Department of Family Practice, Midwifery Program, University of British Columbia, Suite 320 - 5950 University Boulevard, Vancouver, BC V6T 1Z3, Canada.
University of British Columbia, Suite 320 - 5950 University Boulevard, Vancouver, BC V6T 1Z3, Canada.
Prev Med. 2019 Feb;119:17-23. doi: 10.1016/j.ypmed.2018.12.002. Epub 2018 Dec 12.
Cannabis is the most commonly used illicit drug among general and pregnant populations. Despite recommendations to abstain from cannabis use, its use is increasing during the perinatal period. In this integrative review, we aim to understand women's perspectives about the health aspects of perinatal cannabis use. The following databases were searched: MEDLINE, PsycInfo, EMBASE, and CINAHL. We included quantitative and qualitative studies with a primary focus on perinatal cannabis use. The methodological quality of the included studies was appraised using appropriate checklists. Extracted data were integrated into a single data matrix and iteratively compared across studies to summarize and synthesize the data. Full text of 33 citations was retrieved and reviewed of which 6 studies met the inclusion criteria. Women who continued to use cannabis during pregnancy often perceived no general or pregnancy-specific risk compared to nonusers. The uncertainty regarding adverse perinatal consequences, its perceived therapeutic effects, and lower costs of cannabis compared to that of cigarettes contributed to cannabis use. A lack of communication with health care providers regarding the health aspects of cannabis was evident. Women perceived this lack of counseling as an indication that adverse outcomes associated with cannabis use are not significant. Women's perceptions of health risks associated with cannabis use are important factors in the decision-making process regarding use or cessation, particularly as legal concerns are fading away. A discussion about health concerns surrounding cannabis use may influence women's perceptions of risk and help them to make informed choices.
大麻是普通人群和孕妇中最常使用的非法药物。尽管建议孕妇避免使用大麻，但在围产期使用大麻的情况仍在增加。在本次综合评价中，我们旨在了解女性对围产期使用大麻的健康方面的看法。检索了以下数据库：MEDLINE、PsycInfo、EMBASE 和 CINAHL。我们纳入了以围产期使用大麻为主要重点的定量和定性研究。使用适当的清单评估了纳入研究的方法学质量。提取的数据被整合到一个单一的数据矩阵中，并在研究之间进行迭代比较，以总结和综合数据。检索了 33 篇引文的全文，并对其中 6 项研究进行了综述，这些研究符合纳入标准。与非使用者相比，继续在怀孕期间使用大麻的女性通常认为没有一般或妊娠特定的风险。对围产期不良后果的不确定性、对其治疗效果的认识以及与香烟相比大麻的成本较低，这些因素促成了大麻的使用。与医疗保健提供者就大麻的健康方面进行沟通的情况明显不足。女性认为这种缺乏咨询表明与使用大麻相关的不良后果并不严重。女性对与使用大麻相关的健康风险的看法是其决定使用或停止使用的重要因素，特别是随着对大麻使用的法律担忧逐渐消失。围绕大麻使用的健康问题的讨论可能会影响女性对风险的看法，并帮助她们做出明智的选择。
