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Effects while pregnant or breastfeeding

People use cannabis and cannabis-containing products for many reasons, including morning sickness/nausea, anxiety, pain relief, and stress. However, much is unknown about how using cannabis during pregnancy or lactation could affect your pregnancy and your baby.

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Cannabis use = 

Smoking, vaping, eating, drinking, dabbing cannabis products or use of creams/lotions, tinctures, or concentrates containing cannabis. 

Lactation = 

All forms of feeding a child human milk, including expressed/pumped milk, or directly breastfeeding or chestfeeding. 

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Fast Facts

  • Certain medications should be avoided while pregnant or lactating due to potential harm to your baby. The same is true for cannabis. All major medical organizations and the CDC strongly recommend against using cannabis during pregnancy and lactation.

  • Cannabis is broken down in the body. Some parts are stored in the body and can pass onto your baby during pregnancy and through human milk, both while you are using and weeks later. It is unknown if these components cause harm to your baby. Once you stop or decrease use, the levels in your body will go down over time.

  • Studies show people who use cannabis more often (at least once a week or more) during pregnancy could deliver early and may have small birth weight babies, especially if tobacco is also used. Cannabis use during pregnancy may also impact a baby’s brain development.
     

  • More research is needed on the short and long-term effects of cannabis use during pregnancy and lactation. It is difficult to be certain about the specific effects of cannabis on pregnancy and your developing baby, in part because much research cannot separate the effects of cannabis use from tobacco, alcohol, drugs, and other social factors.
     
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Questions and Answers

  • Breathing any smoke is bad for you and your baby. Smoke has many dangerous chemicals. Do not allow anyone to smoke in your home or around your baby.

  • Any form of cannabis, including vaping, eating, drinking or using creams or lotions containing cannabis, may impact your baby’s health in ways that are unclear at this time.

  • There may be other options to help with morning sickness/nausea, anxiety and stress that can be used during pregnancy and lactation. Talk to a trusted health care professional about cannabis and learn about options that may work for you.

  • If you’re having trouble quitting, there is help available. Go to ToughasaMother.org to learn more about support in your community.

  • Human milk has many health benefits for you and your baby. Some parts of cannabis are stored in the body, including over many weeks after use, and can get into human milk. The effect these compounds may have on your baby is unknown. To lower possible risks to your baby, continue breastfeeding while working to stop or reduce your cannabis use.
    “Pumping and dumping” human milk may not be an effective strategy to reduce your baby’s exposure to cannabis because the compounds are stored in the body.
     

  • Some hospitals test babies after birth for exposure to cannabis. If your baby tests positive, each hospital has different steps they may take, including limiting access to support services and possibly notifying Child Protective Services. You have a right to ask questions and get the support you need, including lactation support and other care options.

  • Store all cannabis products in their original child-resistant packaging, in a locked area where your children cannot see or reach.

  • Cannabis can make children very sick. Call the Poison Control Hotline as soon as possible, 1-800-222-1222, or call 911.

  • Being high or impaired while caring for a baby is not safe. Do not let anyone who is impaired or high take care of your baby. If you plan to use cannabis, make sure there is another sober adult who can safely care for your baby.
  • Some cannabis can make people very sleepy. It is not safe for your baby to sleep in bed with anyone who is high or impaired.
  • It is not safe to drive a car while high. Do not let your baby ride in a car if the driver is high.
     
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Talk to your health care provider if you’re pregnant or breastfeeding and need help to stop using marijuana. Or go to ToughasaMother.org to learn more about support in your community.

Talk to your doctor if you use marijuana for medical reasons. There are other, safer choices to treat medical problems during pregnancy.
 

Resources

Laws

  • Laws about marijuana use, including during pregnancy.

All information on the health effects of marijuana is taken from the Retail Marijuana Public Health Advisory Committee’s systematic review of available, high-quality research.