Alcohol and substance use in pregnancy during the COVID-19 pandemic

Kar, Preeti; Tomfohr‐Madsen, Lianne; Giesbrecht, Gerald F.; Bagshawe, Mercedes; Lebel, Catherine

doi:10.1016/j.drugalcdep.2021.108760

Cited by 55 publications

(42 citation statements)

References 67 publications

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“…Similarly, the COVID-19 crisis and the associated lockdown measures increased the risk of drinking alcohol [28]. Furthermore, depression symptoms and pandemic-related financial difficulties were associated with tobacco and cannabis use and also with substance co-use, even in the case of pregnant women [29]. On the other hand, there were disparities across the individuals, for instance, the gender, the smoker's residence (urban or rural areas), or the severity of the smoking history of the individual [30].…”

Section: Addiction During Covid-19mentioning

confidence: 99%

The Increase in Addiction during COVID-19

Daglis

2021

Encyclopedia

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The increase in addiction during COVID-19 is a condition that emerged as an aftermath of COVID-19-related events, for instance, fear of the spread of COVID-19, self-abstention from many activities, and restrictions established by the lockdown measures. This condition includes substance addictions such as drugs and alcohol but also behavioral addictions such as gambling, gaming, pornography, and smartphone and internet misuse.

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Section: Addiction During Covid-19mentioning

confidence: 99%

The Increase in Addiction during COVID-19

Daglis

2021

Encyclopedia

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“…[37][38][39] Pregnant women experiencing severe depression and financial difficulties may use marijuana more often than pregnant women who are not depressed or experiencing financial difficulties. 40 However, the majority of studies reported so far were based on self-reporting, which is known to underestimate the actual prevalence. 40 Efforts to legalize the use of marijuana might also have played a role.…”

Section: Accepted Manuscriptmentioning

confidence: 99%

“…40 However, the majority of studies reported so far were based on self-reporting, which is known to underestimate the actual prevalence. 40 Efforts to legalize the use of marijuana might also have played a role. We did not observe any change in opioid exposure in our WBN infants.…”

Section: Accepted Manuscriptmentioning

confidence: 99%

Effect of the COVID-19 Pandemic on Well-Baby Nursery

Kocherlakota

Lin²,

Gill³

et al. 2021

Am J Perinatol

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BACKGROUND: The coronavirus disease 2019 (COVID-19) pandemic is associated with fewer deliveries and premature births; however, the impact of this pandemic on the well-baby nursery (WBN) is unknown. OBJECTIVE: To evaluate the impact of the COVID-19 pandemic on infants admitted to the WBN by comparing pandemic and pre-pandemic cohorts. STUDY DESIGN: We performed a retrospective study of infants admitted to a WBN during the pandemic period (March 18, 2020-to-March 17, 2021) and compared them to those during the pre-pandemic period (March 18, 2019-to-March 17, 2020). Maternal (age, parity, gestation, method of delivery, and COVID-19 status) and neonatal (sex, weight, Apgar score, feeding pattern, urine toxicology, and neonatal intensive care unit [NICU] admission) data were collected and compared between the two periods. The results were statistically analyzed, and significance was set at P < 0.05. RESULTS: There were 824 and 859 WBN admissions during the pandemic and pre-pandemic periods, respectively; a 4% decrease in WBN admissions during the pandemic period. During the pandemic period, the number of deliveries among nulliparous women increased (from 40.3% to 45.1%; p=0.01), and deliveries among multiparous women decreased (from 59.2% to 53.1%; p=0.01). The number of infants exposed to marijuana in-utero increased (24/149 screened vs. 12/146 screened; p=0.038), and transfers from WBN to NICU decreased (from 9% to 6%; p=0.044) during the pandemic period. CONCLUSIONS: Compared to the pre-pandemic period, the number of WBN admissions, multiparous deliveries, and NICU admissions decreased, while the number of nulliparous deliveries and infants exposed to marijuana in-utero increased during the pandemic period.

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“…However, women’s health was especially impaired during the COVID-19 pandemic. Additionally, there is evidence of a high percentage of women engaging in harmful alcohol use (Barbosa et al, 2021 ; Kar et al, 2021 ) along with a high incidence of anxiety and depression in women during the COVID-19 pandemic (Connor et al, 2020 ; Thibaut & van Wijngaarden-Cremers, 2020 ).…”

Section: Discussionmentioning

confidence: 99%