Premature Rupture of Membranes and Severe Weather Systems

There has long been anecdotal evidence of early labor and delivery in severe weather events leading to preterm birth. In particular, significant barometric pressure changes are associated with hurricanes and bomb cyclones. Some authors have related these low pressure weather events to premature rupt...

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Main Authors: Mackenzie L. Wheeler, Michelle L. Oyen
Format: Article
Language:English
Published: Frontiers Media S.A. 2020-05-01
Series:Frontiers in Physiology
Subjects:
Online Access:https://www.frontiersin.org/article/10.3389/fphys.2020.00524/full
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author Mackenzie L. Wheeler
Michelle L. Oyen
author_facet Mackenzie L. Wheeler
Michelle L. Oyen
author_sort Mackenzie L. Wheeler
collection DOAJ
description There has long been anecdotal evidence of early labor and delivery in severe weather events leading to preterm birth. In particular, significant barometric pressure changes are associated with hurricanes and bomb cyclones. Some authors have related these low pressure weather events to premature rupture of fetal membranes, hypothesizing that the membranes act as an inflated balloon and respond directly to pressure changes. In this article, the key literature including data supporting this hypothesis is reviewed. A simple numerical model, based on a competition between the driving and resisting forces for fetal membrane rupture, is presented. This model provides a quantitative mechanism for membrane failure in the context of storms with low atmospheric pressure. Other sequelae of severe storms that are unrelated to fetal membrane rupture are also discussed. Labor and delivery in the context of major weather events should be understood in a holistic framework that includes both exogenous and endogenous factors relevant to the pregnant patient.
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spelling doaj.art-6812359684f549158fd2cc9bc928a3bf2022-12-21T19:06:25ZengFrontiers Media S.A.Frontiers in Physiology1664-042X2020-05-011110.3389/fphys.2020.00524539793Premature Rupture of Membranes and Severe Weather SystemsMackenzie L. WheelerMichelle L. OyenThere has long been anecdotal evidence of early labor and delivery in severe weather events leading to preterm birth. In particular, significant barometric pressure changes are associated with hurricanes and bomb cyclones. Some authors have related these low pressure weather events to premature rupture of fetal membranes, hypothesizing that the membranes act as an inflated balloon and respond directly to pressure changes. In this article, the key literature including data supporting this hypothesis is reviewed. A simple numerical model, based on a competition between the driving and resisting forces for fetal membrane rupture, is presented. This model provides a quantitative mechanism for membrane failure in the context of storms with low atmospheric pressure. Other sequelae of severe storms that are unrelated to fetal membrane rupture are also discussed. Labor and delivery in the context of major weather events should be understood in a holistic framework that includes both exogenous and endogenous factors relevant to the pregnant patient.https://www.frontiersin.org/article/10.3389/fphys.2020.00524/fullpretermprematurePROMchorioamnionfetalmembranes
spellingShingle Mackenzie L. Wheeler
Michelle L. Oyen
Premature Rupture of Membranes and Severe Weather Systems
Frontiers in Physiology
preterm
premature
PROM
chorioamnion
fetal
membranes
title Premature Rupture of Membranes and Severe Weather Systems
title_full Premature Rupture of Membranes and Severe Weather Systems
title_fullStr Premature Rupture of Membranes and Severe Weather Systems
title_full_unstemmed Premature Rupture of Membranes and Severe Weather Systems
title_short Premature Rupture of Membranes and Severe Weather Systems
title_sort premature rupture of membranes and severe weather systems
topic preterm
premature
PROM
chorioamnion
fetal
membranes
url https://www.frontiersin.org/article/10.3389/fphys.2020.00524/full
work_keys_str_mv AT mackenzielwheeler prematureruptureofmembranesandsevereweathersystems
AT michelleloyen prematureruptureofmembranesandsevereweathersystems