The climate crisis is increasing extreme weather, flooding, drought, and wildfires, all of which put pregnant women and children at risk. In collaboration with the EaRTH Center, we are exploring climate issues such as how exposure to wildfire smoke during pregnancy may impact maternal and child health.

SPARK (Smoke from wildfires: Advancing Reproductive Knowledge)
In collaboration with the Gaw and Robinson Labs, we are studying how pregnancies were affected by wildfire smoke that reached the Bay Area in recent years to learn how wildfire smoke during pregnancy affects fetal growth and development. We are also following pregnant people during wildfire events to learn more about how location and behaviors during wildfires affect biological changes in blood and placenta.
Research Programs

FIRE Study (Wildfires and Maternal/Child Health)
How does wildfire smoke exposure affect preterm birth and maternal morbidity? Are associations different with more social vulnerability more strongly affected? Do housing factors or neighborhoods affected by structural racism play a role? We are examining all birth records in California from 2007 to 2020 to answer these questions.

AIR Study
Does wildfire smoke exposure affect fertility? Can wildfires impact chances of successful IVF? Dr. Thalia Segal and colleagues are examining past fires and how they may impact fertility and chances of successful IVF at UCSF.

Undergraduate Environmental Health Research Program
Are you an under-represented undergraduate student interested in environmental health research? We plan to offer a 10-week summer mentored research program with a focus on climate health equity that includes toxicology, environmental epidemiology, and science communication.
Meet our Team

Amy Padula, PhD MSc
Associate Professor
UCSF Department of Obstetrics, Gynecology and Reproductive Sciences

Emilia Basilio, MD MPH
Maternal Fetal Medicine Fellow
UCSF Department of Obstetrics, Gynecology and Reproductive Sciences

Anna Claire G. Fernández, MD(c)
Environmental Scholar
UCSF EaRTH Center

Stephanie Gaw, MD PhD
Associate Professor
UCSF Department of Obstetrics, Gynecology and Reproductive Sciences

Joshua Robinson, PhD
Assistant Professor
UCSF Department of Obstetrics, Gynecology and Reproductive Sciences


Rachel Sklar, PhD
Postdoctoral Scholar
UCSF Program on Reproductive Health and the Environment
Our Partners
The UCSF Center for Climate, Health and Equity
The Gaw Laboratory
Robinson Lab
Published Studies
Climate change is accelerating the intensity and frequency of wildfires globally. Understanding how wildfire smoke (WS) may lead to adverse pregnancy outcomes and alterations in placental function via biological mechanisms is critical to mitigate the harms of exposure.
Living near or migrating to areas at high risk for wildfires may result in health consequences and increased disparities for pregnant people and their children.
Climate change continues to result in increased exposure to wildfires in California and around the world with smoke reaching far more populations than in recent years. There is increased concern for the health effects of these fires, especially for pregnant people and their developing foetuses.