Center for Alcohol and Addiction Studies, Alpert Medical School of Brown University, Box G-S121-4, Providence, RI 02912, USA.
Arch Womens Ment Health. 2013 Aug;16(4):333-7. doi: 10.1007/s00737-013-0358-7. Epub 2013 Jun 5.
In the US, marijuana continues to be the most frequently used illicit drug among women of childbearing age, including pregnant and postpartum women. Given the critical window for treatment during the perinatal period, more information is needed about the characteristics of women who abuse marijuana and about their unique needs with the goal of improving clinical services and outcomes for both women and their infants.
To (1) identify a profile of perinatal women seeking treatment for primarily marijuana abuse and (2) report birth outcomes in a subset of pregnant women with marijuana abuse.
This retrospective clinical chart review study examined 67 adult perinatal women patients (54 % ethnic minority) who attended an inner-city, hospital-affiliated outpatient program specializing in substance abuse treatment for women. Of all pregnant women, 26 % reported positive urine screens during the first trimester, 41 % during the second trimester, and 27 % during the third trimester. While the subset of pregnant women was small, exploratory results suggest that infants whose mothers continued to use marijuana during their pregnancies were born at a lower gestational age than mothers who abstained; t(29) = 2.04, p <0.05.
Identifying potential barriers to treatment could help improve retention in community-based treatment programs during pregnancy and the postpartum period.
在美国，大麻仍然是育龄妇女（包括孕妇和产后妇女）中最常使用的非法药物。鉴于围产期治疗的关键窗口期，我们需要更多关于滥用大麻的妇女的特征及其独特需求的信息，以改善妇女及其婴儿的临床服务和结果。
（1）确定寻求主要滥用大麻治疗的围产期妇女的特征，（2）报告滥用大麻的孕妇亚组的分娩结局。
这项回顾性临床图表审查研究检查了 67 名参加专门为妇女提供药物滥用治疗的城市内医院附属门诊项目的成年围产期女性患者（54%为少数民族）。在所有孕妇中，26%的人在孕早期尿液检测呈阳性，41%在孕中期，27%在孕晚期。虽然孕妇亚组很小，但探索性结果表明，与戒断的母亲相比，在怀孕期间继续使用大麻的母亲所生婴儿的胎龄较低；t(29)=2.04，p<0.05。
确定治疗的潜在障碍可能有助于提高社区为基础的治疗方案在怀孕期间和产后的保留率。
