TY - JOUR
T1 - Risk of preterm and early term birth by maternal drug use
AU - Baer, Rebecca J.
AU - Chambers, Christina D.
AU - Ryckman, Kelli K.
AU - Oltman, Scott P.
AU - Rand, Larry
AU - Jelliffe-Pawlowski, Laura L.
N1 - Publisher Copyright:
© 2018, Springer Nature America, Inc.
PY - 2019/2/1
Y1 - 2019/2/1
N2 - 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.
AB - 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.
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U2 - 10.1038/s41372-018-0299-0
DO - 10.1038/s41372-018-0299-0
M3 - Article
C2 - 30573752
AN - SCOPUS:85058943742
SN - 0743-8346
VL - 39
SP - 286
EP - 294
JO - Journal of Perinatology
JF - Journal of Perinatology
IS - 2
ER -