Evidence map›Paper›PMID 42064355›Full record

ArticleWellcome open research2026

To gain insights into heat adaptations among women during the antenatal period in India -The Heat in Pregnancy Project (HiP-I) India- Qualitative Study Protocol.

Chris Mary Kurian, Karthika Kumar, Diana Thomas, Yogesh Jain, Sudhakar Reddy Bulla, Gabriela De Jesus Cipriano Flores, Surya Surendran, Prakriti Dayal, Sreevatsan Raghavan, Mudita Gosain and 10 more

Abstract read
In one paragraph

Article in Wellcome open research, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

20 authors.

Chris Mary KurianThe George Institute for Global Health India, New Delhi, Delhi, India.
Karthika KumarThe George Institute for Global Health India, New Delhi, Delhi, India.ORCID https://orcid.org/0009-0009-1531-8568
Diana ThomasThe George Institute for Global Health India, New Delhi, Delhi, India.ORCID https://orcid.org/0000-0001-5959-7006
Yogesh JainThe George Institute for Global Health India, New Delhi, Delhi, India.
Sudhakar Reddy BullaThe George Institute for Global Health India, New Delhi, Delhi, India.
Gabriela De Jesus Cipriano FloresThe George Institute for Global Health UK, Oxford, England, UK.
Surya SurendranThe George Institute for Global Health India, New Delhi, Delhi, India.
Prakriti DayalTranslational Health Science and Technology Institute, Faridabad, Haryana, India.
Sreevatsan RaghavanTranslational Health Science and Technology Institute, Faridabad, Haryana, India.
Mudita GosainTranslational Health Science and Technology Institute, Faridabad, Haryana, India.ORCID https://orcid.org/0000-0002-2660-7578
Ramachandran ThiruvengadamTranslational Health Science and Technology Institute, Faridabad, Haryana, India.
Arya Thonikund SathishkumarPondicherry Institute of Medical Sciences, Puducherry, Puducherry, India.ORCID https://orcid.org/0009-0002-3338-818X
Stalin PrabhakaranPondicherry Institute of Medical Sciences, Puducherry, Puducherry, India.ORCID https://orcid.org/0009-0007-3585-5593
Vidhya VenugopalSri Ramachandra Institute of Higher Education and Research (Deemed to be University), Chennai, Tamil Nadu, India.
Nitya WadhwaTranslational Health Science and Technology Institute, Faridabad, Haryana, India.
Shinjini BhatnagarTranslational Health Science and Technology Institute, Faridabad, Haryana, India.
Devaki NambiarThe George Institute for Global Health India, New Delhi, Delhi, India.ORCID https://orcid.org/0000-0001-5682-6109
Jane E HirstThe George Institute for Global Health UK, Oxford, England, UK.
Praveen DThe George Institute for Global Health India, New Delhi, Delhi, India.
Heat in Pregnancy India Consortium

Funding

Wellcome Trust
6 · The paper itself

Abstract

Background: Climate change is increasing the frequency and severity of heatwaves across South Asia, with disproportionate impacts on vulnerable populations. Pregnant and lactating women face heightened health risks due to physiological changes, gendered social responsibilities, and constrained access to adaptive resources. Despite this, women's lived experiences and adaptation practices during pregnancy remain understudied and largely absent from institutional climate responses. This knowledge gap hampers the development of effective, gender-sensitive adaptation policies. Methods: This qualitative study, embedded within the Heat in Pregnancy (HiP)-India project, will be conducted in three climatically vulnerable sites: Gurugram (Haryana), Bilaspur (Chhattisgarh), and Puducherry. Guided by a socio-ecological framework, we will conduct in-depth interviews with pregnant and lactating women, focus group discussions with caregivers, and key informant interviews with health workers and local stakeholders, alongside non-participant observations. Interviews will take place during and shortly after the heat season to capture both real-time and reflective experiences. Using purposive sampling, we will recruit 20-25 women per site, along with caregivers and stakeholders, primarily from the HiP-India cohort who have consented to follow-up. Data will be thematically analysed using NVivo, with reporting guided by COREQ standards. Anticipated Results: The study will generate contextualised insights into women's heat-adaptation practices during pregnancy and lactation across diverse agro-climatic zones, document traditional and emerging coping strategies, and identify structural, social, and institutional barriers shaping adaptation capacity. Conclusion: By centering women's lived experiences, this research will inform the design of culturally appropriate, gender-responsive heat adaptation interventions suitable for low-resource settings. Findings will support both practical community-based solutions and evidence-based advocacy for more inclusive climate adaptation policies at local and national levels.

Indexed as

climate adaptationclimate changeExtreme heatgenderIndiapregnancyqualitative researchsocio-ecological framework

Identifiers

PMID42064355
PMCPMC13125996

What Socratic holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.