The climate crisis is increasing wildfires and extreme heat, which put pregnant women and children at risk. Below are examples of some of the research led by Dr. Amy Padula and colleagues to estimate associations between wildfire smoke and adverse birth outcomes.
Dr. Padula is serving as a consultant to expand wildfires research to EaRTH Center members. To connect with services from the Translational Research Support Core, visit EaRTH Center's website.

ONES (Outstanding New Environmental Scientist)
We examined health impacts of exposure to wildfire smoke in California from 2007-2020 and found exposures during pregnancy were associated with preterm birth. We also examined the Camp Fire in 2018 and found similar results using generalized synthetic controls.
Research Programs

Air quality and IVF
As part of the AIR Study, Gabriela Gutierrez, UCSF medical student and EaRTH Center Environmental Scholar, is examining how wildfire smoke during the 2020 wildfires impact IVF outcomes.

Wildfire smoke and pregnancy outcomes
Working with our SPARK (Smoke from wildfires: Advancing Reproductive Knowledge) program, Anna Claire Fernandez, UCSF joint medical student and from EaRTH’s Environmental Scholar Program, published a paper showing wildfires between 2017-2020 in the San Francisco Bay Area were associated with higher birthweight and higher risk of large-for-gestational age.

Wildfires and fetal development
In collaboration with the Gaw and Robinson Labs, our SPARK (Smoke from wildfires: Advancing Reproductive Knowledge) program is studying how pregnancies were affected by wildfire smoke that reached the Bay Area in recent years to learn how it 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.
Our Team

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

Emilia Basilio, MD MPH
Assistant Professor
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

Dana Goin, PhD
Assistant Professor of Epidemiology
Columbia Mailman School of Public Health

Rachel Morello-Frosch, PhD, MPH
Professor
Berkeley Public Health

Elizabeth M. Noth, PhD
Associate Researcher
Berkeley Public Health

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

Rachel Sklar, PhD
Assistant Professor
University of Washington School of Public Health

Sally Picciotto, PhD
Associate Researcher
Berkeley Public Health
Our Partners
UC Center for Climate, Health and Equity
Gaw Laboratory
Robinson Lab

Sonoma Technology Inc.
Published Studies
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.
Wildfire, pregnancy, California, birth defects, commentary