Cannabis and pregnancy: Maternal child health implications during a period of drug policy liberalization

Preventive Medicine
Katrina Mark, Mishka Terplan

Abstract

Cannabis use is common and increasing among women in the United States. State policies are changing with a movement towards decriminalization and legalization. We explore the implications of cannabis liberalization for maternal and child health. Most women who use cannabis quit or cut back during pregnancy. Although women are concerned about the possible health effects of cannabis, providers do a poor job of counseling. There is a theoretical potential for cannabis to interfere with neurodevelopment, however human data have not identified any long-term or long lasting meaningful differences between children exposed in utero to cannabis and those not. Scientifically accurate dissemination of cannabis outcomes data is necessary. Risks should be neither overstated nor minimized, and the legal status of a substance should not be equated with safety. Decreasing or stopping use of all recreational drugs should be encouraged during pregnancy. Providers must recognize that even in environments where cannabis is legal, pregnant women may end up involved with Child Protective Services. In states where substance use is considered child abuse this may be especially catastrophic. Above all, care for pregnant women who use cannabis should be...Continue Reading

Citations

Jun 5, 2018·Journal of Addiction Medicine·Yukiko WashioMishka Terplan
Oct 20, 2018·Paediatric and Perinatal Epidemiology·Saida R SharapovaItalia Rolle
Feb 23, 2019·Current Drug Research Reviews·Brienna N MeffertAdrienne J Heinz
Jan 27, 2020·Neuropsychopharmacology : Official Publication of the American College of Neuropsychopharmacology·Adán de Salas-QuirogaIsmael Galve-Roperh
Jan 9, 2020·Journal of Perinatology : Official Journal of the California Perinatal Association·Elyse Olshen KharbandaPaul A Romitti
Jun 12, 2020·Current Pain and Headache Reports·Syena SarrafpourCyrus Yazdi
Dec 29, 2017·The American Journal on Addictions·Grace Hennessy
Aug 29, 2019·International Journal of Environmental Research and Public Health·Anees Bahji, Callum Stephenson
Jan 31, 2020·Obstetrical & Gynecological Survey·Daniel SpinosaSarah Dotters-Katz
Sep 17, 2019·Therapeutic Advances in Gastroenterology·Sherman PicardoCynthia H Seow
Feb 4, 2021·Journal of Midwifery & Women's Health·Devon GreysonCarol J Boyd
Oct 12, 2020·European Addiction Research·Roman GabrhelíkSvetlana Skurtveit

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