Active Pregnancy, Children & Inherited Conditions Climate, Earth & Environment

Extreme heat and pregnancy complications: harnessing the diverse Australian climate and population for global answers

In plain English

AI plain-English summary

Pregnant women in Australia are exposed to extreme heat across the country’s diverse climate zones, and researchers will track how this affects pregnancy outcomes in Indigenous, migrant, and general populations. This matters because heatwaves are becoming more frequent and intense, yet little is known about how extreme heat specifically harms pregnancy—especially for women in different climates and cultural contexts. The project combines three approaches: listening to women’s lived experiences (including Indigenous and recent migrant knowledge), analysing health records across Australian climate zones, and studying biological mechanisms using a sheep pregnancy model and human samples in controlled environments. If successful, the research will produce practical tools: health education materials for pregnant women and healthcare workers, clinical guidelines for managing pregnant patients during heat events, and public health policies for preparedness and secondary prevention. These outputs could reduce heat-related pregnancy complications—such as preterm birth or low birth weight—and the findings are designed to be extrapolated globally, helping protect pregnant women in other hot regions. The work is applied, with direct implications for clinical practice and public health systems.

View original technical description
Australia has a diverse climate and population. This context provides a unique opportunity to define the health implications of extreme heat exposure during pregnancy and extrapolate findings to a global context. This multidimensional proposal encompasses individual, population, and discovery science data. Three key aims encompass our proposal: 1) Lived Experience which includes Indigenous and recent migrant knowledge, 2) Environmental Epidemiology across the breadth of Australian climate zones, and 3) Biological Mechanisms utilising our established sheep model of pregnancy in environmentally controlled housing and human samples. These aims, along with community co-design and consultation, will lead to the development of approaches to minimise the adverse effects of extreme heat in pregnancy. The deliverables will include health education approaches for individuals and health care workers, identification of clinical applications for health management of pregnant patients in the heat, and development of new public health and policy approaches to preparedness, responsiveness, and secondary prevention for pregnant women in extreme heat. Key words: pregnancy, heatwave, physiology, epidemiology, at-risk populations.

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Researchers

Carrington Shepherd (EPMC Awardee)Erin Kelty (EPMC Awardee)Shelley Gorman (EPMC Awardee)

Related Research

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The HEaT INFORM Pregnancy Study
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Assessment of biological vulnerability and effects of extreme heat on maternal, fetal and newborn health: implications for policy and action

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