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大麻使用与妊娠结局的关联。

The association of marijuana use with outcome of pregnancy.

作者信息

Linn S, Schoenbaum S C, Monson R R, Rosner R, Stubblefield P C, Ryan K J

出版信息

Am J Public Health. 1983 Oct;73(10):1161-4. doi: 10.2105/ajph.73.10.1161.

DOI:10.2105/ajph.73.10.1161
PMID:6604464
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC1651077/
Abstract

We analyzed interview and medical record data of 12,424 women to evaluate the relationship between marijuana usage and adverse outcomes of pregnancy. Low birthweight, short gestation, and major malformations occurred more often among offspring of marijuana users. When we used logistic regression to control for demographic characteristics, habits, and medical history data, these relationships were not statistically significant. The odds ratio for the occurrence of major malformations among marijuana users was 1.36, higher than odds ratios for other exogenous variables, and the 95 per cent confidence interval was 0.97-1.91. More data are needed to establish firmly or rule out an association between marijuana usage and major malformations. Until more information is available, women should be advised not to use marijuana during pregnancy.

摘要

我们分析了12424名女性的访谈和病历数据,以评估大麻使用与妊娠不良结局之间的关系。大麻使用者的后代中低体重、孕期短和严重畸形的情况更为常见。当我们使用逻辑回归来控制人口统计学特征、习惯和病史数据时,这些关系在统计学上并不显著。大麻使用者中发生严重畸形的比值比为1.36,高于其他外源性变量的比值比,95%置信区间为0.97 - 1.91。需要更多数据来确定或排除大麻使用与严重畸形之间的关联。在获得更多信息之前,应建议女性在孕期不要使用大麻。

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1
The association of marijuana use with outcome of pregnancy.大麻使用与妊娠结局的关联。
Am J Public Health. 1983 Oct;73(10):1161-4. doi: 10.2105/ajph.73.10.1161.
2
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No association between coffee consumption and adverse outcomes of pregnancy.咖啡摄入量与妊娠不良结局之间无关联。
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10
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本文引用的文献

1
Marihuana use by pregnant women: neurobehavioral effects in neonates.孕妇使用大麻:对新生儿的神经行为影响。
Drug Alcohol Depend. 1980 Dec;6(6):415-24. doi: 10.1016/0376-8716(80)90023-x.
2
No association between coffee consumption and adverse outcomes of pregnancy.咖啡摄入量与妊娠不良结局之间无关联。
N Engl J Med. 1982 Jan 21;306(3):141-5. doi: 10.1056/NEJM198201213060304.
3
Effects of maternal drinking and marijuana use on fetal growth and development.母亲饮酒和吸食大麻对胎儿生长发育的影响。
Pediatrics. 1982 Oct;70(4):539-46.
4
Prenatal exposure to cannabis: a critical review of effects on growth, development, and behavior.产前接触大麻:对生长、发育和行为影响的批判性综述。
Behav Neural Biol. 1980 Jun;29(2):137-56. doi: 10.1016/s0163-1047(80)90469-0.
5
Brain and eye abnormalities. Possible sequelae to prenatal use of multiple drugs including LSD.大脑和眼部异常。产前使用包括麦角酸二乙酰胺(LSD)在内的多种药物可能产生的后遗症。
Am J Dis Child. 1972 Feb;123(2):145-8.
6
Lysergide and cannabis as possible teratogens in man.麦角酰二乙胺和大麻可能对人类有致畸性。
Lancet. 1969 Jan 18;1(7586):150-1. doi: 10.1016/s0140-6736(69)91156-8.
7
Lysergic-acid-diethylamide and cannabis as possible teratogens in man.麦角酸二乙酰胺和大麻可能是人类致畸物。
Lancet. 1968 Nov 16;2(7577):1087. doi: 10.1016/s0140-6736(68)91569-9.
8
Chronic administration of delta-9-tetrahydrocannabinol to pregnant rats: studies of pup behavior and placental transfer.
Pharmacol Biochem Behav. 1976 Mar;4(3):249-54. doi: 10.1016/0091-3057(76)90236-7.
9
Effects of cannabinoids on reproduction and development.大麻素对生殖与发育的影响。
Vitam Horm. 1978;36:203-58. doi: 10.1016/s0083-6729(08)60985-1.