与胎盘功能相关的大麻暴露和不良妊娠结果
Torri D Metz1, Amanda A Allshouse1, Gwendolyn A McMillin1,2
1University of Utah Health, Salt Lake City.
JAMA
|December 12, 2023
概括
孕妇持续使用大麻超过了第一 trimester 与不良的妊娠结果有关,包括对孕期来说小的分娩和早产. 这突显了怀孕期间接触大麻的风险.
科学领域:
- 生殖健康
- 产周医学
- 药理学
背景情况:
- 在生育年龄的人群中, 大麻的使用率正在上升.
- 在怀孕期间接触大麻对胎儿发育和母亲健康的影响尚不完全理解.
- 怀孕的不良结果通常与胎盘功能有关.
研究的目的:
- 调查母亲使用大麻与妊娠不良后果之间的关联.
- 要确定在怀孕期间接触大麻是否会影响与胎盘功能相关的结果.
- 分析与怀孕结果相关的大麻暴露时间和持续时间.
主要方法:
- 关于无卵性妊娠结果研究的辅助分析:监测即将成为母亲的队列.
- 通过免疫试验和液体染色体双重质谱测试,检测尿液样本中的11-nor-9-carboxy-Δ9-四大麻素.
- 从医疗记录中抽象出怀孕结果,包括怀孕年龄较小的分娩,早产,死产和高血压疾病.
主要成果:
- 在9257名符合条件的参与者中,有6.6%报告使用大麻.
- 持续接触大麻超过第一季度与妊娠不良结果的风险增加有关 (aRR,1. 32;95% CI,1. 09-1. 60).
- 仅限于怀孕第一季度的大麻暴露与不良结果没有显著关联.
结论:
- 孕妇使用大麻,特别是持续使用超过头三个月,与不良妊娠结果有关.
- 这些结果表明大麻暴露与胎盘功能障碍之间存在联系.
- 需要进一步研究以充分阐明怀孕期间使用大麻的风险.
更多相关视频
19:15Assessment and Evaluation of the High Risk Neonate: The NICU Network Neurobehavioral Scale
Published on: August 25, 2014
86.0K
08:08Determination of the Transport Rate of Xenobiotics and Nanomaterials Across the Placenta using the ex vivo Human Placental Perfusion Model
Published on: June 18, 2013
17.4K
相关概念视频
Teratogenicity
2.5K
The ability of a drug to produce structural deformations and functional abnormalities in the developing embryo or the fetus is called teratogenicity, and the drug producing this effect is known as a teratogen. Teratogenic effects include stillbirth, miscarriage, intrauterine growth restriction, and neurocognitive delay. A teratogen may affect the embryo at different stages of development, which is important in determining the type and extent of the damage. During blastocyst formation, the early...
2.5K
Chemotherapy-Induced Nausea and Vomiting: Cannabinoids
282
Tetrahydrocannabinol (THC) is a phytocannabinoid that primarily interacts with the CB1 receptor, a type of G protein-coupled receptor (GPCR) predominantly in and around the chemoreceptor trigger zone (CTZ) and emetic center. THC also blocks the serotonin receptor activity in the dorsal vagal complex (DVC) by inhibiting serotonin release. THC exerts its anti-emetic effects through these interactions, which are beneficial for patients undergoing chemotherapy.
Two synthetic agonists of THC,...
Two synthetic agonists of THC,...
282
Physiological Barriers
3.6K
Physiological barriers are semi-permeable cellular structures restricting drug diffusion into intracellular compartments and tissues. There are six types of physiological barriers: blood endothelial, cell membrane, blood-brain, blood-cerebrospinal fluid (CSF), blood-placenta, and blood-testis barriers.
The blood endothelial barrier is the most porous of these. It allows all small ionized, un-ionized, and lipophilic molecules to pass through the endothelial lining into the interstitial space...
The blood endothelial barrier is the most porous of these. It allows all small ionized, un-ionized, and lipophilic molecules to pass through the endothelial lining into the interstitial space...
3.6K
CNS Stimulants: Cocaine, Amphetamines and Cannabinoids
201
CNS stimulants, such as cocaine, amphetamines, and cannabinoids, have varying structures and mechanisms of action that lead to different therapeutic effects and side effects. Cocaine, with its molecular formula C17H21NO4, is a tropane alkaloid and a tertiary amino compound. It has two chemical forms: the hydrochloride salt and the "freebase." The former is in powder form, while the latter involves removing the hydrochloride salt to create a form that can be smoked. Cocaine exerts its...
201
Pathophysiology of Diabetes
949
Diabetes mellitus is a chronic metabolic disorder characterized by hyperglycemia. The four categories of diabetes are type 1 diabetes, type 2 diabetes, other specific types of diabetes, and gestational diabetes.
Type 1 diabetes is characterized by autoimmune-mediated destruction of pancreatic β cells, with environmental factors potentially triggering this process in genetically susceptible individuals. Despite many not having a family history, certain genes increase susceptibility,...
Type 1 diabetes is characterized by autoimmune-mediated destruction of pancreatic β cells, with environmental factors potentially triggering this process in genetically susceptible individuals. Despite many not having a family history, certain genes increase susceptibility,...
949
Factors Affecting Drug Response: Overview
2.0K
When it comes to infants and young children, they are typically administered smaller doses of medication in comparison to adults. This is primarily because their organ functions still need to fully develop, meaning their bodies are not as efficient at metabolizing or eliminating drugs. Additionally, their blood-brain barrier is more permeable than in adults. As a result, high concentrations of drugs can easily penetrate the central nervous system (CNS), potentially leading to neurological...
2.0K
