Rebecca J Baer1,2, Christina D Chambers3, Kelli K Ryckman4, Scott P Oltman5,6, Larry Rand5,7, Laura L Jelliffe-Pawlowski5,6. 1. Department of Pediatrics, University of California San Diego, La Jolla, CA, USA. rjbaer@ucsd.edu. 2. California Preterm Birth Initiative, University of California San Francisco, San Francisco, CA, USA. rjbaer@ucsd.edu. 3. Department of Pediatrics, University of California San Diego, La Jolla, CA, USA. 4. Departments of Epidemiology and Pediatrics, University of Iowa, Iowa City, IA, USA. 5. California Preterm Birth Initiative, University of California San Francisco, San Francisco, CA, USA. 6. Department of Epidemiology and Biostatistics, University of California San Francisco, San Francisco, CA, USA. 7. Department of Obstetrics, Gynecology and Reproductive Sciences, University of California, San Francisco, San Francisco, CA, USA.
Abstract
OBJECTIVE: Examine the risk of preterm birth (PTB, < 37 weeks) and early term birth (37-38 weeks) for women with reported drug abuse/dependence. STUDY DESIGN: The population was drawn from singleton livebirths in California from 2007 to 2012. Drug abuse/dependence was determined from maternal diagnostic codes (opioid, cocaine, cannabis, amphetamine, other, or polysubstance). Relative risks, adjusted for maternal factors were calculated for PTB and early term birth. RESULT: Of the 2,890,555 women in the sample, 1.7% (n = 48,133) had a diagnostic code for drug abuse/dependence. The percentage of PTBs varied from 11.6% (cannabis) to 24.3% (cocaine), compared with 6.7% of women without reported drug abuse/dependence. CONCLUSION: Women with reported drug abuse/dependence during pregnancy were at increased risk of having a PTB and all but those using cannabis were at risk of having an early term birth. Women using cocaine and polysubstance were at the highest risk of birth < 32 weeks.
OBJECTIVE: Examine the risk of preterm birth (PTB, < 37 weeks) and early term birth (37-38 weeks) for women with reported drug abuse/dependence. STUDY DESIGN: The population was drawn from singleton livebirths in California from 2007 to 2012. Drug abuse/dependence was determined from maternal diagnostic codes (opioid, cocaine, cannabis, amphetamine, other, or polysubstance). Relative risks, adjusted for maternal factors were calculated for PTB and early term birth. RESULT: Of the 2,890,555 women in the sample, 1.7% (n = 48,133) had a diagnostic code for drug abuse/dependence. The percentage of PTBs varied from 11.6% (cannabis) to 24.3% (cocaine), compared with 6.7% of women without reported drug abuse/dependence. CONCLUSION: Women with reported drug abuse/dependence during pregnancy were at increased risk of having a PTB and all but those using cannabis were at risk of having an early term birth. Women using cocaine and polysubstance were at the highest risk of birth < 32 weeks.
Authors: Marian P Jarlenski; Elizabeth E Krans; Joo Yeon Kim; Julie M Donohue; A Everette James; David Kelley; Bradley D Stein; Debra L Bogen Journal: Health Aff (Millwood) Date: 2020-02 Impact factor: 6.301
Authors: Sonia T Anand; Elizabeth A Chrischilles; Rebecca J Baer; Mary E Charlton; Patrick J Breheny; William W Terry; Monica R McLemore; Deborah A Karasek; Laura L Jelliffe-Pawlowski; Kelli K Ryckman Journal: J Matern Fetal Neonatal Med Date: 2021-04-08
Authors: Kriti D Gandhi; Kathryn M Schak; Jennifer L Vande; Julia Shekunov; Brian A Lynch; Teresa A Rummans; Jennifer R Geske; Eric R Pease; Mara G Limbeck; Jinal Desai; Paul E Croarkin; Magdalena Romanowicz Journal: Prim Care Companion CNS Disord Date: 2021-06-10