Evidence map›Paper›PMID 27048634›Full record

SynthesisBMJ open2016

Prenatal exposure to cannabis and maternal and child health outcomes: a systematic review and meta-analysis.

J K L Gunn, C B Rosales, K E Center, A Nuñez, S J Gibson, C Christ, J E Ehiri

Registry-linked trialOpen access · goldAbstract readMeta-AnalysisSystematic Review
In one paragraph

Synthesis in BMJ open, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04422600 (Fetal Exposure to Cannabinoids), which is not on this map. Cited by 277 papers, 10 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
277citing papers in PubMed, 10 pooled it
94.2field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT04422600 completednot on this mapstarted 2020, after this paper: background citation

Fetal Exposure to Cannabinoids: Exposure, Methylation and Neurodevelopmental Effects

Typeobservational_patient_registrySponsorUniversity of ArkansasRan2020 to 2023Enrolled72ConditionsFetal Exposure Timing UnspecifiedArmsThere is no other intervention, only clinical treatment.
3 · Its place in the literature

Who cites it

277 citing papers in PubMed, 10 syntheses or guidelines pooled it, 580 citations in OpenAlex.

  1. Pooled it
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  9. Preconception lifestyle advice for people with infertility.The Cochrane database of systematic reviews · 2021
    Pooled it
  10. Perceptions about cannabis use during pregnancy: a rapid best-framework qualitative synthesis.Canadian journal of public health = Revue canadienne de sante publique · 2021
    Pooled it
  11. Trial
  12. Article
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  15. Review
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  18. Observational
  19. Prenatal Cannabis and Tobacco: Studies in Animal Models.Advances in experimental medicine and biology · 2026
    Review
  20. Article

217 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 2 institutions in 1 country.

J K L GunnDepartment of Epidemiology and Biostatistics, Mel and Enid Zuckerman College of Public Health, University of Arizona, Tucson, Arizona, USA.
C B RosalesMel and Enid Zuckerman College of Public Health, University of Arizona, Phoenix, Arizona, USA.
K E CenterDepartment of Obstetrics and Gynecology, University of Arizona, Tucson, Arizona, USA.
A NuñezArizona Health Sciences Library, Mel and Enid Zuckerman College of Public Health, University of Arizona, Tucson, Arizona, USA.
S J GibsonDepartment of Health Promotion Sciences, Mel and Enid Zuckerman College of Public Health, University of Arizona, Tucson, Arizona, USA.
C ChristArizona Department of Health Services, Phoenix, Arizona, USA.
J E EhiriDepartment of Health Promotion Sciences, Mel and Enid Zuckerman College of Public Health, University of Arizona, Tucson, Arizona, USA.
University of Arizona · USArizona Department of Health Services · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo assess the effects of use of cannabis during pregnancy on maternal and fetal outcomes. DATA SOURCES: 7 electronic databases were searched from inception to 1 April 2014. Studies that investigated the effects of use of cannabis during pregnancy on maternal and fetal outcomes were included. STUDY SELECTION: Case-control studies, cross-sectional and cohort studies were included. DATA EXTRACTION AND SYNTHESIS: Data synthesis was undertaken via systematic review and meta-analysis of available evidence. All review stages were conducted independently by 2 reviewers. MAIN OUTCOMES AND MEASURES: Maternal, fetal and neonatal outcomes up to 6 weeks postpartum after exposure to cannabis. Meta-analyses were conducted on variables that had 3 or more studies that measured an outcome in a consistent manner. Outcomes for which meta-analyses were conducted included: anaemia, birth weight, low birth weight, neonatal length, placement in the neonatal intensive care unit, gestational age, head circumference and preterm birth.

results24 studies were included in the review. Results of the meta-analysis demonstrated that women who used cannabis during pregnancy had an increase in the odds of anaemia (pooled OR (pOR)=1.36: 95% CI 1.10 to 1.69) compared with women who did not use cannabis during pregnancy. Infants exposed to cannabis in utero had a decrease in birth weight (low birth weight pOR=1.77: 95% CI 1.04 to 3.01; pooled mean difference (pMD) for birth weight=109.42 g: 38.72 to 180.12) compared with infants whose mothers did not use cannabis during pregnancy. Infants exposed to cannabis in utero were also more likely to need placement in the neonatal intensive care unit compared with infants whose mothers did not use cannabis during pregnancy (pOR=2.02: 1.27 to 3.21). CONCLUSIONS AND RELEVANCE: Use of cannabis during pregnancy may increase adverse outcomes for women and their neonates. As use of cannabis gains social acceptance, pregnant women and their medical providers could benefit from health education on potential adverse effects of use of cannabis during pregnancy.

Indexed as

Infant, Low Birth WeightPremature BirthAnemiaBirth WeightCannabisChild HealthFemaleGestational AgeHumansInfant, NewbornIntensive Care Units, NeonatalMarijuana SmokingPregnancyPrenatal Exposure Delayed EffectsPREVENTIVE MEDICINEPUBLIC HEALTH

Identifiers

PMID27048634
PMCPMC4823436
OpenAlexW2321418009

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.