Parental Preconception Exposures to Outdoor Neighbourhood Environments and Adverse Birth Outcomes: A Protocol for a Scoping Review and Evidence Map.

Suzanne Mavoa,Yen Ting Wong,Stefan C Kane,Katherine Chong,Rachel Tham,Kate Lycett,Melissa Wake,Daniel Keevers

doi:10.3390/ijerph18178943

Abstract

Parental preconception exposures to built and natural outdoor environments could influence pregnancy and birth outcomes either directly, or via a range of health-related behaviours and conditions. However, there is no existing review summarising the evidence linking natural and built characteristics, such as air and noise pollution, walkability, greenness with pregnancy and birth outcomes. Therefore, the planned scoping review aims to collate and map the published literature on parental preconception exposures to built and natural outdoor environments and adverse pregnancy and birth outcomes. We will search electronic databases (MEDLINE, EMBASE, Scopus) to identify studies for inclusion. Studies will be included if they empirically assess the relationship between maternal and paternal preconception exposures to physical natural and built environment features that occur outdoors in the residential neighbourhood and adverse pregnancy and birth outcomes. Two reviewers will independently screen titles and abstracts, and then the full text. Data extraction and assessment of study quality will be performed by one researcher and checked by a second researcher. Results will be summarised in a narrative synthesis, with additional summaries presented as tables and figures. The scoping review will be disseminated via a peer-reviewed publication, at academic conferences, and published on a website.

Highlights

Adverse pregnancy and birth outcomes are an ongoing health challenge globally.They have lifelong consequences, with small and preterm infants having an increased risk of hypertension [1], type 2 diabetes [1], cardiovascular disease [1,2], asthma [3], andInt
The synthesis will be grouped by exposures, outcomes, and study regions. This will be the first synthesis of evidence on parental preconception exposures to the broad range of natural and built environment features that we are exposed to in the course of our everyday lives
The results will be of practical use to primary care practitioners, who may use the findings to enhance evidence-based preconception patient education

Summary

Introduction

Adverse pregnancy and birth outcomes are an ongoing health challenge globally.They have lifelong consequences, with small and preterm infants having an increased risk of hypertension [1], type 2 diabetes [1], cardiovascular disease [1,2], asthma [3], andInt.

Objectives

Methods

Conclusion