Maternal Cannabis Use in the Perinatal Period: Data From the Pregnancy Risk Assessment Monitoring System Marijuana Supplement, 2016-2018.

J Addict Med

From the Department of Pediatrics, Division of Environmental Pediatrics, NYU Langone Medical Center, New York, NY, 10016, USA (SS, LT, AG, MHJ); Department of Population Health, NYU Langone Medical Center, New York, NY, 10016, USA (LT, AG); Department of Environmental Medicine, NYU Langone Medical Center, New York, NY, 10016, USA (LT, AG); NYU Wagner School of Public Service, New York, NY, USA (LT); NYU College of Global Public Health, New York, NY, USA (LT); Department of Obstetrics and Gynecology, NYU Langone Medical Center, New York, NY 10016 USA (SSM-L, SGB).

Published: August 2022

AI Article Synopsis

  • The study aimed to estimate how common cannabis use is among women before and during pregnancy, what reasons they have for using it, and what factors influence their usage patterns.
  • Conducted in six states over 2016-2018, the research involved surveying new mothers about their cannabis use habits and related characteristics, and analyzed differences between non-users, preconception users, and those who used during both periods.
  • Results showed that 5.8% of respondents used cannabis only before conception, while 4.4% used it both before and during pregnancy, with stress and nausea being the main reasons for use, highlighting significant links to factors like marital status and race/ethnicity.*

Article Abstract

Objective: To estimate the prevalence of perinatal cannabis use (ie, before and/or during pregnancy); document the frequency, modes, and motivations for use; and identify predictors of perinatal cannabis use.

Methods: Six states in the Pregnancy Risk Assessment Monitoring System, a state-specific, population-based surveillance system, administered a supplemental questionnaire on perinatal cannabis use in 2016-2018. Women with live births were surveyed 2-6 months postpartum about behaviors ≤ 3 months preconception and during pregnancy. Demographic, psychosocial, and behavioral characteristics were examined in relation to perinatal cannabis use using multinomial regression models. Those who: (1) never used cannabis, (2) only used in preconception period, and (3) used in both preconception and prenatal periods were compared.

Results: Among 6428 respondents, 379 (5.8%) used cannabis pre-conceptionally only and 466 (4.4%) used in both the preconception and prenatal periods. Among those using prenatally, most reported smoking as their single mode (87.1%), with the two most common reasons being stress (83.8%) and nausea/vomiting (79.2%). Marital status, race/ethnicity, socioeconomic status, parity, and cigarette and alcohol use were significantly associated with perinatal cannabis use. Single (vs partnered) women were more likely to use cannabis prenatally (odds ratio = 2.4, 95% confidence interval: 1.5, 3.9) and non-Hispanic Black (vs White) women were less likely to use prenatally (odds ratio = 0.4, 95% confidence interval: 0.2, 0.8).

Conclusions: Using a population-based sample of US births in six states, several demographic, psychosocial, and behavioral characteristics were identified in relation to perinatal cannabis use. These data are valuable for counseling in prenatal care and investigations of health effects.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC8938294PMC
http://dx.doi.org/10.1097/ADM.0000000000000921DOI Listing

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