Masoumeh Mahmoudi, Ali Asghar Ghorbani, Mehdi Pourasghar, Azita Balaghafari, Jamshid Yazdani Charati, Nassim Ghahrani, Farzaneh Amini
Designing, implementation and evaluation of story reading: a solution to increase general empathy in medical students
BMC medical education
methamphetamine use rising recent years occurring within new populations broader geographical areas limited research use impact pregnancy objective study examine association prenatal methamphetamine use maternal neonatal outcomes large contemporary birth cohort retrospective cohort study using californialinked vital statistics hospital discharge data 20082019 methamphetamine use identified using international classification disease icd9 icd10 codes chisquare tests multivariable poisson regression models used evaluate associations methamphetamine use maternal neonatal outcomes total 4775463 pregnancies met inclusion criteria 18473 039 methamphetamine use compared use individuals methamphetamine use increased risk nonsevere hypertensive disorders arr181 95 ci 171 190 preeclampsia severe features arr338 95 ci 314 363 placental abruption arr377 95 ci 351 405 cardiovascular morbidity arr430 95 ci 379 488 severe maternal morbidity arr353 95 ci 329 377 adverse neonatal outcomes also increased including preterm birth 37 weeks arr285 95 ci 277 294 neonatal intensive care unit admission arr246 95 ci 239 253 infant death arr273 95 ci 235 316 methamphetamine use pregnancy associated increased risk adverse maternal neonatal outcomes persists adjustment confounding variables sociodemographic factors results study inform prenatal postpartum care highrisk socioeconomically vulnerable population