“…One area that has been particularly understudied are maternal and child health outcomes among those firefighters experiencing a pregnancy while serving in the fire service. Limited publications from the 1980s and 1990s(Evanoff & Rosenstock, 1986) reviewed the potential risks women firefighters face, but calls for further research were largely ignored. Reproductive risks for women include not only exposures on the fire ground and other emergency responses(McDiarmid, Lees, Agnew, Midzenski, & Duffy, 1991) but also the impact of shift work and interruption of the body’s circadian rhythms, high temperatures, loud noises and the physical strain of firefighting(Agnew, McDiarmid, Lees, & Duffy, 1991; Amani & Gill, 2013; Mahoney, 2010; Nurminen, 1998; Puttonen, Härmä, & Hublin, 2010).…”