Evidence map›Paper›PMID 27316326›Full record

ArticlePatient education and counseling2016

"Anything above marijuana takes priority": Obstetric providers' attitudes and counseling strategies regarding perinatal marijuana use.

Cynthia L Holland, Michelle Abena Nkumsah, Penelope Morrison, Jill A Tarr, Doris Rubio, Keri L Rodriguez, Kevin L Kraemer, Nancy Day, Robert M Arnold, Judy C Chang

Open access · greenAbstract read
In one paragraph

Article in Patient education and counseling, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 42 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
42citing papers in PubMed, 1 pooled it
15.0field-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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

42 citing papers in PubMed, 1 synthesis or guideline pooled it, 92 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. Cannabis and Pregnancy.Current psychiatry reports · 2024
    Review
  9. Article
  10. Article
  11. Article
  12. Article
  13. Review
  14. Observational
  15. Cannabis and Pregnancy: A Review.Obstetrical & gynecological survey · 2023
    Review
  16. Article
  17. Article
  18. Review
  19. Marijuana use and sleep quality during pregnancy.The journal of maternal-fetal & neonatal medicine : the official journal of the European Association of Perinatal Medicine, the Federation of Asia and Oceania Perinatal Societies, the International Society of Perinatal Obstetricians · 2022
    Article
  20. Article
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

10 authors at 3 institutions in 2 countries.

Cynthia L HollandMagee Womens Research Institute Department of Obstetrics, Gynecology and Reproductive Sciences, 300 Halket Street, Pittsburgh, PA 15213, USA.
Michelle Abena NkumsahMagee Womens Research Institute Department of Obstetrics, Gynecology and Reproductive Sciences, 300 Halket Street, Pittsburgh, PA 15213, USA; University of Pittsburgh Dietrich School of Arts and Sciences, 139 University Pl, Pittsburgh PA 15260, USA.
Penelope MorrisonMagee Womens Research Institute Department of Obstetrics, Gynecology and Reproductive Sciences, 300 Halket Street, Pittsburgh, PA 15213, USA.
Jill A TarrMagee Womens Research Institute Department of Obstetrics, Gynecology and Reproductive Sciences, 300 Halket Street, Pittsburgh, PA 15213, USA.
Doris RubioDivision of General Internal Medicine, Department of Medicine, UPMC Presbyterian Hospital Suite W933, Pittsburgh PA 15213, USA; Center for Research in Health Care University of Pittsburgh, 230 McKee Place, Suite 600, Pittsburgh PA 15213, USA; Clinical and Translational Science Institute University of Pittsburgh, 200 Meyran Ave, Pittsburgh PA 15213, USA.
Keri L RodriguezDivision of General Internal Medicine, Department of Medicine, UPMC Presbyterian Hospital Suite W933, Pittsburgh PA 15213, USA; Center for Health Equity Research & Promotion (CHERP) Veterans Affairs Pittsburgh Healthcare System University Drive 151C, Pittsburgh PA 15240, USA.
Kevin L KraemerDivision of General Internal Medicine, Department of Medicine, UPMC Presbyterian Hospital Suite W933, Pittsburgh PA 15213, USA; Center for Research in Health Care University of Pittsburgh, 230 McKee Place, Suite 600, Pittsburgh PA 15213, USA; Clinical and Translational Science Institute University of Pittsburgh, 200 Meyran Ave, Pittsburgh PA 15213, USA.
Nancy DayDepartment of Psychiatry, University of Pittsburgh, 3800 O'Hara Street, Pittsburgh PA 15213, USA.
Robert M ArnoldDivision of General Internal Medicine, Department of Medicine, UPMC Presbyterian Hospital Suite W933, Pittsburgh PA 15213, USA; Center for Research in Health Care University of Pittsburgh, 230 McKee Place, Suite 600, Pittsburgh PA 15213, USA; Section of Palliative Care and Medical Ethics, Institute to Enhance Palliative Care; Institute for Doctor-Patient Communication UPMC Montefiore 932W, 200 Lothrop St. Pittsburgh PA, 15213, USA.
Judy C ChangMagee Womens Research Institute Department of Obstetrics, Gynecology and Reproductive Sciences, 300 Halket Street, Pittsburgh, PA 15213, USA; Division of General Internal Medicine, Department of Medicine, UPMC Presbyterian Hospital Suite W933, Pittsburgh PA 15213, USA; Center for Research in Health Care University of Pittsburgh, 230 McKee Place, Suite 600, Pittsburgh PA 15213, USA. Electronic address: chanjc@mail.magee.edu.
University of Pittsburgh · USMagee-Womens Research Institute · USPresbyterian Hospital · US

Funding

University of Pittsburgh Clinical and Translational Science InstituteUL1TR000005 · NCATS · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI REIS, STEVEN E · 2012 to 2015
$50.8M
Communication on Illicit Drug and/or Alcohol Use in ObstetricsR01DA026410 · NIDA · MAGEE-WOMEN'S RES INST AND FOUNDATION · PI CHANG, JUDY C · 2010 to 2014
$2.1M
NCATS NIH HHS UL1 TR000005NIDA NIH HHS R01 DA026410
6 · The paper itself

Abstract

objectiveTo describe obstetric provider attitudes, beliefs, approaches, concerns, and needs about addressing perinatal marijuana use with their pregnant patients.

methodsWe conducted individual semi-structured interviews with obstetric providers and asked them to describe their thoughts and experiences about addressing perinatal marijuana use. Interviews were transcribed verbatim, coded and reviewed to identify themes.

resultsFifty-one providers participated in semi-structured interviews. Providers admitted they were not familiar with identified risks of marijuana use during pregnancy, they perceived marijuana was not as dangerous as other illicit drugs, and they believed patients did not view marijuana as a drug. Most provider counseling strategies focused on marijuana's status as an illegal drug and the risk of child protective services being contacted if patients tested positive at time of delivery.

conclusionsWhen counseling about perinatal marijuana use, obstetric providers focus more on legal issues than on health risks. They describe needing more information regarding medical consequences of marijuana use during pregnancy. PRACTICE IMPLICATIONS: Provider training should include information about potential consequences of perinatal marijuana use and address ways to improve obstetric providers' counseling. Future studies should assess changes in providers' attitudes as more states consider the legalization of marijuana.

Indexed as

Attitude of Health PersonnelCommunicationObstetricsAdultCannabisCounselingFemaleFocus GroupsHealth PersonnelHumansInterviews as TopicMiddle AgedPregnancyQualitative ResearchMarijuanaPatient-provider communicationPregnancySubstance use

Identifiers

PMID27316326
PMCPMC5007170
OpenAlexW2409754343

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

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.