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Geleceğin Annelik Süreci: İklim Değişikliği Anne Karnındaki Yolculuğu Nasıl Etkiliyor?

Yıl 2024, Cilt: 6 Sayı: 3, 176 - 183
https://doi.org/10.54061/jphn.1523459

Öz

İklim krizi çağımızın ve gelecek nesillerin varoluşsal tehdididir. Öyle ki iklim değişiminin sonuçları sadece çocuklarımızı değil bizden sonraki nesilleri de etkileyecek gerçekliktedir. Tüm bu sonuçların çevre kadar insan yaşamında da değişimlere neden olması kaçınılmaz bir gerçektir. Dünya sağlık örgütü (DSÖ) iklim krizini yirminci yüzyılın en önemli halk sağlığı sorunu olarak nitelendirmektedir. Birleşmiş Milletler (BM) 2030 Sürdürülebilir Kalkınma Hedeflerine ulaşılmasında iklim krizinin anne ve yenidoğan sağlığı için en büyük tehditlerden biri olarak kabul edilmektedir. Kaynakların azalması, patojenlerin artması, temiz ve güvenilir gıda, temiz su kaynaklarına erişimde sorunlar yaşanması gibi etkenler mevcut olan sağlık sorunlarının gelecekte katlanarak çoğalacağını göstermektedir. İklim krizinin neden olduğu etkenler daha fazla sıcak hava dalgasına, kuraklığa ve kontrol edilemeyen yangınlara, mahsul verimliğinin azalmasına, gıda güvensizliğine (tarımsal kapasitenin, hayvancılığın ve su ürünleri yetiştiriciliğinin azalmasına) ve sellere yol açması beklenmektedir. İklim krizinin gebeler üzerindeki yansıması artan gebelik komplikasyonu riski, gebelik kaybı, fetal büyüme geriliği, düşük doğum ağırlığı, erken doğum ve sezaryen oranlarında artış ve yenidoğan ile ilgili komplikasyonlara neden olabilmektedir. Bu derlemede, iklim krizinin ve buna bağlı çevresel sorunların gebe ve yenidoğan sağlığı üzerindeki etkilerine ilişkin güncel literatürü özetlemeyi amaçlamakta ve gelecekteki uyum ve iklim krizinin yol açabileceği sonuçlara ilişkin öneriler sunmaktadır.

Destekleyen Kurum

Bu araştırma, kamu, ticari veya kâr amacı gütmeyen sektörlerdeki herhangi bir fon kuruluşundan bir hibe almamıştır.

Kaynakça

  • Akyüz, A. A. (2019). Yaşamsal bilinmezlik: İklim krizi ve gıda. Toplum ve Hekim, 34(5), 348-355.
  • Allen, M., Dube, O., Solecki, W., Aragón-Durand, F., Cramer, W., Humphreys, S., Kainuma, M., Kala, J., Mahowald, N., & Mulugetta, Y. (2018). Special report: Global warming of 1.5 C. Intergovernmental Panel on Climate Change (IPCC), s:49-92 https://doi.org/10.1017/9781009157940.003
  • Amjad, S., Chojecki, D., Osornio-Vargas, A., & Ospina, M. B. (2021). Wildfire exposure during pregnancy and the risk of adverse birth outcomes: A systematic review. Environment International, 156, 106644. https://doi.org/10.1016/j.envint.2021.106644
  • Bai, W., Li, Y., Niu, Y., Ding, Y., Yu, X., Zhu, B., Duan, R., Duan, H., Kou, C., Li, Y., & Sun, Z. (2020). Association between ambient air pollution and pregnancy complications: A systematic review and meta-analysis of cohort studies. Environmental Research, 185, 109471. https://doi.org/10.1016/j.envres.2020.109471
  • Beach, R. H., Sulser, T. B., Crimmins, A., Cenacchi, N., Cole, J., Fukagawa, N. K., Mason-D'Croz, D., Myers, S., Sarofim, M. C., & Smith, M. (2019). Combining the effects of increased atmospheric carbon dioxide on protein, iron, and zinc availability and projected climate change on global diets: A modelling study. The Lancet Planetary Health, 3(7), e307-e317.
  • Bhattacharya, S., Sahay, R., Afsana, F., Sheikh, A., Widanage, N. M., Maskey, R., Naseri, M. W., Murad, M., Harikumar, K., & Selim, S. (2024). Global warming and endocrinology: The hyderabad declaration of the south asian federation of endocrine societies. Indian Journal of Endocrinology and Metabolism, 28(2), 129-136. https://doi.org/10.4103/ijem.ijem_473_23
  • Botto, L. D., Mulinare, J., & Erickson, J. D. (2003). Do multivitamin or folic acid supplements reduce the risk for congenital heart defects? Evidence and gaps. American Journal of Medical Genetics 121a(2),95-101. https://doi.org/10.1002/ajmg.a.20132
  • Bryson, J. M., Patterson, K., Berrang-Ford, L., Lwasa, S., Namanya, D. B., Twesigomwe, S., Kesande, C., Ford, J. D., Team, I., & Harper, S. L. (2021). Seasonality, climate change, and food security during pregnancy among indigenous and non-indigenous women in rural Uganda: Implications for maternal-infant health. PLoS One, 19(5), e0303592. https://doi.org/10.1371/journal.pone.0303592
  • Carmichael, S. L., Yang, W., Herring, A., Abrams, B., & Shaw, G. M. (2007). Maternal food insecurity is associated with increased risk of certain birth defects. Journal of Nutrition, 137(9), 2087-2092. https://doi.org/10.1093/jn/137.9.2087
  • Chersich, M. F., Pham, M. D., Areal, A., Haghighi, M. M., Manyuchi, A., Swift, C. P., Wernecke, B., Robinson, M., Hetem, R., & Boeckmann, M. (2020). Associations between high temperatures in pregnancy and risk of preterm birth, low birth weight, and stillbirths: systematic review and meta-analysis. BMJ, 371, m3811 https://doi.org/https://doi.org/10.1136/bmj.m3811
  • Costello, A., Abbas, M., Allen, A., Ball, S., Bell, S., Bellamy, R., Friel, S., Groce, N., Johnson, A., & Kett, M. (2009). Managing the health effects of climate change: lancet and University College London Institute for Global Health Commission. The Lancet, 373(9676), 1693-1733.
  • Dündar, T., & Özsoy, S. (2020). İklim değişikliğinin kadın üreme sağlığına etkileri. Arşiv Kaynak Tarama Dergisi, 29(3), 190-198. https://doi.org/10.17827/aktd.721528
  • Ediz, Ç., & Yanık, D. (2021). İklim değişikliği ve şiddet. In G. N. (Ed.), Şiddet (1. baskı, ss. 97-100). Türkiye Klinikleri.
  • European Commission. (2023). Global Climate Action. Retrieved 19.05.2023 from https://climate.ec.europa.eu/eu-action/international-action-climate-change/global-climate-action_en
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  • Grippo, A., Zhang, J., Chu, L., Guo, Y., Qiao, L., Zhang, J., Myneni, A. A., & Mu, L. (2018). Air pollution exposure during pregnancy and spontaneous abortion and stillbirth. Reviews on Environmental Health, 33(3), 247-264. https://doi.org/10.1515/reveh-2017-0033
  • Ha, S. (2022). The changing climate and pregnancy health. Current Environmental Health Reports, 9(2), 263-275. https://doi.org/10.1007/s40572-022-00345-9
  • Heft Neal, S., Driscoll, A., Yang, W., Shaw, G., & Burke, M. (2022). Associations between wildfire smoke exposure during pregnancy and risk of preterm birth in California. Environmental Research, 203, 111872. https://doi.org/10.1016/j.envres.2021.111872
  • Heindel, J. J., & Vandenberg, L. N. (2015). Developmental origins of health and disease: a paradigm for understanding disease cause and prevention. Current Opinion in Pediatrics, 27(2), 248-253. https://doi.org/10.1097/MOP.0000000000000191
  • INCN. (2020). Explained: How climate change leads to more violence against women, girls. Retrieved 30.05.2024 from https://genderandenvironment.org/explained-how-climate-change-leads-to-more-violence-against-women-girls/
  • Institute for Health Metrics and Evaluation. (2020). Explore results from the 2021 Global Burden of Disease (GBD) study. Retrieved 19.05.2024 from https://vizhub.healthdata.org/gbd-results/
  • Jeffers, N. K., & Glass, N. (2020). Integrative review of pregnancy and birth outcomes after exposure to a hurricane. Journal of Obstetric, Gynecologic & Neonatal Nursing, 49(4), 348-360. https://doi.org/10.1016/j.jogn.2020.04.006
  • Kurtuldu, K., & Şahin, E. (2018). Göçün kadın yaşamı ve sağlığı üzerine etkileri. Ordu University Journal of Nursing Studies, 1(1), 37-46.
  • Lee, Y. S., Behn, M., & Rexrode, K. M. (2021). Women's health in times of emergency: We must take action. Journal of Women's Health, 30(3), 289-292. https://doi.org/10.1089/jwh.2020.8600
  • Li, B., Sain, S., Mearns, L. O., Anderson, H. A., Kovats, S., Ebi, K. L., Bekkedal, M. Y., Kanarek, M. S., & Patz, J. A. (2012). The impact of extreme heat on morbidity in Milwaukee, Wisconsin. Climatic Change, 110, 959-976. https://doi.org/10.1007/s10584-011-0120-y
  • Lin, Y., Hu, W., Xu, J., Luo, Z., Ye, X., Yan, C., Liu, Z., & Tong, S. (2017). Association between temperature and maternal stress during pregnancy. Environmental research, 158, 421-430. https://doi.org/10.1016/j.envres.2017.06.034
  • Montenegro, M. A., Palomino, H., & Palomino, H. M. (1995). The influence of earthquake-induced stress on human facial clefting and its simulation in mice. Archives of Oral Biology, 40(1), 33-37. https://doi.org/10.1016/0003-9969(94)00146-3
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  • O’Donnell, M., & Behie, A. (2013). Effects of bushfire stress on birth outcomes: a cohort study of the 2009 Victorian Black Saturday bushfires. International Journal of Disaster Risk Reduction, 5, 98-106. https://doi.org/10.1016/j.ijdrr.2013.08.002
  • O’Loughlin, J., Linke, A. M., & Witmer, F. D. (2014). Effects of temperature and precipitation variability on the risk of violence in sub-Saharan Africa, 1980–2012. Proceedings of the National Academy of Sciences, 111(47), 16712-16717. https://doi.org/10.1073/pnas.1411899111
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Future Motherhood: How Climate Change Affects the Journey in the Womb

Yıl 2024, Cilt: 6 Sayı: 3, 176 - 183
https://doi.org/10.54061/jphn.1523459

Öz

The climate crisis is an existential threat to our age and future generations. So much so that the consequences of climate change will affect not only our children but also the generations after us. It is an inevitable fact that all these consequences will cause changes in human life as well as the environment. The World Health Organization (WHO) describes the climate crisis as the most important public health problem of the twentieth century. The climate crisis is recognized as one of the greatest threats to maternal and newborn health in achieving the United Nations (UN) 2030 Sustainable Development Goals. Factors such as decreasing resources, increasing pathogens, problems in accessing clean and reliable food and clean water resources indicate that existing health problems will increase exponentially in the future. The factors caused by the climate crisis are expected to lead to more heat waves, droughts and uncontrollable fires, reduced crop yields, food insecurity (reduced agricultural capacity, livestock, and aquaculture), and floods. The repercussions of the climate crisis on pregnant women may include increased risk of pregnancy complications, pregnancy loss, fetal growth restriction, fetal growth retardation, low birth weight, increased rates of preterm delivery and cesarean section, and neonatal complications. This review aims to summarize the current literature on the effects of the climate crisis and related environmental problems on pregnant and newborn health and offers recommendations for future adaptation and the consequences of the climate crisis.

Kaynakça

  • Akyüz, A. A. (2019). Yaşamsal bilinmezlik: İklim krizi ve gıda. Toplum ve Hekim, 34(5), 348-355.
  • Allen, M., Dube, O., Solecki, W., Aragón-Durand, F., Cramer, W., Humphreys, S., Kainuma, M., Kala, J., Mahowald, N., & Mulugetta, Y. (2018). Special report: Global warming of 1.5 C. Intergovernmental Panel on Climate Change (IPCC), s:49-92 https://doi.org/10.1017/9781009157940.003
  • Amjad, S., Chojecki, D., Osornio-Vargas, A., & Ospina, M. B. (2021). Wildfire exposure during pregnancy and the risk of adverse birth outcomes: A systematic review. Environment International, 156, 106644. https://doi.org/10.1016/j.envint.2021.106644
  • Bai, W., Li, Y., Niu, Y., Ding, Y., Yu, X., Zhu, B., Duan, R., Duan, H., Kou, C., Li, Y., & Sun, Z. (2020). Association between ambient air pollution and pregnancy complications: A systematic review and meta-analysis of cohort studies. Environmental Research, 185, 109471. https://doi.org/10.1016/j.envres.2020.109471
  • Beach, R. H., Sulser, T. B., Crimmins, A., Cenacchi, N., Cole, J., Fukagawa, N. K., Mason-D'Croz, D., Myers, S., Sarofim, M. C., & Smith, M. (2019). Combining the effects of increased atmospheric carbon dioxide on protein, iron, and zinc availability and projected climate change on global diets: A modelling study. The Lancet Planetary Health, 3(7), e307-e317.
  • Bhattacharya, S., Sahay, R., Afsana, F., Sheikh, A., Widanage, N. M., Maskey, R., Naseri, M. W., Murad, M., Harikumar, K., & Selim, S. (2024). Global warming and endocrinology: The hyderabad declaration of the south asian federation of endocrine societies. Indian Journal of Endocrinology and Metabolism, 28(2), 129-136. https://doi.org/10.4103/ijem.ijem_473_23
  • Botto, L. D., Mulinare, J., & Erickson, J. D. (2003). Do multivitamin or folic acid supplements reduce the risk for congenital heart defects? Evidence and gaps. American Journal of Medical Genetics 121a(2),95-101. https://doi.org/10.1002/ajmg.a.20132
  • Bryson, J. M., Patterson, K., Berrang-Ford, L., Lwasa, S., Namanya, D. B., Twesigomwe, S., Kesande, C., Ford, J. D., Team, I., & Harper, S. L. (2021). Seasonality, climate change, and food security during pregnancy among indigenous and non-indigenous women in rural Uganda: Implications for maternal-infant health. PLoS One, 19(5), e0303592. https://doi.org/10.1371/journal.pone.0303592
  • Carmichael, S. L., Yang, W., Herring, A., Abrams, B., & Shaw, G. M. (2007). Maternal food insecurity is associated with increased risk of certain birth defects. Journal of Nutrition, 137(9), 2087-2092. https://doi.org/10.1093/jn/137.9.2087
  • Chersich, M. F., Pham, M. D., Areal, A., Haghighi, M. M., Manyuchi, A., Swift, C. P., Wernecke, B., Robinson, M., Hetem, R., & Boeckmann, M. (2020). Associations between high temperatures in pregnancy and risk of preterm birth, low birth weight, and stillbirths: systematic review and meta-analysis. BMJ, 371, m3811 https://doi.org/https://doi.org/10.1136/bmj.m3811
  • Costello, A., Abbas, M., Allen, A., Ball, S., Bell, S., Bellamy, R., Friel, S., Groce, N., Johnson, A., & Kett, M. (2009). Managing the health effects of climate change: lancet and University College London Institute for Global Health Commission. The Lancet, 373(9676), 1693-1733.
  • Dündar, T., & Özsoy, S. (2020). İklim değişikliğinin kadın üreme sağlığına etkileri. Arşiv Kaynak Tarama Dergisi, 29(3), 190-198. https://doi.org/10.17827/aktd.721528
  • Ediz, Ç., & Yanık, D. (2021). İklim değişikliği ve şiddet. In G. N. (Ed.), Şiddet (1. baskı, ss. 97-100). Türkiye Klinikleri.
  • European Commission. (2023). Global Climate Action. Retrieved 19.05.2023 from https://climate.ec.europa.eu/eu-action/international-action-climate-change/global-climate-action_en
  • Gitau, R., Makasa, M., Kasonka, L., Sinkala, M., Chintu, C., Tomkins, A., & Filteau, S. (2005). Maternal micronutrient status and decreased growth of Zambian infants born during and after the maize price increases resulting from the southern African drought of 2001-2002. Public Health Nutrition, 8(7), 837-843. https://doi.org/10.1079/phn2005746
  • Grippo, A., Zhang, J., Chu, L., Guo, Y., Qiao, L., Zhang, J., Myneni, A. A., & Mu, L. (2018). Air pollution exposure during pregnancy and spontaneous abortion and stillbirth. Reviews on Environmental Health, 33(3), 247-264. https://doi.org/10.1515/reveh-2017-0033
  • Ha, S. (2022). The changing climate and pregnancy health. Current Environmental Health Reports, 9(2), 263-275. https://doi.org/10.1007/s40572-022-00345-9
  • Heft Neal, S., Driscoll, A., Yang, W., Shaw, G., & Burke, M. (2022). Associations between wildfire smoke exposure during pregnancy and risk of preterm birth in California. Environmental Research, 203, 111872. https://doi.org/10.1016/j.envres.2021.111872
  • Heindel, J. J., & Vandenberg, L. N. (2015). Developmental origins of health and disease: a paradigm for understanding disease cause and prevention. Current Opinion in Pediatrics, 27(2), 248-253. https://doi.org/10.1097/MOP.0000000000000191
  • INCN. (2020). Explained: How climate change leads to more violence against women, girls. Retrieved 30.05.2024 from https://genderandenvironment.org/explained-how-climate-change-leads-to-more-violence-against-women-girls/
  • Institute for Health Metrics and Evaluation. (2020). Explore results from the 2021 Global Burden of Disease (GBD) study. Retrieved 19.05.2024 from https://vizhub.healthdata.org/gbd-results/
  • Jeffers, N. K., & Glass, N. (2020). Integrative review of pregnancy and birth outcomes after exposure to a hurricane. Journal of Obstetric, Gynecologic & Neonatal Nursing, 49(4), 348-360. https://doi.org/10.1016/j.jogn.2020.04.006
  • Kurtuldu, K., & Şahin, E. (2018). Göçün kadın yaşamı ve sağlığı üzerine etkileri. Ordu University Journal of Nursing Studies, 1(1), 37-46.
  • Lee, Y. S., Behn, M., & Rexrode, K. M. (2021). Women's health in times of emergency: We must take action. Journal of Women's Health, 30(3), 289-292. https://doi.org/10.1089/jwh.2020.8600
  • Li, B., Sain, S., Mearns, L. O., Anderson, H. A., Kovats, S., Ebi, K. L., Bekkedal, M. Y., Kanarek, M. S., & Patz, J. A. (2012). The impact of extreme heat on morbidity in Milwaukee, Wisconsin. Climatic Change, 110, 959-976. https://doi.org/10.1007/s10584-011-0120-y
  • Lin, Y., Hu, W., Xu, J., Luo, Z., Ye, X., Yan, C., Liu, Z., & Tong, S. (2017). Association between temperature and maternal stress during pregnancy. Environmental research, 158, 421-430. https://doi.org/10.1016/j.envres.2017.06.034
  • Montenegro, M. A., Palomino, H., & Palomino, H. M. (1995). The influence of earthquake-induced stress on human facial clefting and its simulation in mice. Archives of Oral Biology, 40(1), 33-37. https://doi.org/10.1016/0003-9969(94)00146-3
  • Nitschke, M., Tucker, G. R., & Bi, P. (2007). Morbidity and mortality during heatwaves in metropolitan Adelaide. Medical Journal of Australia, 187(11-12), 662-665. https://doi.org/10.5694/j.1326-5377.2007.tb01466.x
  • O’Donnell, M., & Behie, A. (2013). Effects of bushfire stress on birth outcomes: a cohort study of the 2009 Victorian Black Saturday bushfires. International Journal of Disaster Risk Reduction, 5, 98-106. https://doi.org/10.1016/j.ijdrr.2013.08.002
  • O’Loughlin, J., Linke, A. M., & Witmer, F. D. (2014). Effects of temperature and precipitation variability on the risk of violence in sub-Saharan Africa, 1980–2012. Proceedings of the National Academy of Sciences, 111(47), 16712-16717. https://doi.org/10.1073/pnas.1411899111
  • Olson, D. M., & Metz, G. A. S. (2020). Climate change is a major stressor causing poor pregnancy outcomes and child development. PMC, 9(9), 1-9. https://doi.org/10.12688/f1000research.27157.1
  • Page, L. A., Hajat, S., & Kovats, R. S. (2007). Relationship between daily suicide counts and temperature in England and Wales. The British Journal of Psychiatry, 191(2), 106-112. https://doi.org/ 10.1192/bjp.bp.106.031948
  • Pan, K., Beitsch, L., Gonsoroski, E., Sherchan, S. P., Uejio, C. K., Lichtveld, M. Y., & Harville, E. W. (2021). Effects of Hurricane Michael on access to care for pregnant women and associated pregnancy outcomes. International Journal of Environmental Research and Public Health, 18(2), 390-105. https://doi.org/10.3390/ijerph18020390
  • Shashar, S., Kloog, I., Erez, O., Shtein, A., Yitshak-Sade, M., Sarov, B., & Novack, L. (2020). Temperature and preeclampsia: Epidemiological evidence that perturbation in maternal heat homeostasis affects pregnancy outcome. PLoS One, 15(5), e0232877. https://doi.org/10.1371/journal.pone.0232877
  • Smith, P., Adams, J., Beerling, D. J., Beringer, T., Calvin, K. V., Fuss, S., Griscom, B., Hagemann, N., Kammann, C., & Kraxner, F. (2019). Land-management options for greenhouse gas removal and their impacts on ecosystem services and the sustainable development goals. Annual Review of Environment and Resources, 44(1), 255-286. https://doi.org/10.1146/annurev-environ-101718-033129
  • Soneja, S., Tsarouchi, G., Lumbroso, D., & Tung, D. K. (2021). A review of dengue's historical and future health risk from a changing climate. Current Environmental Health Reports, 8(3), 245-265. https://doi.org/10.1007/s40572-021-00322-8
  • Sorensen, C., Murray, V., Lemery, J., & Balbus, J. (2018). Climate change and women's health: Impacts and policy directions. PLoS Medicine, 15(7), e1002603. https://doi.org/10.1371/journal.pmed.1002603
  • Stingone, J. A., Luben, T. J., Sheridan, S. C., Langlois, P. H., Shaw, G. M., Reefhuis, J., Romitti, P. A., Feldkamp, M. L., Nembhard, W. N., & Browne, M. L. (2019). Associations between fine particulate matter, extreme heat events, and congenital heart defects. Environmental Epidemiology, 3(6), e071. https://doi.org/10.1097/EE9.0000000000000071
  • Sugg, M. M., Runkle, J. D., Ryan, S. C., & Wertis, L. (2023). A difference-in difference analysis of the South Carolina 2015 extreme floods and the association with maternal health. International Journal of Disaster Risk Reduction, 97, 104037. https://doi.org/10.1016/j.ijdrr.2023.104037
  • Tong, V. T., Zotti, M. E., & Hsia, J. (2011). Impact of the Red River catastrophic flood on women giving birth in North Dakota, 1994–2000. Maternal and Child Health Journal, 15, 281-288. https://doi.org/10.1007/s10995-010-0576-9
  • UNEP. (2021). Pollution Action Note – Data you need to know. Retrieved 19.05.2024 from https://www.unep.org/interactives/air-pollution-note/
  • Watts, N., Amann, M., Arnell, N., Ayeb-Karlsson, S., Belesova, K., Berry, H., Bouley, T., Boykoff, M., Byass, P., & Cai, W. (2018). The 2018 report of the Lancet Countdown on health and climate change: shaping the health of nations for centuries to come. The Lancet, 392(10163), 2479-2514. https://doi.org/10.1016/S0140-6736(18)32594-7
  • Welton, M., Vélez Vega, C. M., Murphy, C. B., Rosario, Z., Torres, H., Russell, E., Brown, P., Huerta-Montanez, G., Watkins, D., & Meeker, J. D. (2020). Impact of hurricanes Irma and Maria on Puerto Rico maternal and child health research programs. Maternal and Child Health Journal, 24, 22-29. https://doi.org/10.1007/s10995-019-02824-2
  • World Health Organization. (2023a). Climate change. Retrieved 19.05.2023 from https://www.who.int/news-room/fact-sheets/detail/climate-change-and-health
  • World Health Organization. (2023b). Drinking-water. Retrieved 19.05.2023 from https://www.who.int/news-room/fact-sheets/detail/drinking-water
  • Xiong, T., Chen, P., Mu, Y., Li, X., Di, B., Li, J., Qu, Y., Tang, J., Liang, J., & Mu, D. (2020). Association between ambient temperature and hypertensive disorders in pregnancy in China. Nature Communications, 11(1), 2925. https://doi.org/10.1038/s41467-020-16775-8
  • Xu, J., Hu, H., Wright, R., Sánchez, B. N., Schnaas, L., Bellinger, D. C., Park, S. K., Martínez, S., Hernández-Avila, M., & Téllez-Rojo, M. M. (2015). Prenatal lead exposure modifies the impact of maternal self-esteem on children's inattention behavior. The Journal of Pediatrics, 167(2), 435-441. https://doi.org/10.1016/j.jpeds.2015.04.057
  • Zahran, S., Breunig, I. M., Link, B. G., Snodgrass, J. G., Weiler, S., & Mielke, H. W. (2014). Maternal exposure to hurricane destruction and fetal mortality. Journal of Epidemiology & Community Health, 68(8), 760-766. https://doi.org/10.1136/jech-2014-203807
  • Zhu, X., Liu, Y., Chen, Y., Yao, C., Che, Z., & Cao, J. (2015). Maternal exposure to fine particulate matter (PM2.5) and pregnancy outcomes: A meta-analysis. Environmental Science and Pollution Research International, 22(5), 3383-3396. https://doi.org/10.1007/s11356-014-3458-7
Toplam 49 adet kaynakça vardır.

Ayrıntılar

Birincil Dil Türkçe
Konular Çevre Sağlığı
Bölüm Derleme Makaleler
Yazarlar

Seyhan Alpay 0000-0002-5733-2570

Ebru Şahin 0000-0001-7798-0690

Erken Görünüm Tarihi 25 Aralık 2024
Yayımlanma Tarihi
Gönderilme Tarihi 27 Temmuz 2024
Kabul Tarihi 12 Kasım 2024
Yayımlandığı Sayı Yıl 2024 Cilt: 6 Sayı: 3

Kaynak Göster

APA Alpay, S., & Şahin, E. (2024). Geleceğin Annelik Süreci: İklim Değişikliği Anne Karnındaki Yolculuğu Nasıl Etkiliyor?. Halk Sağlığı Hemşireliği Dergisi, 6(3), 176-183. https://doi.org/10.54061/jphn.1523459