Background: Women’s reproductive health is not only a fundamental component of individual and social well-being but also a key indicator of human development and social sustainability. In recent decades—particularly in countries experiencing declining birth rates—its importance has significantly increased. In Dorud County, the cement factory, as one of the major industrial units in Lorestan Province, poses serious health concerns for the local population. Pregnant women, as a highly vulnerable group, are especially at risk due to continuous exposure to environmental pollutants.Extensive national and international evidence shows a significant association between exposure to particulate matter, toxic gases, and heavy metals with increased risks of miscarriage and adverse pregnancy outcomes. Despite these risks, weak implementation of health impact assessments, lack of a systematic health-monitoring program, absence of an accurate miscarriage registration system, inadequate environmental surveillance, legal gaps, and low public awareness have allowed this silent crisis to persist and remain largely unnoticed by policymakers.This policy brief aims to alert authorities and provide evidence-based solutions by analyzing the current situation and identifying the social, economic, cultural, and regulatory factors contributing to the crisis. Among six policy options evaluated, a combined intervention—“enhancement of the factory’s pollution-control system” and “targeted care for pregnant women in the affected area”—is recommended. This integrated approach addresses the pollution source while reducing both immediate and long-term pregnancy risks, improving public trust, and promoting reproductive health.Successful implementation requires political commitment, sustainable financial resources, and intersectoral collaboration between the local health network, the Department of Environment, the Industry and Mining Organization, and provincial authorities. Immediate policy action is crucial to prevent further environmental and human harm and can serve as a replicable model for other polluting industries across the country.
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زنان Received: 2025/09/27 | Accepted: 2025/10/16 | Published: 2025/11/1