{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,12,23]],"date-time":"2025-12-23T18:48:33Z","timestamp":1766515713880,"version":"3.41.0"},"reference-count":38,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2025,4,10]],"date-time":"2025-04-10T00:00:00Z","timestamp":1744243200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Drug and Alcohol Review"],"published-print":{"date-parts":[[2025,5]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Introduction<\/jats:title><jats:p>Research on cannabis\u2010related hyperemesis and its identification and management during pregnancy is scarce. This study aimed to investigate the management of cannabis\u2010related emergency department (ED) presentations, hospital admissions and hyperemesis of pregnant women who self\u2010reported non\u2010medicinal cannabis use to a substance use in pregnancy and parenting service (SUPPS).<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>A retrospective medical record audit was conducted on 75 SUPPS patients who identified cannabis as their primary drug of concern and gave birth between January 2015 and May 2020 in Australia. Their ED presentations and hospital admissions in the 12\u2009months prior to the baby's delivery were examined. A descriptive analysis was conducted.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>The patients had 232 ED presentations and 183 hospital admissions. History of cannabis use was identified and documented in 34% of the ED presentations and 53% of the hospital admissions. Screening of current substance use was conducted in 45% of the ED presentations and 53% of the hospital admissions. Withdrawal symptoms were documented in 3% of the ED presentations and 13% of the hospital admissions. Cannabis use status was asked in 36% of the ED presentations and 52% of the hospital admissions. Take home medications were provided in 12% of the ED presentations and 12% of the hospital admissions. Referral to SUPPS was made in 7% of the hospital admissions, but none from ED.<\/jats:p><\/jats:sec><jats:sec><jats:title>Discussion and Conclusions<\/jats:title><jats:p>Gaps in the management of cannabis\u2010related ED presentations and hospital admissions were identified. Routine substance use screening should be conducted to enable early identification of cannabis use during pregnancy.<\/jats:p><\/jats:sec>","DOI":"10.1111\/dar.14059","type":"journal-article","created":{"date-parts":[[2025,4,10]],"date-time":"2025-04-10T23:41:21Z","timestamp":1744328481000},"page":"1036-1048","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["A retrospective medical record audit of the management of cannabis\u2010related emergency department presentations, hospital admissions and hyperemesis of pregnant women who self\u2010reported non\u2010medicinal cannabis use to a substance use in parenting and pregnancy service"],"prefix":"10.1111","volume":"44","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-1332-4800","authenticated-orcid":false,"given":"Siyu","family":"Qian","sequence":"first","affiliation":[{"name":"Drug and Alcohol Service Illawarra Shoalhaven Local Health District  Wollongong Australia"},{"name":"NSW Drug and Alcohol Clinical Research and Improvement Network  Sydney Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sarah","family":"Seddon","sequence":"additional","affiliation":[{"name":"Drug and Alcohol Service Illawarra Shoalhaven Local Health District  Wollongong Australia"},{"name":"NSW Drug and Alcohol Clinical Research and Improvement Network  Sydney Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2025,4,10]]},"reference":[{"key":"e_1_2_14_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ypmed.2018.12.002"},{"key":"e_1_2_14_3_1","doi-asserted-by":"publisher","DOI":"10.1186\/s42238-023-00184-x"},{"key":"e_1_2_14_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jogc.2022.02.084"},{"key":"e_1_2_14_5_1","doi-asserted-by":"publisher","DOI":"10.1080\/10826084.2023.2294974"},{"volume-title":"Prevalence of marijuana and opioid use during pregnancy in the united states from 2017\u20132019","year":"2024","author":"Brumley CR","key":"e_1_2_14_6_1"},{"key":"e_1_2_14_7_1","unstructured":"Australian Institute of Health Welfare.National Drug Strategy Household Survey 2022\u20132023.2024. Available from:https:\/\/www.aihw.gov.au\/reports\/illicit\u2010use\u2010of\u2010drugs\/national\u2010drug\u2010strategy\u2010household\u2010survey"},{"key":"e_1_2_14_8_1","unstructured":"Australian Institute of Health and Welfare.National Drug Strategy Household Survey 2019. 2020. Available from:https:\/\/www.aihw.gov.au\/reports\/illicit\u2010use\u2010of\u2010drugs\/national\u2010drug\u2010strategy\u2010household\u2010survey\u20102019"},{"key":"e_1_2_14_9_1","doi-asserted-by":"publisher","DOI":"10.1001\/jamainternmed.2024.3270"},{"key":"e_1_2_14_10_1","doi-asserted-by":"publisher","DOI":"10.4088\/JCP.24f15611"},{"key":"e_1_2_14_11_1","doi-asserted-by":"publisher","DOI":"10.1038\/pr.2011.25"},{"key":"e_1_2_14_12_1","doi-asserted-by":"publisher","DOI":"10.1111\/ajo.13589"},{"key":"e_1_2_14_13_1","doi-asserted-by":"publisher","DOI":"10.1038\/jp.2013.180"},{"key":"e_1_2_14_14_1","doi-asserted-by":"publisher","DOI":"10.3390\/medicina60101691"},{"volume-title":"Clinical guidance for the management of substance use in pregnancy, birth and the postnatal period","year":"2024","author":"NSW Ministry of Health","key":"e_1_2_14_15_1"},{"key":"e_1_2_14_16_1","doi-asserted-by":"publisher","DOI":"10.1097\/ADT.0b013e318293aecc"},{"key":"e_1_2_14_17_1","unstructured":"NSW Ministry of Health.Management of withdrawal from alcohol and other drugs clinical guidance.2022."},{"key":"e_1_2_14_18_1","first-page":"430","article-title":"Cannabinoid hyperemesis syndrome during pregnancy: a case report","volume":"60","author":"Andrews KH","year":"2015","journal-title":"J Reprod Med"},{"key":"e_1_2_14_19_1","doi-asserted-by":"publisher","DOI":"10.1111\/ajo.13714"},{"key":"e_1_2_14_20_1","doi-asserted-by":"publisher","DOI":"10.1310\/hpj4808-650"},{"key":"e_1_2_14_21_1","doi-asserted-by":"publisher","DOI":"10.1097\/AOG.0000000000000595"},{"key":"e_1_2_14_22_1","doi-asserted-by":"publisher","DOI":"10.1097\/SMJ.0b013e3182297d57"},{"key":"e_1_2_14_23_1","first-page":"283","article-title":"Marijuana use and maternal experiences of severe nausea during pregnancy in Hawai\u2018i","volume":"73","author":"Roberson EK","year":"2014","journal-title":"Hawaii J Med Public Health"},{"key":"e_1_2_14_24_1","first-page":"1021","article-title":"Marijuana in pregnancy; its relationship to nausea, emesis, and hyperemesis","volume":"4","author":"Lambert T","year":"2016","journal-title":"J Addict Med Ther"},{"key":"e_1_2_14_25_1","doi-asserted-by":"publisher","DOI":"10.1001\/jama.2024.9716"},{"key":"e_1_2_14_26_1","doi-asserted-by":"publisher","DOI":"10.1136\/emermed-2024-213886"},{"key":"e_1_2_14_27_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jogn.2022.05.039"},{"key":"e_1_2_14_28_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12245-020-00311-y"},{"key":"e_1_2_14_29_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00404-010-1811-8"},{"key":"e_1_2_14_30_1","doi-asserted-by":"publisher","DOI":"10.1080\/08897077.2017.1356790"},{"key":"e_1_2_14_31_1","first-page":"257","article-title":"Vomiting, abdominal pain, compulsive bathing\u2010dx?","volume":"63","author":"Swanson M","year":"2014","journal-title":"J Fam Pract"},{"key":"e_1_2_14_32_1","doi-asserted-by":"publisher","DOI":"10.1097\/JCP.0000000000001579"},{"key":"e_1_2_14_33_1","doi-asserted-by":"publisher","DOI":"10.1155\/2018\/9746062"},{"key":"e_1_2_14_34_1","doi-asserted-by":"publisher","DOI":"10.2307\/2529310"},{"key":"e_1_2_14_35_1","doi-asserted-by":"publisher","DOI":"10.3109\/00952990.2012.715703"},{"key":"e_1_2_14_36_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0306-4603(01)00263-5"},{"key":"e_1_2_14_37_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.annemergmed.2013.04.011"},{"key":"e_1_2_14_38_1","first-page":"266","article-title":"Cannabinoid hyperemesis syndrome: lighting up an emergency department near you","volume":"119","author":"Camcejo M","year":"2022","journal-title":"Mo Med"},{"key":"e_1_2_14_39_1","doi-asserted-by":"publisher","DOI":"10.15288\/jsad.2020.81.824"}],"container-title":["Drug and Alcohol Review"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/dar.14059","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,5,28]],"date-time":"2025-05-28T07:06:00Z","timestamp":1748415960000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/dar.14059"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,4,10]]},"references-count":38,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2025,5]]}},"alternative-id":["10.1111\/dar.14059"],"URL":"https:\/\/doi.org\/10.1111\/dar.14059","archive":["Portico"],"relation":{},"ISSN":["0959-5236","1465-3362"],"issn-type":[{"type":"print","value":"0959-5236"},{"type":"electronic","value":"1465-3362"}],"subject":[],"published":{"date-parts":[[2025,4,10]]},"assertion":[{"value":"2024-06-18","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-03-26","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-04-10","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}