Smoking, alcohol and marijuana consumption in a self-report by women who delivered their babies at the Pereira Rossell Hospital Center (May 2013- April 2014)

  • Mario Moraes Castro Universidad de la República. facultad de Medicina. Neonatología
  • María Victoria Duarte Universidad de la República. Facultad de Medicina. Estudiante
  • José Gabriel Barceló Universidad de la República. Facultad de Medicina. Estudiante
  • Paula Báez Universidad de la República. Facultad de Ciencias Sociales. Trabajo Social. Estudiante
  • Gabriel González Universidad de la República. Facultad de Medicina. Neuropediatría
  • Claudio Sosa Universidad de la República. Facultad de Medicina. Clínica Ginecotocológica C
Keywords: PREGNANCY, PREGNANT WOMEN, SUBSTANCE-RELATED DISORDERS

Abstract

Introduction: prevalence of drug use in women who get pregnant is likely to be similar to that of the general population, what may result in a high exposure of fetus during the first trimester, the most vulnerable stage with regards to neurodevelopment and organogenesis.
Objective: to learn about the prevalence of smoking, alcohol, marijuana and cocaine derivatives during pregnancy, according to a self report by women who delivered their babies at the Pereira Rossell Hospital Center.
Methods: we conducted a descriptive study,The data transversal and analytical during one year. The data were collected by means of a protocolized survey to women during the immediate puerperium and data was taken from the medical record.
Results: 319 women were surveyed. Most women were older than 18 years old (83.65%) with an average of 24.67 years old; pregnancy had not been planned in 182 cases (57%). 136 women declared to have smoked during pregnancy (42.63%), most of those who quit the habit did it in the first trimester. 76 women declared to have drunk alcohol during pregnancy (23.825), 5 (1.5%) reported marijuana consumption during pregnancy. Three women declared they had consumed cocaine and 3 to have consumed coca paste (0.94 and 0.94 respectively).
Conclusions: the substance that is more widely used during pregnancy is tobacco, followed by alcohol. A high percentage of unwanted pregnancies may determine a higher exposure to previous habit during the first trimester of pregnancy, when fetus are most vulnerable. 

References

(1) Blasco-Alonso M, González-Mesa E, Gálvez Montes M, Lozano Bravo I, Merino Galdón F, Cuenca Campos F, et al. Exposure to tobacco, alcohol and drugs of abuse during pregnancy. A study of prevalence among pregnant women in Malaga. (Spain). Adicciones 2015; 27(2):99-108.

(2) Uruguay. Junta Nacional de Drogas. Drogas: más información menos riesgos. Problema drogas, compromiso de todos. 9 ed. Montevideo: JND, 2010. Disponible en: http://www.infodrogas.gub.uy/html/material-educativo/documentos/20110531_tu_ Guia_9a_edicion.pdf. Consulta: 21 agosto 2015.

(3) Pascale A. Consumo de drogas durante el embarazo: efectos sobre el binomio materno-fetal, recién nacido y primera infancia. Modalidades terapéuticas y estrategias de prevención. Revisión. Montevideo: PNUD, 2015. Disponible en: http://www.mysu.org.uy/wp-content/uploads/2015/07/Consumo-de-drogas-durante-el-embarazo-Revision-MSP.pdf. Consulta: 21 agosto 2015.

(4) Ribot B, Isern R, Hernández-Martínez C, Canals J, Aranda N, Arija V. Impacto del tabaquismo, la exposición pasiva al Tabaco y el dejar de fumar sobre la salud del recién nacido. Med Clin (Barc) 2014; 143(2):57-63.

(5) Pichini S, García-Algar O. Consumo de Tabaco durante la gestación. Med Clin (Barc) 2014; 143(2):7-1.

(6) Moraes M, Ghione A, González G, Umpiérrez E, González S, Pascale A, et al. Recién nacido expuesto a drogas sicoactivas. Montevideo: CHPR. Departamento de Neonatología, 2012. Disponible en: http://www.neonatpr.fmed.edu.uy/ documentos/pdf/rn_expuesto_a_sust.pdf. Consulta: 9 setiembre 2015.

(7) Fernández-Jaén A, Fernández-Mayoralas DM, Quiñones Tapia D, Calleja-Pérez B, García-Segura JM, Arribas SL, et al. Cortical thickness in fetal alcohol syndrome and attention deficit disorder. Pediatr Neurol 2011; 45(6):387-91.

(8) Behnke M, Smith VC; Committee on Substance Abuse; Committee on Fetus and Newborn. Prenatal substance abuse: short- and long-term effects on the exposed fetus. Pediatrics 2013; 131(3):e1009-24. Disponible en: http://pediatrics.aappublications.org/content/131/3/e1009.long. Consulta: 4 abril 2016.

(9) American College of Obstetricians and Gynecologists. Marijuana use during pregnancy and lactation. Committee opinion Nº 637. Washington, DC: ACOG, 2015. Disponible en: http://www.acog.org/Resources-And-Publications/Committee-Opinions/Committee-on-Obstetric-Practice/Marijuana-Use- During-Pregnancy-and-Lactation#4. Consulta: 8 abril 2016.

(10) Althabe F, Colomar M, Gibbons L, Belizan JM, Buekens P. Tabaquismo durante el embarazo en Argentina y Uruguay. Medicina (B Aires) 2008; 68(1):48-54.

(11) Uruguay. Junta Nacional de Drogas. 5ta encuesta nacional sobre consumo de drogas en estudiantes de enseñanza media 2011. Entre placer y displacer: los adolescentes en su laberinto. Comportamiento de riesgo y uso de drogas en adolescentes escolarizados. Montevideo: JND, 2011. Disponible en: http://www.infodrogas.gub.uy/images/stories/pdf/5_estudiantes_web.pdf. Consulta: 9 setiembre 2015.

(12) Harris JE, Balsa AI, Triunfo P. Campaña antitabaco en Uruguay: impacto en la decisión de dejar de fumar durante el embarazo y en el peso al nacer. Montevideo: Universidad de Montevideo. Facultad de Ciencias Empresariales y Economía, 2014. Disponible en: http://www.um.edu.uy/docs/working_paper_um_cee_2014_01.pdf. Consulta: 9 setiembre 2015.

(13) Lange S, Shield K, Koren G, Rehm J, Popova S. A comparison of the prevalence of prenatal alcohol exposure obtained via maternal self-reports versus meconium testing: a systematic literature review and meta-analysis. BMC Pregnancy Childbirth 2014; 14:127. Disponible en: http://bmcpregnancychildbirth.biomedcentral.com/articles/10.1186/ 1471-2393-14-127. Consulta: 9 setiembre 2015.

(14) Moraes M, González G, Sosa C, Umpiérrez E, Ghione A, López S, et al. Identificación del consumo de alcohol y derivados de cocaína en el embarazo mediante el análisis de meconio. An Facultad Med (Univ Repúb Urug) 2014; 1(2): 43-50.

(15) Uruguay. Junta Nacional de Drogas. 5ta. encuesta nacional en hogares sobre consumo de drogas. Informe de investigación, mayo 2012. Montevideo: JND, 2012. Disponible en: http://www.infodrogas.gub.uy/images/stories/pdf/v_enc_hogares_2011.pdf. Consulta: 21 agosto 2015.

(16) Carson G, Cox LV, Crane J, Croteau P, Graves L, Kluka S, et al; Society of Obstetricians and Gynaecologists of Canada. Alcohol use and pregnancy consensus clinical guidelines. J Obstet Gynaecol Can 2010; 32(8 Suppl 3):S1-31.

(17) Manich A, Velasco M, Joya X, García-Lara NR, Pichini S, Vall O, et al. Validez del cuestionario de consume materno de alcohol para detector la exposición prenatal. An Pediatr (Barc) 2012; 76(6):324-8.

(18) Pichini S, Puig C, Zuccaro P, Marchei E, Pellegrini M, Murillo J, et al. Assessment of exposure to opiates and cocaine during pregnancy in a Mediterranean city: preliminary results of the “Meconium Project”. Forensic Sci Int 2005; 153(1):59-65.

(19) Bessa MA, Mitsuhiro SS, Chalem E, Barros MM, Guinsburg R, Laranjeira R. Underreporting of use of cocaine and marijuana during the third trimester of gestation among pregnant adolescents. Addict Behav 2010; 35(3):266-9.

(20) World Health Organization. WHO recommendations for the prevention and management of tobacco use and second-hand smoke exposure in pregnancy 2013. Geneva: WHO, 2013. Disponible en: http://www.who.int/tobacco/publications/pregnancy/guidelinestobaccosmokeexposure/en/. Consulta: 4 abril 2016.

(21) Wong S, Ordean A, Kahan M; Maternal Fetal Medicine Committee; Family Physicians Advisory Committee; Medico-Legal Committee; Society of Obstetricians and Gynaecologists of Canada. Substance use in pregnancy. J Obstet Gynaecol Can 2011; 33(4):367-84.

Published
2019-07-26
How to Cite
1.
Moraes Castro M, Duarte MV, Barceló JG, Báez P, González G, Sosa C. Smoking, alcohol and marijuana consumption in a self-report by women who delivered their babies at the Pereira Rossell Hospital Center (May 2013- April 2014). Rev. Méd. Urug. [Internet]. 2019Jul.26 [cited 2024Nov.28];32(4):234-41. Available from: http://www2.rmu.org.uy/ojsrmu311/index.php/rmu/article/view/143