Maternal and infant outcomes following third trimester exposure to marijuana in opioid dependent pregnant women maintained on buprenorphine
| Autor: | Brandon K. Kelly, Liam M. O'Brien, Alane B. O’Connor |
|---|---|
| Rok vydání: | 2017 |
| Předmět: |
medicine.medical_specialty
Pregnancy Trimester Third Birth weight Population Gestational Age Marijuana Smoking Toxicology 03 medical and health sciences 0302 clinical medicine Pregnancy 030225 pediatrics mental disorders medicine Birth Weight Humans Pharmacology (medical) 030212 general & internal medicine education Cannabis Retrospective Studies Pharmacology education.field_of_study biology Obstetrics business.industry Incidence (epidemiology) Infant Newborn Infant Gestational age Retrospective cohort study Length of Stay Opioid-Related Disorders biology.organism_classification medicine.disease Buprenorphine Substance Withdrawal Syndrome Analgesics Opioid Pregnancy Complications Psychiatry and Mental health Anesthesia Female business Neonatal Abstinence Syndrome medicine.drug |
| Zdroj: | Drug and Alcohol Dependence. 180:200-203 |
| ISSN: | 0376-8716 |
| Popis: | Background To determine whether maternal and infant outcomes are associated with exposure to marijuana during the third trimester in a population of opioid dependent pregnant women maintained on buprenorphine. Methods This retrospective cohort study of 191 maternal-infant dyads exposed to buprenorphine during pregnancy examines a variety of variables including gestational age, birthweight, method of delivery, Apgar scores at one and five minutes, duration of infant hospital stay, peak neonatal abstinence syndrome (NAS) score, duration of NAS and incidence of pharmacologic treatment of NAS in infants exposed to marijuana during the third trimester as compared to infants not exposed to marijuana during the third trimester. Results Analyses failed to support any significant relationship between marijuana use in the third trimester and a variety of maternal and infant outcomes. Two important variables – the likelihood of requiring pharmacologic treatment for NAS (27.6% in marijuana exposed infants vs. 15.7% in non-marijuana exposed infants, p = 0.066) and the duration of infant hospital stay (7.7 days in marijuana exposed infants vs. 6.6 days in non-exposed infants, p = 0.053) trended toward significance. Conclusions Preliminary results indicate that marijuana exposure in the third trimester does not complicate the pregnancy or the delivery process. However, the severity of the infant withdrawal syndrome in the immediate postnatal period may be impacted by marijuana exposure. Because previous study of prenatal marijuana exposure has yielded mixed results, further analysis is needed to determine whether these findings are indeed significant. |
| Databáze: | OpenAIRE |
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