Efectos del consumo dual cannabis-tabaco sobre el embarazo y la descendencia: una revisión sistemática.

The objective of the present study has been to carry out a review of the published works that have studied cannabis/marijuana and tobacco co-use in pregnant women and the possible consequences on their offspring The sources of information the databases used were the Web of Science (WoS), Scielo and Medline. A total of 240 articles were recovered, of which only 16 met the inclusion requirements in this study. The results point to a psychosocial profile of risk in pregnant women with dual consumption cannabis-tobacco and effects of co-use of these substances on fetal development according to different parameters, such as head circumference, weight and length at birth, prematurity, gestational age and defects in the newborn, among others. However, there are no differences in the scores in the Apgar test, hypertension, gestational diabetes or medicalization of the baby delivery. Cannabis-tobacco co-use has an additive effect with respect to some indicators of fetal development. Preventive interventions are required different levels when dealing with cannabis-tobacco co-use in pregnant women, considering this a major public health problem. [ABSTRACT FROM AUTHOR]