Evidence map›Paper›PMID 38789069›Full record

ArticleAmerican journal of obstetrics and gynecology2024

Prenatal methamphetamine use increases risk of adverse maternal and neonatal outcomes.

Sarena Hayer, Bharti Garg, Jessica Wallace, Kristin C Prewitt, Jamie O Lo, Aaron B Caughey

Abstract read
In one paragraph

Article in American journal of obstetrics and gynecology, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
–field-weighted citation impact
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

6 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. Article
  5. Sublethal Concentrations of 2C-I and 25I-NBOMe Designer Drugs ImpactInternational journal of molecular sciences · 2025
    Article
  6. Methamphetamine use in pregnancy: avenues for future research.American journal of obstetrics and gynecology · 2025
    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

6 authors.

Sarena HayerDepartment of Obstetrics and Gynecology, Oregon Health & Science University, Portland, OR. Electronic address: hayer@ohsu.edu.
Bharti GargDepartment of Obstetrics and Gynecology, Oregon Health & Science University, Portland, OR.
Jessica WallaceDepartment of Family Medicine, University of Colorado, Denver, CO.
Kristin C PrewittDepartment of Obstetrics and Gynecology, Oregon Health & Science University, Portland, OR; Division of Maternal-Fetal Medicine, Department of Obstetrics and Gynecology, Oregon Health & Science University, Portland, OR; Department of Internal Medicine, Addiction Medicine Section, Oregon Health & Science University, Portland, OR.
Jamie O LoDepartment of Obstetrics and Gynecology, Oregon Health & Science University, Portland, OR; Division of Maternal-Fetal Medicine, Department of Obstetrics and Gynecology, Oregon Health & Science University, Portland, OR; Division of Reproductive and Developmental Sciences, Oregon National Primate Research Center, Oregon Health & Science University, Beaverton, OR.
Aaron B CaugheyDepartment of Obstetrics and Gynecology, Oregon Health & Science University, Portland, OR; Division of Maternal-Fetal Medicine, Department of Obstetrics and Gynecology, Oregon Health & Science University, Portland, OR.

Funding

Impact of maternal marijuana use on epigenetic regulation of offspring neurodevelopmentDP1DA056493 · NIDA · OREGON HEALTH & SCIENCE UNIVERSITY · PI Jamie Lo · 2022 to 2026
$2.6M
High Performance Computing and Machine Learning Infrastructure for Oregon Life SciencesS10OD034224 · OD · OREGON HEALTH & SCIENCE UNIVERSITY · PI ELLROTT, KYLE · 2023 to 2023
$2.0M
NIDA NIH HHS DP1 DA056493NIH HHS S10 OD034224
6 · The paper itself

Abstract

backgroundAlthough methamphetamine use has been increasing in recent years and occurring within new populations and in broader geographical areas, there is limited research on its use and effect in pregnancy.

objectiveThis study aimed to examine the association between prenatal methamphetamine use and maternal and neonatal outcomes in a large, contemporary birth cohort. STUDY

designThis was a retrospective cohort study using California-linked vital statistics and hospital discharge data from 2008 to 2019. Methamphetamine use was identified using the International Classification of Disease, Ninth Revision and Tenth Revision, codes. Chi-square tests and multivariable Poisson regression models were used to evaluate the associations between methamphetamine use and maternal and neonatal outcomes.

resultsA total of 4,775,463 pregnancies met the inclusion criteria, of which 18,473 (0.39%) had methamphetamine use. Compared with individuals without methamphetamine use, individuals with methamphetamine use had an increased risk of nonsevere hypertensive disorders (adjusted risk ratio, 1.81; 95% confidence interval, 1.71-1.90), preeclampsia with severe features (adjusted risk ratio, 3.38; 95% confidence interval, 3.14-3.63), placental abruption (adjusted risk ratio, 3.77; 95% confidence interval, 3.51-4.05), cardiovascular morbidity (adjusted risk ratio, 4.30; 95% confidence interval, 3.79-4.88), and severe maternal morbidity (adjusted risk ratio, 3.53; 95% confidence interval, 3.29-3.77). In addition, adverse neonatal outcomes were increased, including preterm birth at <37 weeks of gestation (adjusted risk ratio, 2.85; 95% confidence interval, 2.77-2.94), neonatal intensive care unit admission (adjusted risk ratio, 2.46; 95% confidence interval, 2.39-2.53), and infant death (adjusted risk ratio, 2.73; 95% confidence interval, 2.35-3.16).

conclusionMethamphetamine use in pregnancy is associated with an increased risk of adverse maternal and neonatal outcomes that persists after adjustment for confounding variables and sociodemographic factors. Our results can inform prenatal and postpartum care for this high-risk, socioeconomically vulnerable population.

Indexed as

Amphetamine-Related DisordersMethamphetamineAbruptio PlacentaeAdultCaliforniaCohort StudiesFemaleHumansInfant, NewbornPre-EclampsiaPregnancyPregnancy ComplicationsPregnancy OutcomePremature BirthPrenatal Exposure Delayed EffectsRetrospective StudiesMethamphetaminematernal drug usemethamphetamineprenatal exposureprenatal substance usestimulants

Identifiers

PMID38789069
PMCPMC11344678

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.