Evidence map›Paper›PMID 32971561›Full record

ArticleAmerican journal of perinatology2022

Maternal Marijuana Exposure, Feto-Placental Weight Ratio, and Placental Histology.

Torri D Metz, Amanda A Allshouse, Halit Pinar, Michael Varner, Marcela C Smid, Carol Hogue, Donald J Dudley, Radek Bukowski, George R Saade, Robert L Goldenberg and 2 more

Open access · greenAbstract readMulticenter Study
In one paragraph

Article in American journal of perinatology, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact, top 89% 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

2 citing papers in PubMed, 2 citations in OpenAlex.

  1. Review
  2. Review
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

12 authors at 8 institutions in 1 country.

Torri D MetzUniversity of Utah Health, Salt Lake City, Utah.
Amanda A AllshouseUniversity of Utah Health, Salt Lake City, Utah.
Halit PinarBrown University, Providence, Rhode Island.
Michael VarnerUniversity of Utah Health, Salt Lake City, Utah.
Marcela C SmidUniversity of Utah Health, Salt Lake City, Utah.ORCID 0000-0003-3010-0662
Carol HogueEmory University, Atlanta, Georgia.
Donald J DudleyUniversity of Virginia School of Medicine, Charlottesville, Virginia.
Radek BukowskiUniversity of Texas at Austin, Dell Medical School, Austin, Texas.
George R SaadeUniversity of Texas Medical Branch, Galveston, Texas.
Robert L GoldenbergColumbia University, New York City, New York.
Uma ReddyYale University, New Haven, Connecticut.
Robert M SilverUniversity of Utah Health, Salt Lake City, Utah.
University of Utah · USBrown University · USColumbia University · USEmory University · USThe University of Texas at Austin · USThe University of Texas Medical Branch at Galveston · USUniversity of Virginia · USYale University · US

Funding

COLORADO WRHR CAREER DEVELOPMENT CENTERK12HD001271 · NICHD · UNIVERSITY OF COLORADO DENVER · PI Saketh R Guntupalli · 1999 to 2026
$8.9M
Utah Women's Reproductive Health Research Career Development ProgramK12HD085816 · NICHD · UNIVERSITY OF UTAH · PI SILVER, ROBERT M. · 2015 to 2024
$3.2M
NICHD NIH HHS K12 HD001271NICHD NIH HHS K12 HD085816
6 · The paper itself

Abstract

objectiveMarijuana use is associated with placenta-mediated adverse pregnancy outcomes including fetal growth restriction, but the mechanism remains uncertain. The objective was to evaluate the association between maternal marijuana use and the feto-placental weight ratio (FPR). Secondarily, we aimed to compare placental histology of women who used marijuana to those who did not. STUDY

designThis was a secondary analysis of singleton pregnancies enrolled in a multicenter and case-control stillbirth study. Prior marijuana use was detected by electronic medical record abstraction or cord homogenate positive for 11-nor-delta-9-tetrahydrocannabinol-9-carboxylic acid. Prior tobacco use was detected by self-report or presence of maternal serum cotinine. Stillbirths and live births were considered separately. The primary outcome was FPR. Association of marijuana use with FPR was estimated with multivariable linear modeling adjusted for fetal sex, preterm birth, and tobacco use. Comparisons between groups for placental histology were made using Chi-square and stratified by live birth and stillbirth, term and preterm deliveries, and fetal sex.

resultsOf 1,027 participants, 224 were stillbirths and 803 were live births. Overall, 41 (4%) women used marijuana during the pregnancy. The FPR ratio was lower among exposed offspring but reached statistical significance only for term stillbirths (mean 6.84 with marijuana use vs. mean 7.8 without use,

conclusionExposure to marijuana may not be associated with FPR. Similarly, there were no placental histologic features associated with marijuana exposure. Further study of the influence of maternal marijuana use on placental development and function is warranted to better understand the association between prenatal marijuana use and poor fetal growth. KEY POINTS: · Maternal marijuana exposure was not associated with the feto-placental weight ratio.. · Marijuana exposure was not associated with differences in placental histology.. · Concerning trend toward lower feto-placental weight ratios among marijuana-exposed stillbirths..

Indexed as

CannabisPremature BirthFemaleFetal Growth RetardationHumansInfant, NewbornMalePlacentaPlacentationPregnancyStillbirth

Identifiers

PMID32971561
PMCPMC10506868
OpenAlexW3089052995

What OpenQuestion holds

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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.