Effects of alcohol, methamphetamine, and marijuana exposure on the placenta
Researchers collected placentas from 103 Cape Coloured (mixed ancestry) pregnant women recruited at their first antenatal clinic visit in Cape Town, South Africa. Of these, 66 heavy drinkers and 37 non-drinkers were interviewed about their alcohol, cigarette smoking, and drug use at three antenatal visits. A senior pathologist, blinded to exposure status, performed comprehensive pathology examinations on each placenta using a standardized protocol. In multivariable regression models, effects of prenatal exposure were examined on placental size, structure, and presence of infections and meconium . Results show that alcohol, methamphetamine, and marijuana were associated with distinct patterns of pathology, suggesting that different mechanisms mediate their effects on placental development. Alcohol exposure was related to decreased placental weight and a smaller placenta-to-birth weight ratio. By contrast, methamphetamine was associated with larger placental weight and a larger plac...