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==== 7.2.4.3 Observed Impacts on Maternal, Foetal and Neonatal Health ==== <div id="h3-17-siblings" class="h3-siblings"></div> Maternal and neonatal disorders accounted for 3.7% of total global deaths and 7.8% of global DALYs in 2019 (Vos et al., 2020). Children and pregnant women have potentially higher rates of vulnerability and/or exposure to climatic hazards, extreme weather events and undernutrition ( [[#Garcia--2016|Garcia and Sheehan, 2016]] ; [[#Sorensen--2018|Sorensen et al., 2018]] ; [[#Chersich--2018|Chersich et al., 2018]] ). Available evidence suggests that heat is associated with higher rates of pre-term birth ( [[#Wang--2020|Wang et al., 2020]] ), low birthweight, stillbirth, neonatal stress ( [[#Cil--2017|Cil and Cameron, 2017]] ; [[#Kuehn--2017|Kuehn and McCormick, 2017]] ) and adverse child health ( [[#Kuehn--2017|Kuehn and McCormick, 2017]] ). Extreme weather events are associated with reduced access to prenatal care, unattended deliveries ( [[#Abdullah--2019|Abdullah et al., 2019]] ) and decreased paediatric healthcare access ( [[#Haque--2019|Haque et al., 2019]] ). <div id="7.2.4.4" class="h3-container"></div> <span id="observed-impacts-on-malnutrition"></span>
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