What to Expect When It Gets Hotter: The Impacts of Prenatal Exposure to Extreme Heat on Maternal Health

Working Paper: NBER ID: w26384

Authors: Jiyoon Kim; Ajin Lee; Maya Rossin-Slater

Abstract: We use temperature variation within narrowly-defined geographic and demographic cells to show that exposure to extreme heat increases the risk of maternal hospitalization during pregnancy for potentially life-threatening causes. We find that this effect is driven by women residing in historically cooler rather than hotter counties, suggesting that adaptation plays a role in mitigating the health impacts of weather shocks. We also find that the heat-induced deterioration in maternal pregnancy health is larger for black than for white mothers, suggesting that projected increases in extreme heat over the next century may further exacerbate the black-white maternal health gap.

Keywords: Prenatal Health; Extreme Heat; Maternal Health; Racial Disparities; Climate Change

JEL Codes: H51; I14; I18; Q50


Causal Claims Network Graph

Edges that are evidenced by causal inference methods are in orange, and the rest are in light blue.


Causal Claims

CauseEffect
Extreme heat exposure during pregnancy (I19)Risk of maternal hospitalization during pregnancy for potentially life-threatening causes (I12)
An additional day during the first trimester with an average temperature above 90°F (I19)Likelihood of hospitalization (I10)
Extreme heat exposure (J28)Likelihood of emergency or urgent hospitalization for women in historically cooler counties (I14)
Prenatal heat exposure (I19)First trimester hospitalizations for black mothers (I19)
Prenatal heat exposure (I19)Maternal length of stay at childbirth (J22)
Prenatal heat exposure (I19)Likelihood of postpartum hospital readmissions for white mothers (I19)

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