Exposure to marijuana during pregnancy alters neurobehavior in the early neonatal period

To assess the neurobehavior of full-term neonates of adolescent mothers exposed to marijuana during pregnancy. This prospective cross-sectional study included full-term infants within 24 to 72 hours of life born to adolescent mothers at a single center in Brazil. Data on sociodemographic and obstetr...

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Veröffentlicht in:The Journal of pediatrics 2006-12, Vol.149 (6), p.781-787
Hauptverfasser: de Moraes Barros, Marina Carvalho, Guinsburg, Ruth, de Araújo Peres, Clovis, Mitsuhiro, Sandro, Chalem, Elisa, Laranjeira, Ronaldo Ramos
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container_end_page 787
container_issue 6
container_start_page 781
container_title The Journal of pediatrics
container_volume 149
creator de Moraes Barros, Marina Carvalho
Guinsburg, Ruth
de Araújo Peres, Clovis
Mitsuhiro, Sandro
Chalem, Elisa
Laranjeira, Ronaldo Ramos
description To assess the neurobehavior of full-term neonates of adolescent mothers exposed to marijuana during pregnancy. This prospective cross-sectional study included full-term infants within 24 to 72 hours of life born to adolescent mothers at a single center in Brazil. Data on sociodemographic and obstetrical and neonatal characteristics were collected. The mothers underwent the Composite International Diagnostic Interview, and the infants were assessed with the Neonatal Intensive Care Unit Network Neurobehavioral Scale (NNNS). Maternal hair and neonatal meconium were analyzed. Neonates exposed in utero to tobacco, alcohol, cocaine, and/or any other drugs except marijuana were excluded. Of 3685 infants born in the study hospital, 928 (25%) were born to adolescent mothers. Of these, 561 infants met the inclusion criteria and were studied. Marijuana exposure was detected in 26 infants (4.6%). Infants exposed (E) or not exposed (NE) to marijuana differed in the following NNNS variables: arousal (E, 4.05 ± 1.19 vs NE, 3.68 ± 0.70), regulation (E, 5.75 ± 0.62 vs NE, 6.04 ± 0.72), and excitability (E, 3.27 ± 1.40 vs NE, 2.40 ± 1.57). After controlling for confounding variables, the effect of marijuana exposure on these scores remained significant. Marijuana exposure during pregnancy alters the neurobehavioral performance of term newborn infants of adolescent mothers.
doi_str_mv 10.1016/j.jpeds.2006.08.046
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Infants exposed (E) or not exposed (NE) to marijuana differed in the following NNNS variables: arousal (E, 4.05 ± 1.19 vs NE, 3.68 ± 0.70), regulation (E, 5.75 ± 0.62 vs NE, 6.04 ± 0.72), and excitability (E, 3.27 ± 1.40 vs NE, 2.40 ± 1.57). After controlling for confounding variables, the effect of marijuana exposure on these scores remained significant. 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subjects Adolescent
Biological and medical sciences
Cross-Sectional Studies
Female
General aspects
Humans
Infant Behavior - drug effects
Infant, Newborn
Male
Marijuana Smoking - adverse effects
Medical sciences
Nervous System - drug effects
Nervous System - physiopathology
Pregnancy
Prospective Studies
title Exposure to marijuana during pregnancy alters neurobehavior in the early neonatal period
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