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Cannabis use disorders that increase significantly during pregnancy

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As more states legalize cannabis (currently 37) for medical or recreational purposes, the use of cannabis during pregnancy is increasing, along with the potential for abuse or dependence.

A new study, co-led by researchers at Columbia University and Weill Cornell Medicine, captured the scale and issues involved. Cannabis use hindrance During pregnancy, look up diagnostic codes for more than 20 million US discharges. Most of those hospitalizations were for childbirth.

Published in the online version of the study, “Correlation of Behavioral and Medical Conditions Coexisting with Cannabis Use Disorders During Pregnancy” JAMA Psychiatry November 3rd, the percentage of pregnant women in the hospital Patience Those identified as cannabis use disorders, defined as clinically significant disorders or painful cannabis use, increased by 150 percent between 2010 and 2018.

“This is the largest study documenting the magnitude of cannabis use disorders in prenatal hospitalization,” said Claudia Lugo-Candelas, an assistant professor of clinical medical psychology in Columbia Psychiatry and one of the study’s co-authors. The doctor says. She states that studies have shown that pregnant patients with this condition have significantly higher levels of depression, anxiety, and nausea. This is a result that justifies clinical concerns.

“It’s a red flag that the patient may not be receiving the treatment they need,” says Lugo-Candelas.

The legalization of cannabis may have reduced the risk of risk during pregnancy. Some pregnant patients use cannabis instead of prescribed medications and consider it a safer choice. Neither the American Academy of Pediatrics (AAP) nor the American College of Obstetricians and Gynecologists (ACOG) recommend the use of cannabis during pregnancy, primarily because of known and unknown fetal effects. Concerns about maternal effects focus on the risks of smoking and e-cigarettes, not mental health.

The study identified 249,084 inpatient pregnant patients with cannabis use disorders and classified them into three subgroups. Persons with impaired use of cannabis and other substances (including at least one regulated substance). People with cannabis use disorders and other substances that are not related to regulated substances (alcohol, tobacco). Data from inpatient pregnant patients without substance use disorders were analyzed for comparison.

People with cannabis were young (15-24 years old), black, non-Hispanic, and more likely to be covered by Medicaid rather than private insurance.

Patient records were analyzed for a broader category of depression, anxiety, trauma, ADHD, and mood-related disorders. The medical conditions measured included chronic pain, epilepsy, multiple sclerosis, nausea, and vomiting.

All disability subgroups had an increased proportion of almost all factors studied. Patients with cannabis use disorders only showed three times higher levels of depression and anxiety than those without conditions. Mood-related disorders affected 58% of patients with cannabis disorders, but only 5% of patients without substance use disorders.

“The least use of other substances you have, the more different the use of cannabis makes a difference,” said Lugo Candelas. “It’s really impressive.”

Nausea was high even when hospitalized due to cannabis use disorder. It is unclear whether it is due to patients using cannabis to relieve nausea, the use of cannabis that can cause vomiting syndrome, or the symptoms of pregnancy. Angélica Meinhofer, Ph.D., assistant professor of artificial health science at Weill Cornell Medicine, co-author of the study. Said that many states allow medical use of cannabis for nausea and vomiting.

Screening for cannabis use during pregnancy may help, but the state’s mandatory reporting requirements can discourage some clinicians from asking about their use. Better patient education can reduce problems and treat patients faster, especially for patients identified with co-occurring cannabis addiction and psychiatric disorders.

“Hopefully, these findings will motivate better conversations between pregnant patients and their healthcare providers,” Meinhofer said.

The authors emphasize that they are not in favor of or against cannabis use during pregnancy. Frequent use is associated with low birth weight and other adverse consequences, but little is known about the prenatal effects of disorders.Their study is instead of disability and its psychiatric and Medical condition..

Increased cannabis usage Pregnant Patients have indicated that such an investigation is needed now. “This is a population that shows a very very high level of distress,” said Lugo-Candelas. “You need to be careful and careful.”


Studies show that medical cannabis products can help depression and improve quality of life


For more information:
Angélica Meinhoferetal, Association of Coexisting Behavioral and Medical Conditions with Disorders of Cannabis Use During Pregnancy, JAMA Psychiatry (2021). DOI: 10.1001 / jamapsychiatry.2021.3193

Quote: Significantly increased cannabis use disorders during pregnancy (November 3, 2021) from https: //medicalxpress.com/news/2021-11-cannabis-disorder-significantly-pregnancy.html November 3, 2021 Obtained on the day

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Cannabis use disorders that increase significantly during pregnancy

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