Marijuana Use During Pregnancy and Breastfeeding: Implications for Neonatal and Childhood Outcomes

Author:

Ryan Sheryl A.1,Ammerman Seth D.2,O’Connor Mary E.34,Gonzalez Lucien,Patrick Stephen W.,Quigley Joanna,Walker Leslie R.,Meek Joan Younger,Johnston Margreete,Stellwagen Lisa,Thomas Jennifer,Ware Julie, , ,

Affiliation:

1. Department of Pediatrics, Penn State Health Milton S. Hershey Medical Center, Hershey, Pennsylvania;

2. Division of Adolescent Medicine, Department of Pediatrics, Stanford University and Teen Health Van, Stanford Children’s Health, Palo Alto, California;

3. Department of Pediatrics, School of Medicine, University of Colorado, Aurora, Colorado; and

4. Dartmouth-Hitchcock Medical Center, Lebanon, New Hampshire

Abstract

Marijuana is one of the most widely used substances during pregnancy in the United States. Emerging data on the ability of cannabinoids to cross the placenta and affect the development of the fetus raise concerns about both pregnancy outcomes and long-term consequences for the infant or child. Social media is used to tout the use of marijuana for severe nausea associated with pregnancy. Concerns have also been raised about marijuana use by breastfeeding mothers. With this clinical report, we provide data on the current rates of marijuana use among pregnant and lactating women, discuss what is known about the effects of marijuana on fetal development and later neurodevelopmental and behavioral outcomes, and address implications for education and policy.

Publisher

American Academy of Pediatrics (AAP)

Subject

Pediatrics, Perinatology and Child Health

Reference97 articles.

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2. The Maternal Lifestyle Study: drug use by meconium toxicology and maternal self-report.;Lester;Pediatrics,2001

3. Determination of the prevalence of drug misuse by meconium analysis.;Williamson;Arch Dis Child Fetal Neonatal Ed,2006

4. Tobacco, alcohol and cannabis use during pregnancy: clustering of risks.;Passey;Drug Alcohol Depend,2014

5. Committee opinion no. 722: marijuana use during pregnancy and lactation.;Committee on Obstetric Practice;Obstet Gynecol,2017

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