Kumari Usha, Sharma Raj Kishor, Keshari J R, Sinha Archana
Biochemistry, Indira Gandhi Institute of Medical Sciences, Patna, IND.
Microbiology, Patna Medical College, Patna, IND.
Cureus. 2023 May 4;15(5):e38548. doi: 10.7759/cureus.38548. eCollection 2023 May.
Environmental factors are important causes that impair global pregnancy outcomes and are, importantly, responsible for maternal morbidity and mortality. However, apart from the direct reasons for maternal deaths, mainly obstetric and neonatal complications, such factors are ignored or given less importance. The recent surge in research on the impact of various environmental factors on pregnancy outcomes suggests the need for immediate attention to such factors and device-specific policies to counter the situation. Moreover, the recent coronavirus disease of 2019 (COVID-19) pandemic, global warming, and climate change showed a lack of preparedness to counter the impact of such events on maternal survival and safe and successful pregnancy outcomes. In the present review, we have emphasized the specific factors responsible for increased maternal and neonatal deaths and their association with specific environmental factors. Increased attention on maternal healthcare, preparedness to counter sudden environmental challenges and improvement of the conventional requirement for better maternal healthcare access and nutrition at a global level may improve the scenario.
环境因素是损害全球妊娠结局的重要原因，并且重要的是，它们是孕产妇发病和死亡的原因。然而，除了孕产妇死亡的直接原因，主要是产科和新生儿并发症外，这些因素被忽视或未得到足够重视。最近，关于各种环境因素对妊娠结局影响的研究激增，这表明需要立即关注这些因素，并制定针对性的政策来应对这种情况。此外，最近的2019冠状病毒病（COVID-19）大流行、全球变暖和气候变化表明，在应对此类事件对孕产妇生存以及安全和成功妊娠结局的影响方面缺乏准备。在本综述中，我们强调了导致孕产妇和新生儿死亡增加的具体因素及其与特定环境因素的关联。在全球范围内，更多地关注孕产妇保健、做好应对突发环境挑战的准备以及改善传统的更好地获得孕产妇保健和营养的要求，可能会改善这种情况。
