孕妇在怀孕期间使用大麻,以及孕妇和新生儿的不良结果
1Department of Psychiatry, Kasturba Medical College, Manipal Academy of Higher Education, Manipal, India; Department of Clinical Psychopharmacology and Neurotoxicology, National Institute of Mental Health and Neurosciences, Bangalore, India (andradec@gmail.com).
The Journal of clinical psychiatry
|October 31, 2024
概括
怀孕期间使用大麻越来越常见,并且与更高的孕产妇和新生儿不良后果风险有关. 孕妇应被告知这些风险,以便共享决策.
科学领域:
- 产科和妇科 产科和妇科
- 周围生理学 周围生理学
- 公共卫生 公共卫生
背景情况:
- 在全球范围内,大麻的使用量正在增加,包括在生育年龄的妇女和怀孕期间.
- 妇女经常使用大麻来自我治疗各种疾病,可能不知道相关的怀孕风险.
- 大麻成分可以穿过胎盘并通过大麻素受体影响胎儿发育.
研究的目的:
- 检查最近关于孕妇和新生儿在怀孕期间接触大麻的不良结果的证据.
- 为医疗保健提供者和孕妇提供有关妊娠大麻使用相关风险的信息.
主要方法:
- 审查最近的队列研究和元分析.
- 分析与产前大麻暴露相关的孕产妇和新生儿不良结果.
主要成果:
- 母亲使用大麻与妊娠高血压,异常妊娠体重增加和胎盘断裂的风险增加有关.
- 产前大麻暴露与更高的早产率相关,对于妊娠年龄来说小,出生体重低,NICU入院和胎儿死亡.
- 大麻使用频率增加与这些不良结果的风险增加有关,即使没有其他物质的共同使用.
结论:
- 孕妇在怀孕期间使用大麻对母亲和胎儿都有重大风险.
- 专业机构建议不要在怀孕期间使用大麻,因为已经确定了不良结果.
- 对于孕妇来说,教育和共同决策对于大麻使用及其风险至关重要.
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