Pandipati Santosh, Abel David E
Maternal-Fetal Medicine, Obstetrix of San Jose/Pediatrix Medical Group, Campbell, California, USA.
Division of Perinatology, Department of Obstetrics and Gynecology, Oregon Health & Science University, Portland, Oregon, USA.
Int J Gynaecol Obstet. 2023 Feb;160(2):394-399. doi: 10.1002/ijgo.14393. Epub 2022 Aug 28.
Due to human activities, atmospheric greenhouse gas levels have increased dramatically, leading to an increase in the global mean surface temperature by 1.1° Celsius. Unless we can achieve a significant reduction in emissions, the global mean surface temperature will continue to rise to a dangerous level. Adverse outcomes of this warming will include extreme weather events, a deterioration of food, water and air quality, decreased food security, and an increase in vector-borne infectious disease. Political and economic instability as well as mass population migration will result in reduced access to healthcare resources. Mitigation of and adaptation to climate change will be key determinants of humanity's survival in the face of this existential crisis. Women will be more adversely affected by climate change than men, and pregnant persons will be particularly vulnerable. Particular differential impacts on women include higher heat and particulate-related morbidity and mortality; pregnancy risks including preterm birth, fetal growth lag, hypertensive disorders; and mental health impacts. To prepare for the climate crisis, it is imperative for women's healthcare providers to assist their patients through political advocacy, provide family planning services, and focus on nutrition and lifestyle counseling.
由于人类活动，大气中温室气体水平急剧上升，导致全球平均地表温度上升了1.1摄氏度。除非我们能大幅减少排放，全球平均地表温度将继续上升至危险水平。这种变暖的不利后果将包括极端天气事件、食物、水和空气质量恶化、粮食安全下降以及媒介传播传染病增加。政治和经济不稳定以及大规模人口迁移将导致获得医疗资源的机会减少。缓解和适应气候变化将是人类在这场生存危机中生存的关键决定因素。女性受气候变化的不利影响将比男性更大，孕妇将特别脆弱。对女性的特殊差异影响包括与高温和颗粒物相关的更高发病率和死亡率；怀孕风险，包括早产、胎儿生长迟缓、高血压疾病；以及对心理健康的影响。为应对气候危机，女性医疗保健提供者必须通过政治宣传帮助患者，提供计划生育服务，并专注于营养和生活方式咨询。
