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Impact of Climate Change on Preterm Birth

Picture
Emeline Wagner
Edited by
Tovya Michael

March 31, 2025
​Public Health
Climate change is driving frequent and intense heat waves and wildfires, which are creating significant risks to the health of pregnant individuals. A recent study conducted in California, a state that frequently faces both extreme heat events and large wildfires, aimed to understand how exposure to wildfire smoke, high temperatures, and heat waves directly affects the likelihood of preterm birth. With these climate-related environmental factors becoming more common, the study highlights the growing issue of how climate change will impact maternal health, especially for those who are disproportionately exposed to these environmental stressors during pregnancy. The findings underscore the urgent need to address the intersection of climate change and public health.
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The study of 85,806 preterm births found that about 50% of mothers were 26-34 years old and on public insurance. Researchers discovered that a 5 micrograms per cubic meter increase in wildfire smoke (with 2.5 micrometer particles) was linked to a 1.4% increase in preterm birth risk, with the highest risk occurring within the first four days. Overall, wildfire smoke exposure was associated with a staggering 13% increase in preterm births. Heat waves (days with temperatures above the 95th percentile) also had an impact as they were linked to a 4% increase in preterm birth odds. When combined with wildfire smoke, this risk jumped to a concerning 24%. These effects were mostly seen in moderate (22-33 completed weeks) or late preterm (34-36 completed weeks) births.
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When wildfires and heat waves occur simultaneously, the risk of preterm birth rises to a shocking 24%.
Image Source: Recep Tayyip Celik  
The study also highlighted significant disparities in the impact of environmental exposures on preterm birth rates among different racial and ethnic groups. For instance, Black, Hispanic, Asian, and Native American populations showed stronger associations with increased preterm birth risk from wildfire smoke and heat exposures. The authors suggest that these communities may face disproportionate health risks related to climate change, possibly due to factors such as proximity to wildfire-prone areas and fewer resources for mitigating these escalating environmental hazards.
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Overall, this study underscores the growing health risks posed by climate change, particularly for socially and economically vulnerable populations. It emphasizes the need for climate adaptation and mitigation strategies that specifically consider the health impacts on pregnant individuals, such as evacuating them earlier during wildfires or informing the public about the dangers of extreme heat. Efforts to reduce exposure to wildfire smoke and heat, such as improving air quality, expanding access to cooling systems, and strengthening public health protections, are crucial for safeguarding maternal and child health in the face of a changing climate.
Featured Image Source: Soly Moses

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  • Home
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    • COVID-19 >
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      • Testing Positive: The Next Steps
      • Quick Facts
    • Health & Wellness Archive
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    • Who We Are
  • OUTREACH
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