Friday, November 12, 2021

Cannabis use disorder during pregnancy on the rise

So are car accidents with stoned drivers! When individual liberty lacks individual responsibility! This is a very serious matter and it is most likely underreported! More research and more education of substance users is needed.

What appears to be not clear whether these women used Cannabis to treat psychiatric disorders or not.

"As more states legalize cannabis for medical or recreational purposes, its use during pregnancy is increasing – along with the potential for abuse or dependence. ...
“This is the largest study to document the scale of cannabis use disorder in prenatal hospitalizations,” ...
the study found that pregnant patients with the condition had sharply higher levels of depression, anxiety and nausea – results warranting clinical concern. “It’s a red flag that patients may not be getting the treatment they need,” ...
Cannabis is legal for medical and recreational use in 37 states, and legalization has likely lessened fears about its risks in pregnancy. Some pregnant patients use cannabis instead of prescribed medications, thinking it’s a safer choice. Both the American Academy of Pediatrics and the American College of Obstetricians and Gynecologists have recommended against using cannabis while pregnant, chiefly because of known and unknown fetal effects. Concerns for maternal effects focus on smoking or vaping risks, not mental health. ...
noted that many states allow medical use of cannabis for nausea and vomiting. ...
Screening for cannabis use during pregnancy could help, but state mandatory reporting requirements may deter some clinicians from asking about use. Better patient education could reduce the problem and get treatment to patients sooner, especially for those identified with co-occurring cannabis dependency and psychiatric disorders. ...
The science on prenatal effects of the disorder is still largely unknown, although frequent use has been linked to low birth weight and other adverse outcomes. Their study, the researchers said, underscores the need to further explore the disorder and its links to psychiatric and medical conditions. ..."

From the abstract:
"... Prenatal cannabis use continues to increase, yet studies of the demographic, psychiatric, and medical characteristics associated with cannabis use in pregnancy are limited by size and use of self-report, and often do not consider cannabis use disorder (CUD) or concomitant substance use disorders (SUDs). ...
The study analyzed restricted hospital discharge data from the 2010 to 2018 Healthcare Cost and Utilization Project State Inpatient Databases in 35 states. ... Inpatient hospitalizations of pregnant patients aged 15 to 44 years with a CUD diagnosis were identified. ...
Results  The sample included 20 914 591 hospitalizations of individuals who were pregnant. ... Of the total number of hospitalizations, 249 084 (1.19%) involved CUD and 20 665 507 (98.81%) did not. The proportion of prenatal hospitalizations involving CUD increased from 0.008 in 2010 to 0.02 in 2018. Analyses showed significant differences in the prevalence of almost every medical and psychiatric outcome examined between hospitalizations with and without CUD diagnoses, regardless of concomitant SUDs. Elevations were seen in depression (0.089; 95% CI, 0.083-0.095), anxiety (0.072; 95% CI, 0.066-0.076), and nausea (0.036; 95% CI, 0.033-0.040]) among individuals with CUD only at hospitalization compared with individuals with no SUDs at hospitalization.

Conclusions and Relevance  Considerable growth was observed in the prevalence of CUD diagnoses among individuals hospitalized prenatally and in the prevalence of depression, anxiety, nausea, and other conditions in individuals with CUD at hospitalization. This study highlights the need for more screening, prevention, and treatment, particularly in populations with co-occurring CUD and psychiatric disorders."

Cannabis use disorder during pregnancy on the rise | Cornell Chronicle

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