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nuNl/www.Y/YYaC.Cant/^11enIplBfClYhe011Bt9.hh1Y • ~ Abshr~t fiom Prenatal Mar~uana rxposure & Neonatal Outcomes in Jamaica: An Ethnographic Study By Melanie G Dreher, PhD; Kevin Nugent, PhD; and Rebekah Hudgins, MA, Pediatrics, 1994; 93:254-260 ABSTRACT. Objective. To identify neurobehavioral effects of prenatal marijuana exposure on neonates in rural Jamaica Design. Ethnographic 5ekl studies and standardized neurobehavior assessments during the neonatal period. Setting. Rural Jamaica in heavy-marijuana-using population. Pm7icipants. Twenty-four Jamaican neonates exposed to marijuana prenatally and 20 no nexposed neonates. Measurements and main results. Exposed neonates were compared at 3 days and 1 month old, using Ure Brazelton Neonatal Assessmem Scale, including supplementary items to capture possible subtle effects. Then wen no significant differences between exposed and nonexposed neonates on day 3. At 1 month, the exposed neonates showed better physiological stability and requited less examiner facilitation W reach organized states. The tteanates ofheavy-marijuana-using mothers had better scores on autonomic stability, quality of alertness, imtability, and self-regulation and were judged to be men rewarding for caregivers. Conclusions. The absence of any differencxs between the exposed on nonexposed groups in the early neonatal period suggest that the better scores of exposed neonates at 1 month are traceable to the cultural positioning and social and economic characteristics of mothers using marijuana that select for the use of marijuana but also promote neonatal development ~~[1 r,° ~7=1.~..L C~.t1 ~Yi L~. ~i' s~ ~tri~ Etmp Notion Xeadqumters G7+~rLrtopAier G7aY, PrePr~r 343 Richmond Street, Suite 101 London, Ontario Canada N(uf 3C2 (S19) 433-5267 Fax (319) 433-7725 World Wide Web: ht1n://aoba~com/-hemp F.n?ail: kema.nation(abobozcom