nanjing Women and Children’s Healthcare Hospital, Nanjing, ChinaDepartment of Obstetrics and Gynecology, Women’s Hospital of Nanjing Medical University, Nanjing Women and Children’s Healthcare Hospital, Nanjing, ChinaNanjing Women and Children's Healthcare Institute, Women’s Hospital of Nanjing Medical University, Nanjing Women and Children’s Healthcare Hospital, Nanjing, China; Correspondence to: Nanjing Women and Children's Healthcare Institute, Women’s Hospital of Nanjing Medical University, Nanjing Women and Children’s Healthcare Hospital, 123 Tianfeixiang, Mochou Road, Nanjing 210004, China.Department of Obstetrics and Gynecology, Women’s Hospital of Nanjing Medical University, Nanjing Women and Children’s Healthcare Hospital, Nanjing, China; Correspondence to: Department of Obstetrics and Gynecology, Women’s Hospital of Nanjing Medical University, Nanjing Women and Children’s Healthcare Hospital, 123 Tianfeixiang, Mochou Road, Nanjing 210004, China.High temperature may adversely affect pregnant women. However, inconsistent findings were existed in the published studies. This systematic review and meta-analysis were performed to clarify the effects of high-temperature exposure on spontaneous abortion (SA). Four databases including Web of Science, Cochrane Library, PubMed and EMBASE were used to search for relevant studies, the latest ones were available until June 2024. After the inclusion and exclusion for the obtained literatures, nine of which were included to finally investigate the effect of high temperature exposure on SA. As a result, maternal exposure to ambient high temperature significantly increased the risk of SA with an OR value of 1.09 (95 % CI: 1.02, 1.15). Subgroup analyses indicated that the heterogeneity observed in our findings might be mainly attributed to climate pattern. Furthermore, pregnancy women living in hot area and low-income country were more susceptible to SA when exposed to high temperature. Additionally, combining data from studies focusing on SA before 28 weeks (OR: 1.10; 95 % CI: 1.02, 1.18) showed a connection of high temperature with an elevated risk of SA. Thus, we give the conclusion that high temperature in pregnancy increase the risk of SA. Further research should more comprehensively account for the impact of climate pattern. This study offers a valuable insight into preventing SA linked to meteorological factors.http://www.sciencedirect.com/science/article/pii/S0147651325005706Ambient temperatureSpontaneous abortionPregnancy lossSystematic reviewMeta-analysis
spellingShingle Jie Xu
Haoyi Xu
Xiaoyu Zhao
Ziwei Guo
Shuangshuang Zhao
Qing Xu
Association between high ambient temperature and spontaneous abortion: A systematic review and meta-analysis
Ecotoxicology and Environmental Safety
Ambient temperature
Spontaneous abortion
Pregnancy loss
Systematic review
Meta-analysis
title Association between high ambient temperature and spontaneous abortion: A systematic review and meta-analysis
title_full Association between high ambient temperature and spontaneous abortion: A systematic review and meta-analysis
title_fullStr Association between high ambient temperature and spontaneous abortion: A systematic review and meta-analysis
title_full_unstemmed Association between high ambient temperature and spontaneous abortion: A systematic review and meta-analysis
title_short Association between high ambient temperature and spontaneous abortion: A systematic review and meta-analysis
title_sort association between high ambient temperature and spontaneous abortion a systematic review and meta analysis
topic Ambient temperature
Spontaneous abortion
Pregnancy loss
Systematic review
Meta-analysis
url http://www.sciencedirect.com/science/article/pii/S0147651325005706
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