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Effects to Neonatal Outcomes After i...

Marko, Tara Renee,

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Effects to Neonatal Outcomes After in Utero Exposure to Wildfire Smoke /

Record Type:	Electronic resources : Monograph/item
Title/Author:	Effects to Neonatal Outcomes After in Utero Exposure to Wildfire Smoke // Tara Renee Marko.
Author:	Marko, Tara Renee,
Description:	1 electronic resource (127 pages)
Notes:	Source: Dissertations Abstracts International, Volume: 85-12, Section: B.
Contained By:	Dissertations Abstracts International85-12B.
Subject:	Nursing. -
Online resource:	https://pqdd.sinica.edu.tw/twdaoapp/servlet/advanced?query=31144448
ISBN:	9798383112922

Effects to Neonatal Outcomes After in Utero Exposure to Wildfire Smoke /
Marko, Tara Renee,

Effects to Neonatal Outcomes After in Utero Exposure to Wildfire Smoke /Tara Renee Marko. - 1 electronic resource (127 pages)

Source: Dissertations Abstracts International, Volume: 85-12, Section: B.

Introduction: Wildfires are increasing in intensity, duration, and frequency with climate change. They are an escalating threat to human health. Particulate matter (PM) 2.5 is particularly dangerous and the mother-fetal dyad is especially vulnerable. This study examined associations between wildfire smoke exposure and neonatal outcomes of gestational age, birth weight, Apgar score, and NICU admission.Methods: In this secondary data analysis, public air quality data was matched with latitude and longitude coordinates of maternal addresses and then compared with state Department of Health birth records from 2010-2018. Linear and logistic regression were utilized to analyze the data, while controlling for potential confounding variables.Results: Aim 1: There was a slight increase in gestational weeks at birth with exposure to wildfire smoke days in trimester 1 (B=.003, p=<.001, [95% CI=.003,.004]), trimester 3 (B=.011, p=<.001, [95% CI=.011, .011]), and full pregnancy (B=.003, p=<.001, [95% CI=.003,.004). There was a slight decrease in gestational weeks in trimester 2 (B=-.002, p= <.001, [95% CI=-.002, .002]). For birthweight, trimester 2 and full pregnancy showed minor increases in grams with smoke day exposure (B=.303, p=<.001, [95% CI=.201, .405]; (B=.148, p=<.001, [95% CI=.086, .210] respectively). Aim 2: For 5- and 10-minute Apgar scores there was no statistical difference with exposure. Aim 3: There was a .003% increase in NICU admission in trimesters 1, and 2 (odds ratio=1.003, [95% CI=1.002-1.004 and 95% CI=1.001-1.004 respectively] and .002% increase for full pregnancy (odds ratio=1.002, [95% CI=1.001-1.003] with exposure to wildfire smoke days.Conclusion: Overall, in utero exposure to wildfire smoke showed slight changes to select neonatal outcomes. There was a small decrease in gestational age and a slight increase in birthweight with trimester 2 exposure, which is consistent with the literature. Although gestational age and birthweight had statistically significant findings, they are likely not clinically significant. There was no effect of smoke exposure on Apgar scores. This study identified a slight statistically significant increase in NICU admission with exposure in the first trimester, second trimester, and full pregnancy. Although small, any additional admission to intensive care has both financial and social implications and warrants further investigation.

English

ISBN: 9798383112922Subjects--Topical Terms:

528444
Nursing.
Subjects--Index Terms:

Wildfires

Effects to Neonatal Outcomes After in Utero Exposure to Wildfire Smoke /
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100 1 $a Marko, Tara Renee, $e author. $0 (orcid)0000-0002-7062-5685 $3 3821565
245 1 0 $a Effects to Neonatal Outcomes After in Utero Exposure to Wildfire Smoke / $c Tara Renee Marko.
264 1 $a Ann Arbor : $b ProQuest Dissertations & Theses, $c 2024
300 $a 1 electronic resource (127 pages)
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500 $a Source: Dissertations Abstracts International, Volume: 85-12, Section: B.
500 $a Advisors: Postma, Julie Committee members: Burduli, Ekaterina; James, Lois; Butterfield, Patricia.
502 $b Ph.D. $c Washington State University $d 2024.
520 $a Introduction: Wildfires are increasing in intensity, duration, and frequency with climate change. They are an escalating threat to human health. Particulate matter (PM) 2.5 is particularly dangerous and the mother-fetal dyad is especially vulnerable. This study examined associations between wildfire smoke exposure and neonatal outcomes of gestational age, birth weight, Apgar score, and NICU admission.Methods: In this secondary data analysis, public air quality data was matched with latitude and longitude coordinates of maternal addresses and then compared with state Department of Health birth records from 2010-2018. Linear and logistic regression were utilized to analyze the data, while controlling for potential confounding variables.Results: Aim 1: There was a slight increase in gestational weeks at birth with exposure to wildfire smoke days in trimester 1 (B=.003, p=<.001, [95% CI=.003,.004]), trimester 3 (B=.011, p=<.001, [95% CI=.011, .011]), and full pregnancy (B=.003, p=<.001, [95% CI=.003,.004). There was a slight decrease in gestational weeks in trimester 2 (B=-.002, p= <.001, [95% CI=-.002, .002]). For birthweight, trimester 2 and full pregnancy showed minor increases in grams with smoke day exposure (B=.303, p=<.001, [95% CI=.201, .405]; (B=.148, p=<.001, [95% CI=.086, .210] respectively). Aim 2: For 5- and 10-minute Apgar scores there was no statistical difference with exposure. Aim 3: There was a .003% increase in NICU admission in trimesters 1, and 2 (odds ratio=1.003, [95% CI=1.002-1.004 and 95% CI=1.001-1.004 respectively] and .002% increase for full pregnancy (odds ratio=1.002, [95% CI=1.001-1.003] with exposure to wildfire smoke days.Conclusion: Overall, in utero exposure to wildfire smoke showed slight changes to select neonatal outcomes. There was a small decrease in gestational age and a slight increase in birthweight with trimester 2 exposure, which is consistent with the literature. Although gestational age and birthweight had statistically significant findings, they are likely not clinically significant. There was no effect of smoke exposure on Apgar scores. This study identified a slight statistically significant increase in NICU admission with exposure in the first trimester, second trimester, and full pregnancy. Although small, any additional admission to intensive care has both financial and social implications and warrants further investigation.
546 $a English
590 $a School code: 0251
650 4 $a Nursing. $3 528444
650 4 $a Environmental health. $3 543032
650 4 $a Climate change. $2 bicssc $3 2079509
653 $a Wildfires
653 $a Gestational age
653 $a Wildfire smoke
653 $a Smoke exposure
690 $a 0569
690 $a 0470
690 $a 0404
710 2 $a Washington State University. $b College of Nursing. $e degree granting institution. $3 3821566
720 1 $a Postma, Julie $e degree supervisor.
773 0 $t Dissertations Abstracts International $g 85-12B.
790 $a 0251
791 $a Ph.D.
792 $a 2024
856 4 0 $u https://pqdd.sinica.edu.tw/twdaoapp/servlet/advanced?query=31144448