PMID- 37681826 OWN - NLM STAT- MEDLINE DCOM- 20230911 LR - 20230912 IS - 1660-4601 (Electronic) IS - 1661-7827 (Print) IS - 1660-4601 (Linking) VI - 20 IP - 17 DP - 2023 Aug 30 TI - Maternal, Fetal and Neonatal Outcomes Related to Recreational Cannabis Use during Pregnancy: Analysis of a Real-World Clinical Data Warehouse between 2010 and 2019. LID - 10.3390/ijerph20176686 [doi] LID - 6686 AB - BACKGROUND: Cannabis is the main illicit psychoactive substance used in French childbearing women and very few data are available about adverse events (AEs) related to its use during pregnancy. The aim of this study was to evaluate the association between recreational cannabis use during pregnancy and adverse outcomes from a real-world clinical data warehouse. METHODS: Data from the Poitiers University Hospital warehouse were analyzed between 1 January 2010 and 31 December 2019. Logistic regression models were used to evaluate associations between outcomes in three prenatal user groups: cannabis alone +/- tobacco (C +/- T) (n = 123), tobacco alone (T) (n = 191) and controls (CTRL) (n = 355). RESULTS: Pregnant women in the C +/- T group were younger (mean age: 25.5 +/- 5.7 years), had lower pre-pregnancy body mass index (22.8 +/- 5.5 kg/m(2)), more psychiatric history (17.5%) and were more likely to benefit from universal free health-care coverage (18.2%) than those in the T and CTRL groups. Cannabis use increases the occurrence of voluntary interruption of pregnancy, at least one AE during pregnancy, at least one neonatal AE, the composite adverse pregnancy outcome over 28, prematurity and small for gestational age. CONCLUSION: Given the trivialization of recreational cannabis use during pregnancy, there is an urgent need to communicate on AEs of cannabis use during pregnancy. FAU - Bouquet, Emilie AU - Bouquet E AD - Addictovigilance Center, Department of Clinical Pharmacology, Poitiers University Hospital, 86000 Poitiers, France. AD - French National Institute of Health and Medical Research (INSERM) U1084, Experimental and Clinical Neurosciences Laboratory, University of Poitiers, CEDEX 9, 86073 Poitiers, France. AD - Clinical Investigation Center CIC1402, INSERM, Poitiers University Hospital, University of Poitiers, 86000 Poitiers, France. FAU - Blouin, Pascal AU - Blouin P AD - Department of Clinical Research and Innovation, Poitiers University Hospital, 86000 Poitiers, France. FAU - Perault-Pochat, Marie-Christine AU - Perault-Pochat MC AD - Addictovigilance Center, Department of Clinical Pharmacology, Poitiers University Hospital, 86000 Poitiers, France. AD - French National Institute of Health and Medical Research (INSERM) U1084, Experimental and Clinical Neurosciences Laboratory, University of Poitiers, CEDEX 9, 86073 Poitiers, France. AD - Clinical Investigation Center CIC1402, INSERM, Poitiers University Hospital, University of Poitiers, 86000 Poitiers, France. FAU - Carlier-Guerin, Caroline AU - Carlier-Guerin C AD - Department of Obstetrics and Gynecology, Poitiers University Hospital, 86000 Poitiers, France. FAU - Millot, Frederic AU - Millot F AD - Department of Pediatrics, Poitiers University Hospital, 86000 Poitiers, France. FAU - Ricco, Jean-Baptiste AU - Ricco JB AUID- ORCID: 0000-0003-1912-900X AD - Department of Clinical Research and Innovation, Poitiers University Hospital, 86000 Poitiers, France. FAU - De Keizer, Joe AU - De Keizer J AUID- ORCID: 0000-0003-0821-4540 AD - Clinical Investigation Center CIC1402, INSERM, Poitiers University Hospital, University of Poitiers, 86000 Poitiers, France. FAU - Pain, Stephanie AU - Pain S AUID- ORCID: 0000-0002-7499-0401 AD - Addictovigilance Center, Department of Clinical Pharmacology, Poitiers University Hospital, 86000 Poitiers, France. AD - French National Institute of Health and Medical Research (INSERM) U1084, Experimental and Clinical Neurosciences Laboratory, University of Poitiers, CEDEX 9, 86073 Poitiers, France. FAU - Guetarni, Farid AU - Guetarni F AD - Department of Clinical Research and Innovation, Poitiers University Hospital, 86000 Poitiers, France. LA - eng PT - Journal Article DEP - 20230830 PL - Switzerland TA - Int J Environ Res Public Health JT - International journal of environmental research and public health JID - 101238455 RN - 0 (Hallucinogens) SB - IM MH - Infant, Newborn MH - Female MH - Humans MH - Pregnancy MH - Young Adult MH - Adult MH - *Cannabis/adverse effects MH - Data Warehousing MH - *Hallucinogens MH - Body Mass Index MH - Health Facilities PMC - PMC10487904 OTO - NOTNLM OT - adverse events OT - perinatal OT - pregnancy OT - recreational cannabis COIS- The authors declare no conflict of interest. EDAT- 2023/09/08 12:43 MHDA- 2023/09/11 06:43 PMCR- 2023/08/30 CRDT- 2023/09/08 08:54 PHST- 2023/06/30 00:00 [received] PHST- 2023/08/28 00:00 [revised] PHST- 2023/08/29 00:00 [accepted] PHST- 2023/09/11 06:43 [medline] PHST- 2023/09/08 12:43 [pubmed] PHST- 2023/09/08 08:54 [entrez] PHST- 2023/08/30 00:00 [pmc-release] AID - ijerph20176686 [pii] AID - ijerph-20-06686 [pii] AID - 10.3390/ijerph20176686 [doi] PST - epublish SO - Int J Environ Res Public Health. 2023 Aug 30;20(17):6686. doi: 10.3390/ijerph20176686.