“…The possibility of a teratogenic effect of fever was first postulated by researchers conducting ecologic studies of influenza and birth defects (Janerich, 1971;MacMahon & Yen, 1971). Stronger evidence of an association between maternal exposure to hyperthermia and an increased occurrence of birth defects was subsequently provided by animal studies (Cawdell-Smith, Upfold, Edwards, & Smith, 1992;Edwards, Shiota, Smith, & Walsh, 1995;Finnell, Moon, Abbott, Golden, & Chernoff, 1986) and epidemiologic studies of fever and neural tube defects (NTDs) (Kurppa, Holmberg, Kuosma, Aro, & Saxen, 1991;Li et al, 2007;Lynberg, Khoury, Lu, & Cocian, 1994;Medveczky, Puho', & Czeizel, 2004;Milunsky et al, 1992;Moretti, Benjamin, Fried, & Koren, 2005;Shaw, Todoroff, Velie, & Lammer, 1998;Shaw et al, 2002;Suarez, Felkner, & Hendricks, 2004;Yin et al, 2011;Zhang and Cai, 1993). A recent systematic review by Dreier, Andersen, and Berg-Beckhoff (2014) noted that the literature supports an association between maternal fever and an increased risk of birth defects, with the strongest associations for NTDs, oral clefts and cardiac defects.…”