Green space and preterm birth: A systematic review study

Document Type : Review Article

Authors

1 M.Sc. Student of Midwifery, Faculty of Medicine, Student workgroup of Social Determinants of Health Research Center, Gonabad University of Medical Sciences, Gonabad, Iran.

2 Assistant professor, Department of Environmental Health, Non-Communicable Diseases Research Center, School of Health, Sabzevar University of Medical Sciences, Sabzevar, Iran.

3 M.Sc. of Midwifery, Faculty of Medicine, Sabzevar University of Medical Sciences, Sabzevar, Iran.

4 Assistant professor, Department of Midwifery, Social Development and Health Promotion Research Center, Faculty of Medicine, Gonabad University of Medical Sciences, Gonabad, Iran.

Abstract

Introduction: The effect of environment on reproductive health and pregnancy outcomes has been expressed in some epidemiological studies. Exposure to green space has been shown to improve health as well as improve fetal growth and reduce the risk of pregnancy complications. This systematic review study was performed with aim to determine the relationship between green space and preterm birth.
Methods: In this review study, to obtain relevant studies, we searched the English databases of Pubmed, Scopus, Web of science and Persian databases of Iran Medex, SID and Magiran published until 8 April 2020, with the English and Persian keywords of green space and preterm birth and all possible combinations.
Results: From 6964 articles, 18 (12 cross-sectional studies and 6 cohort studies) which met the inclusion criteria were included in the study. Most studies evaluated green space using the normalized Index of Vegetation Difference (NDVI), proximity to green space, and distance to the park. The results of 9 studies showed no relationship between green space and preterm birth, and other studies reported conflicting results on protective effect of green space on preterm birth.
Conclusion: The results of most studies showed no association between green space and preterm birth and gestational age at delivery time. While some studies reported conflicting results on protective effect of green space on preterm birth. Therefore, it is suggested that further studies be conducted in this area.

Keywords

References

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The Iranian Journal of Obstetrics, Gynecology and Infertility
Volume 23, Issue 6
August 2020
Pages 97-109

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