Extreme Temperature Diary- Saturday June 21st, 2025/Main Topic: How Climate Change Negatively Affects Pregnancy

https://www.epa.gov/climateimpacts/climate-change-and-health-pregnant-breastfeeding-and-postpartum-women

Climate Change and the Health of Pregnant, Breastfeeding, and Postpartum Women

Mother wearing a yellow shirt holds a newborn with a yellow jumper while resting on a hospital bed.
Exposure to extreme heat has been associated with preterm births. In 2022, 1 of every 10 infants born in the United States was preterm (before 37 weeks of pregnancy were completed). 89

Pregnant women and their fetuses are more vulnerable than the general population to the health impacts of climate change because:

  • Climate-related hazards, including extreme heat, flooding, and wildfires, have been linked to certain health problems, such as anemia, eclampsia, low birth weight, preterm birth, and even miscarriage.1
  • Pregnant women need reliable access to transportation and medical care, which can be disrupted during and after extreme weather events.23
  • There are many biological and behavioral changes that occur during pregnancy and the postpartum period that can make women more prone to insect-, food-, and water-related illnesses. Some of these illnesses, which may increase due to climate change, can also threaten maternal and fetal health.456
  • Pregnant and postpartum women can be at increased risk of experiencing post-traumatic stress disorder (PTSD) and depression after natural disasters and extreme weather events.7
  • On this page:
  • Key Threats to the Health of Pregnant, Breastfeeding, and Postpartum Women
  • What You Can Do
  • Related Resources
  • Endnotes

Key Threats to the Health of Pregnant, Breastfeeding, and Postpartum Women

Water-Related Illnesses

Climate change will impact water resources in many ways. For example, changes in water and air temperaturesheavier and longer rainsflooding, and rising sea levels can introduce disease-carrying organisms into drinking water supplies and recreational waters.12 Drinking or coming in contact with untreated contaminated water can cause gastrointestinal and other illnesses for any individual;13 however, pregnant women have a higher risk of gastrointestinal illness if they come in contact with contaminated water than other adults.14 Severe gastrointestinal illness can cause pregnancy loss and preterm birth.15

Flooding has been associated with conditions that threaten maternal health, including anemia (low red blood cell counts sometimes caused by low iron intake), preeclampsia (a high blood pressure condition), and eclampsia, which can cause seizures.16

A young woman inspects produce in a grocery store display.
Access to nutritious food is critical to the health of pregnant women.

Food System Impacts

As the climate changes, rising temperatures and extreme weather events—such as floods and droughts—threaten food quality, production, transportation, availability, and safety. Food-related illnesses, such as listeria and toxoplasma, can be life-threatening and increase the risk of miscarriage, stillbirth, or premature delivery.17

Food safety and proper nutrition are critical to both maternal and fetal health. Extreme events, such as wildfires, floods, heat waves, and droughts, may disrupt food production and distribution, increase costs, and limit availability. These impacts could make it harder for mothers to get healthy food.18 Food shortages may lead to poor nutrition, which can make pregnancy more difficult and cause delivery problems, low birth weight, and even infant mortality.19

Heat Illnesses

A pregnant mother sits on a couch drinking a glass of water.
Dehydration can have adverse effects during pregnancy and the health of newborns. 26

Extreme heat events are expected to last longer and become more frequent and intense as the climate changes.20 Heat-related illnesses can occur when a person is exposed to high temperatures and their body cannot cool down. Increases in average and extreme temperatures are expected to lead to more heat illnesses and deaths among vulnerable people, including pregnant women.21

Exposure to extreme heat can also lead to dehydration and kidney failure in pregnant women.22 Pregnant women are also more prone to heat exhaustion and heat stroke.23 Extreme heat exposure in pregnant women has been associated with low birth weight, preterm birth, and infant mortality.2425

Overlapping Vulnerabilities

Pregnant, breastfeeding, and postpartum women may also be members of other groups with specific vulnerabilities to climate change. For instance, pregnant women from communities of color, low-income groups, and certain immigrant groups may face increased risks to certain climate impacts, less access to care, or higher incidence of chronic medical conditions when compared to other groups.10 These groups of people are also more likely to live in areas with higher levels of air pollution, older infrastructure, and increased risk of flooding, all of which may be worsened by climate change.11

Respiratory Illnesses

Climate change may increase outdoor air pollutants, such as dust from droughtswildfire smoke, and ground-level ozone.27 Pregnant women (like other vulnerable groups) are sensitive to the harmful effects of wildfire smoke.28 They should take extra actions to reduce their exposure to wildfire smoke, which could affect the developing fetus and may raise the risk of low birth weight and premature birth.29

Insect- and Tick-Related Diseases

Rising temperatures and changing seasonal patterns can lengthen the times when mosquitoes and ticks are most active and widen their range. In some regions, that results in a northward expansion of where ticks may live; while in other areas, ticks may be active for longer periods throughout the year.30 Warmer temperatures associated with climate change can also increase mosquito development and biting rates, while increased rainfall can create more breeding sites for mosquitoes.31

These changes may increase the prevalence of mosquitoes that transmit viruses, such as the Zika virus and dengue fever.32 If a woman is infected with Zika during her pregnancy, the infection can be passed to her fetus. Infection can cause certain brain defects, including microcephaly, where a baby’s head is much smaller than expected due to lack of brain development.33

Flooding on a street in an urban environment
A study conducted after Hurricane Katrina found pregnant women who had severe hurricane experiences were at a significantly greater risk for PTSD and depression. 38

In addition, pregnant women and fetuses are at more risk of developing complications from other mosquito-transmitted illnesses, like dengue fever, due to immune system changes during pregnancy.34 Most people who contract dengue fever experience mild symptoms such as aches and pains, nausea, and vomiting. They also recover in a few days to a week.35

Mental Health Effects

Trauma from extreme weather events can cause psychological stress, worsen mental illnesses, and add emotional stress for pregnant and postpartum women.36 One study found that compared to men, women were at increased risk for PTSD and other mental health effects after a disaster.37 In addition, extreme weather events can disrupt support networks, behavioral health services, and treatment access—all of which may affect women’s ability to cope.

What You Can Do

Women who are pregnant, planning a pregnancy, or who are new mothers can take steps to reduce impacts of climate change on their health. Consider the following action items:

Related Resources

EPA resources:

Other resources:


Endnotes

Gamble, J.L., et al. (2016). Ch. 9: Populations of concern. In: The impacts of climate change on human health in the United States: A scientific assessment. U.S. Global Change Research Program, Washington, DC, p. 255 and p. 257.

 Gamble, J.L., et al. (2016). Ch. 9: Populations of concern. In: The impacts of climate change on human health in the United States: A scientific assessment. U.S. Global Change Research Program, Washington, DC, p. 257.

Osterman, M.J.K., & J.A. Martin. (2018). Timing and adequacy of prenatal care in the United States, 2016 (pdf) (359 KB). In: National vital statistics reports, vol. 67, no. 3. Hyattsville, MD: National Center for Health Statistics, p. 2. Retrieved 3/11/2022.

Gamble, J.L., et al. (2016). Ch. 9: Populations of concern. In: The impacts of climate change on human health in the United States: A scientific assessment. U.S. Global Change Research Program, Washington, DC, p. 256.

U.S. Environmental Protection Agency (EPA). (2019). Exposure factors handbook. Retrieved 3/11/2022.

EPA. (2015). Issue paper on physiological and behavioral changes in pregnant and lactating women and available exposure factors. Retrieved 3/11/2022.

Dodgen, D., et al. (2016). Ch. 8: Mental health and well-being. In: The impacts of climate change on human health in the United States: A scientific assessment. U.S. Global Change Research Program, Washington, DC, p. 224.

Gamble, J.L., et al. (2016). Ch. 9: Populations of concern. In: The impacts of climate change on human health in the United States: A scientific assessment. U.S. Global Change Research Program, Washington, DC, p. 256.

Centers for Disease Control and Prevention (CDC). (2024). Preterm birth. Retrieved 10/23/2024.

10 Gamble, J.L., et al. (2016). Ch. 9: Populations of concern. In: The impacts of climate change on human health in the United States: A scientific assessment. U.S. Global Change Research Program, Washington, DC, p. 252.

11 Gamble, J.L., et al. (2016). Ch. 9: Populations of concern. In: The impacts of climate change on human health in the United States: A scientific assessment. U.S. Global Change Research Program, Washington, DC, p. 257.

12 Trtanj, J., et al. (2016). Ch. 6: Water-related illness. In: The impacts of climate change on human health in the United States: A scientific assessment. U.S. Global Change Research Program, Washington, DC, p. 159.

13 Trtanj, J., et al. (2016). Ch. 6: Water-related illness. In: The impacts of climate change on human health in the United States: A scientific assessment. U.S. Global Change Research Program, Washington, DC, p. 165.

14 Trtanj, J., et al. (2016). Ch. 6: Water-related illness. In: The impacts of climate change on human health in the United States: A scientific assessment. U.S. Global Change Research Program, Washington, DC, p. 170.

15 Trtanj, J., et al. (2016). Ch. 6: Water-related illness. In: The impacts of climate change on human health in the United States: A scientific assessment. U.S. Global Change Research Program, Washington, DC, p. 170.

16 Gamble, J.L., et al. (2016). Ch. 9: Populations of concern. In: The impacts of climate change on human health in the United States: A scientific assessment. U.S. Global Change Research Program, Washington, DC, p. 257.

17 Ziska, L., et al. (2016). Ch. 7: Food safety, nutrition, and distribution. In: The impacts of climate change on human health in the United States: A scientific assessment. U.S. Global Change Research Program, Washington, DC, p. 194.

18 Ziska, L., et al. (2016). Ch. 7: Food safety, nutrition, and distribution. In: The impacts of climate change on human health in the United States: A scientific assessment. U.S. Global Change Research Program, Washington, DC, p. 191.

19 Dodgen, D., et al. (2016). Ch. 8: Mental health and well-being. In: The impacts of climate change on human health in the United States: A scientific assessment. U.S. Global Change Research Program, Washington, DC, p. 224.

20 Sarofim, M.C., et al. (2016). Ch. 2: Temperature-related death and illnessThe impacts of climate change on human health in the United States: A scientific assessment. U.S. Global Change Research Program, Washington, DC, p. 51.

21 Crimmins, A., et al. (2016). Executive summary. In: The impacts of climate change on human health in the United States: A scientific assessment. U.S. Global Change Research Program, Washington, DC, p. 6.

22 Ebi, K.L., et al. (2018). Human health. In: Impacts, risks, and adaptation in the United States: Fourth national climate assessment, volume II. U.S. Global Change Research Program, Washington, DC, pp. 544–545.

23 CDC. (2024). About heat exposure and reproductive health. Retrieved 7/22/2024.

24 Sarofim, M.C., et al. (2016). Ch. 2: Temperature-related death and illnessThe impacts of climate change on human health in the United States: A scientific assessment. U.S. Global Change Research Program, Washington, DC, p. 54.

25 Hayden, M.H.et al. (2023). Ch. 15: Human Health. Fifth National Climate Assessment. U.S. Global Change Research Program, Washington, DC, p. 15-15. 

26 Gamble, J.L., et al. (2016). Ch. 9: Populations of concern. In: The impacts of climate change on human health in the United States: A scientific assessment. U.S. Global Change Research Program, Washington, DC, p. 257.

27 Fann, N., et al. (2016). Ch. 3: Air quality impactsThe impacts of climate change on human health in the United States: A scientific assessment. U.S. Global Change Research Program, Washington, DC, p. 80.

28 Bell, J.E., et al. (2016). Ch. 4: Impacts of extreme events on human health. In: The impacts of climate change on human health in the United States: A scientific assessment. U.S. Global Change Research Program, Washington, DC, p. 111.

29 Bell, J.E., et al. (2016). Ch. 4: Impacts of extreme events on human health. In: The impacts of climate change on human health in the United States: A scientific assessment. U.S. Global Change Research Program, Washington, DC, p. 110.

30 Beard, C.B., et al. (2016). Ch. 5: Vector-borne diseases. In: The impacts of climate change on human health in the United States: A scientific assessment. U.S. Global Change Research Program, Washington, DC, p. 144. 

31 Beard, C.B., et al. (2016). Ch. 5: Vector-borne diseases. In: The impacts of climate change on human health in the United States: A scientific assessment. U.S. Global Change Research Program, Washington, DC, pp. 141–142. 

32 Ebi, K.L., et al. (2018). Ch 14. Human health. In: Impacts, risks, and adaptation in the United States: Fourth national climate assessment, volume II. U.S. Global Change Research Program, Washington, DC, p. 545.

33 Centers for Disease Control and Prevention (CDC). (2024). Clinical signs and symptoms of Zika virus disease. Retrieved 7/22/2024.

34 Gamble, J.L., et al. (2016). Ch. 9: Populations of concern. In: The impacts of climate change on human health in the United States: A scientific assessment. U.S. Global Change Research Program, Washington, DC, p. 256.

35 Centers for Disease Control (CDC). (2024). About Dengue. Retrieved 7/22/2024.

36 Dodgen, D., et al. (2016). Ch. 8: Mental health and well-being. In: The impacts of climate change on human health in the United States: A scientific assessment. U.S. Global Change Research Program, Washington, DC, p. 224.

37 Dodgen, D., et al. (2016). Ch. 8: Mental health and well-being. In: The impacts of climate change on human health in the United States: A scientific assessment. U.S. Global Change Research Program, Washington, DC, p. 224.

38 Dodgen, D., et al. (2016). Ch. 8: Mental health and well-being. In: The impacts of climate change on human health in the United States: A scientific assessment. U.S. Global Change Research Program, Washington, DC, p. 224.

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