Evidence map›Paper›PMID 27832443›Full record

ArticleMaternal and child health journal2017

The Prevalence and Impact of Substance Use Disorder and Treatment on Maternal Obstetric Experiences and Birth Outcomes Among Singleton Deliveries in Massachusetts.

Milton Kotelchuck, Erika R Cheng, Candice Belanoff, Howard J Cabral, Hermik Babakhanlou-Chase, Taletha M Derrington, Hafsatou Diop, Stephen R Evans, Judith Bernstein

Open access · greenAbstract read
In one paragraph

Article in Maternal and child health journal, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 35 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
35citing papers in PubMed, 1 pooled it
11.8field-weighted citation impact, top 2% 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

35 citing papers in PubMed, 1 synthesis or guideline pooled it, 87 citations in OpenAlex.

  1. Pooled it
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  9. Maternal mental disorders and neonatal outcomes: Danish population-based cohort study.The British journal of psychiatry : the journal of mental science · 2025
    Article
  10. Article
  11. Perinatal substance use disorder: Examining the impact on adverse pregnancy outcomes.European journal of obstetrics & gynecology and reproductive biology: X · 2024
    Article
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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

9 authors at 5 institutions in 1 country.

Milton KotelchuckCenter for Child and Adolescent Health Research and Policy, Massachusetts General Hospital for Children, Boston, MA, USA. mkotelchuck@mgh.harvard.edu.
Erika R ChengChildren's Health Services Research, Department of Pediatrics, Indiana University School of Medicine, Indianapolis, IN, USA.
Candice BelanoffDepartment of Community Health Sciences, Boston University School of Public Health, Boston, MA, USA.
Howard J CabralDepartment of Community Health Sciences, Boston University School of Public Health, Boston, MA, USA.
Hermik Babakhanlou-ChaseBureau of Substance Abuse Services, Massachusetts Department of Public Health, Boston, MA, USA.
Taletha M DerringtonCenter on Education and Human Services, Education Division, SRI International, Menlo ParkCA, USA.
Hafsatou DiopOffice of Data Translation, Bureau of Family Health and Nutrition, Massachusetts Department of Public Health, Boston, MA, USA.
Stephen R EvansDepartment of Community Health Sciences, Boston University School of Public Health, Boston, MA, USA.
Judith BernsteinDepartment of Community Health Sciences, Boston University School of Public Health, Boston, MA, USA.
Boston University · USMassachusetts Department of Public Health · USIndiana University School of MedicineMassachusetts General Hospital · USSRI International · US

Funding

Research Training in Prevention and Care of Chronic Illness in ChildhoodT32HD075727 · NICHD · BOSTON CHILDREN'S HOSPITAL · PI FINKELSTEIN, JONATHAN A · 2013 to 2017
$1.5M
Linking State Data to Identify Unmet Alcohol Treatment Need in Women aged 15-49R21AA018395 · NIAAA · BOSTON UNIVERSITY MEDICAL CAMPUS · PI BERNSTEIN, JUDITH APT, KOTELCHUCK, MILTON · 2010 to 2011
$440k
Linking State Data to Identify Unmet Need for Drug Treatment in Women Aged 15-49R21DA027181 · NIDA · BOSTON UNIVERSITY MEDICAL CAMPUS · PI BERNSTEIN, JUDITH APT, KOTELCHUCK, MILTON · 2010 to 2011
$420k
NIAAA NIH HHS R21 AA018395NICHD NIH HHS T32 HD075727NIDA NIH HHS R21 DA027181
6 · The paper itself

Abstract

Objectives Despite widely-known negative effects of substance use disorders (SUD) on women, children, and society, knowledge about population-based prevalence and impact of SUD and SUD treatment during the perinatal period is limited. Methods Population-based data from 375,851 singleton deliveries in Massachusetts 2003-2007 were drawn from a maternal-infant longitudinally-linked statewide dataset of vital statistics, hospital discharges (including emergency department (ED) visits), and SUD treatment records. Maternal SUD and SUD treatment were identified from 1-year pre-conception through delivery. We determined (1) the prevalence of SUD and SUD treatment; (2) the association of SUD with women's perinatal health service utilization, obstetric experiences, and birth outcomes; and (3) the association of SUD treatment with birth outcomes, using both bivariate and adjusted analyses. Results 5.5% of Massachusetts's deliveries between 2003 and 2007 occurred in mothers with SUD, but only 66% of them received SUD treatment pre-delivery. Women with SUD were poorer, less educated and had more health problems; utilized less prenatal care but more antenatal ED visits and hospitalizations, and had worse obstetric and birth outcomes. In adjusted analyses, SUD was associated with higher risk of prematurity (AOR 1.35, 95% CI 1.28-1.41) and low birth weight (LBW) (AOR 1.73, 95% CI 1.64-1.82). Women receiving SUD treatment had lower odds of prematurity (AOR 0.61, 95% CI 0.55-0.68) and LBW (AOR 0.54, 95% CI 0.49-0.61). Conclusions for Practice SUD treatment may improve perinatal outcomes among pregnant women with SUD, but many who need treatment don't receive it. Longitudinally-linked existing public health and programmatic records provide opportunities for states to monitor SUD identification and treatment.

Indexed as

AdultFemaleHumansInfant, Low Birth WeightInfant, NewbornInfant, Newborn, DiseasesLongitudinal StudiesMaleMassachusettsPerinatal CarePregnancyPregnancy ComplicationsPregnancy OutcomePrevalenceRisk FactorsSubstance-Related DisordersLinked health data systemsPerinatal health services utilizationPerinatal outcomesPregnancySubstance use disorderSUD treatment

Identifiers

PMID27832443
PMCPMC5380534
OpenAlexW2549571577

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.