{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,25]],"date-time":"2026-01-25T00:17:24Z","timestamp":1769300244187,"version":"3.49.0"},"reference-count":35,"publisher":"Georg Thieme Verlag KG","issue":"01","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Am J Perinatol"],"published-print":{"date-parts":[[2021,1]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>\n          Objective\u2003This study aimed to study the relationship between prenatal marijuana and infant birth weight using natural cohorts established before, during and after the 20-month lapse between legalization and legal recreational sales in Washington State.<\/jats:p><jats:p>\n          Study Design\u2003Over 5\u2009years, 5,343 pregnant women with documented urine drug screen (UDS) results delivered at Tacoma General Hospital or Good Samaritan Hospital. Maternal medical data were extracted for three delivery cohorts established based on before (T1), during (T2), and after legalization (T3) of recreational marijuana and legalized availability. Univariate and multivariate models were created to study marijuana exposure on infants' birth weight.<\/jats:p><jats:p>\n          Results\u2003Marijuana exposure increased the risk of low birth weight (LBW; odds ratio [OR]\u2009=\u20091.42, 95% confidence interval [CI]: 1.01\u20132.01). This was more pronounced in full-term babies (OR\u2009=\u20091.72, 95% CI: 1.10\u20132.69), and was independently associated with a higher risk for small for gestational age (SGA; OR\u2009=\u20091.51, 95% CI: 1.49\u20131.53). The associations between marijuana exposure and SGA were maintained in cohort-specific models (OR\u2009=\u20091.53, 95% CI: 1.01\u20132.32 for T2, and OR\u2009=\u20091.43, 95% CI: 1.01\u20132.02 for T3, respectively).<\/jats:p><jats:p>\n          Conclusion\u2003Marijuana exposure verified by UDS was associated with LBW and SGA. However, recreational marijuana legalization and availability did not have direct impact on newborns' risk of LBW or SGA.<\/jats:p>","DOI":"10.1055\/s-0039-1694793","type":"journal-article","created":{"date-parts":[[2019,8,20]],"date-time":"2019-08-20T23:46:33Z","timestamp":1566344793000},"page":"065-075","source":"Crossref","is-referenced-by-count":24,"title":["Maternal Marijuana Exposure and Birth Weight: An Observational Study Surrounding Recreational Marijuana Legalization"],"prefix":"10.1055","volume":"38","author":[{"given":"Heather L.","family":"Straub","sequence":"additional","affiliation":[{"name":"Division of Maternal-Fetal Medicine, University of Colorado, Aurora, Colorado"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jin","family":"Mou","sequence":"additional","affiliation":[{"name":"MultiCare Institute for Research and Innovation, Tacoma, Washington"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kathryn J.","family":"Drennan","sequence":"additional","affiliation":[{"name":"Division of Maternal-Fetal Medicine, University of Colorado, Aurora, Colorado"},{"name":"Division of Maternal-Fetal Medicine, University of Rochester, Rochester, New York"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Bethann M.","family":"Pflugeisen","sequence":"additional","affiliation":[{"name":"MultiCare Institute for Research and Innovation, Tacoma, Washington"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"194","published-online":{"date-parts":[[2019,8,20]]},"reference":[{"issue":"06","key":"ref1","doi-asserted-by":"crossref","first-page":"761","DOI":"10.1016\/j.ajog.2015.05.025","article-title":"Marijuana use in pregnancy and lactation: a review of the evidence","volume":"213","author":"T D Metz","year":"2015","journal-title":"Am J Obstet 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