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Maternal Marijuana Use and Neonatal Outcomes: A Systematic Review and Meta-Analysis

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Conner SN, Bedell V, Lipsey K, Macones GA, Cahill AG, Tuuli MG. Maternal marijuana use and adverse neonatal  outcomes: a systematic review and meta‐analysis. Obstet Gynecol 2016; 128. 

 

The authors provided this information as a supplement to their article. 

 

©2016 American College of Obstetricians and Gynecologists.  Page 1 of 4   

 

 

NOTE: Weights are from random effects analysis

Overall (I−squared = 35.6%, p = 0.199) van Gelder (2010)

ID Study

Bada (2005)

Conner (2015) Shiono (1995)

1.60 (1.40, 1.84) 1.07 (0.56, 2.05) RR (95% CI)

1.73 (1.57, 1.91)

1.67 (1.28, 2.18) 1.42 (1.15, 1.76)

466/2498 9/185 Marijuana Events,

309/811

58/680 90/822

2858/27275 243/5343 Control Events,

1723/7826

380/7458 512/6648

100.00 4.11 Weight

%

51.15

19.01 25.73

1.60 (1.40, 1.84) 1.07 (0.56, 2.05) RR (95% CI)

1.73 (1.57, 1.91)

1.67 (1.28, 2.18) 1.42 (1.15, 1.76)

466/2498 9/185 Marijuana Events,

309/811

58/680 90/822

1

.1 1 10

Lower Risk for LBW Higher Risk for LBW

A

Appendix 1. Forest plot unadjusted estimates for marijuana use among studies who also reported adjusted  estimates. A) low birth weight <2500g; B) preterm delivery. ES, effect size; CI, confidence interval; LBW, low birth  weight.   

(2)

Conner SN, Bedell V, Lipsey K, Macones GA, Cahill AG, Tuuli MG. Maternal marijuana use and adverse neonatal  outcomes: a systematic review and meta‐analysis. Obstet Gynecol 2016; 128. 

 

The authors provided this information as a supplement to their article. 

 

©2016 American College of Obstetricians and Gynecologists.  Page 2 of 4   

 

 

   

NOTE: Weights are from random effects analysis

Overall (I−squared = 81.6%, p = 0.001) Study

van Gelder (2010) ID

Saurel−Cubizolles (2014) Shiono (1995)

Bada (2005)

1.47 (1.12, 1.94) 1.27 (0.81, 1.99) RR (95% CI)

2.06 (1.31, 3.24) 1.13 (0.94, 1.37)

1.68 (1.52, 1.84)

460/1974 Events,

18/185 Marijuana

17/156 110/822

315/811

3714/33165 Events,

410/5343 Control

707/13348 784/6648

1813/7826

100.00

%

18.17 Weight

17.94 30.24

33.65

1.47 (1.12, 1.94) 1.27 (0.81, 1.99) RR (95% CI)

2.06 (1.31, 3.24) 1.13 (0.94, 1.37)

1.68 (1.52, 1.84)

460/1974 Events,

18/185 Marijuana

17/156 110/822

315/811

1

.1 1 10

Lower Risk for PTD Higher Risk for PTD

B

(3)

Conner SN, Bedell V, Lipsey K, Macones GA, Cahill AG, Tuuli MG. Maternal marijuana use and adverse neonatal  outcomes: a systematic review and meta‐analysis. Obstet Gynecol 2016; 128. 

 

The authors provided this information as a supplement to their article. 

 

©2016 American College of Obstetricians and Gynecologists.  Page 3 of 4   

   

   

 

   

 

   

Harbord’s p = 0.24

0.2.4.6.81se(logRR)

−2 −1 0 1 2

logRR

LBW Funnel plot with pseudo 95% confidence limits

A

Appendix 2. Funnel plot and publication bias. A) low birth weight <2500g; B) preterm delivery. ES, effect size; CI,  confidence interval; PTD, preterm delivery. 

(4)

Conner SN, Bedell V, Lipsey K, Macones GA, Cahill AG, Tuuli MG. Maternal marijuana use and adverse neonatal  outcomes: a systematic review and meta‐analysis. Obstet Gynecol 2016; 128. 

 

The authors provided this information as a supplement to their article. 

 

©2016 American College of Obstetricians and Gynecologists.  Page 4 of 4   

 

  Harbord’s p = 0.67

0.511.5se(logRR)

−4 −2 0 2 4

logRR

PTD Funnel plot with pseudo 95% confidence limits

B

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