Cannabis and Marijuana Use
During Pregnancy

What You Need to Know

Information for expectant parents based on current medical research

What Is Cannabis?

Cannabis (marijuana, weed, CBD products) is a plant that contains chemicals that affect your brain and body.

It can be smoked, vaped, eaten in foods, or used as oils.

Many people use it to feel relaxed, reduce nausea, or manage stress.

How Common Is Cannabis Use
During Pregnancy?

6-20%

Between 6 and 20 out of every 100 pregnant people report using cannabis or CBD products.

Use has increased in recent years, especially in early pregnancy.

What Does Recent Research Show?

A large study looked at over 320,000 pregnancies between 2011 and 2019.

Cannabis users had higher risks for certain pregnancy complications compared to non-users.

Study from Kaiser Permanente Northern California health system

Increased Risks Found

High Blood Pressure

17% higher risk for gestational hypertension

Preeclampsia

8% higher risk for this serious condition

Placental Abruption

19% higher risk (placenta separating early)

Weight Gain

More likely to gain above recommended amounts

What Do These Numbers Mean?

Higher risk does not mean it will definitely happen.

Most people who use cannabis during pregnancy do not develop these complications.

But your chance is somewhat higher compared to not using cannabis.

More Use = Higher Risk

The research showed a dose-response relationship.

People who used cannabis more frequently had higher risks for high blood pressure during pregnancy.

Stopping or reducing use may lower your risk.

Why Does This Matter for You?

Condition Why It's Important
High Blood Pressure Can affect baby's growth and increase health risks
Preeclampsia May require early delivery or hospitalization
Placental Abruption Can cause bleeding and requires urgent care

What Happens Next?

How We'll Support You

Your Care Team Will:

✓ Check your blood pressure at every visit

✓ Watch for signs of preeclampsia (swelling, headaches, vision changes)

✓ Monitor your baby's growth with ultrasounds if needed

✓ Provide resources to help you reduce or stop cannabis use

What Can You Do?

Steps You Can Take:

1. Talk openly with your healthcare team about your cannabis use

2. Consider stopping or reducing use during pregnancy

3. Ask about support services if you need help stopping

4. Report any symptoms like severe headaches or vision changes right away

Looking for Alternatives?

Many people use cannabis for specific symptoms. Your team can suggest safer options:

If You Use Cannabis For... Ask Your Team About...
Nausea Vitamin B6, ginger, prescription medications
Anxiety or Stress Counseling, relaxation techniques, safe medications
Sleep Problems Sleep hygiene tips, pregnancy pillows, safe options
Pain Physical therapy, acetaminophen, other safe approaches

You're Not Alone

Many pregnant people use cannabis, especially in early pregnancy before they know they're pregnant.

This information is not meant to cause worry or shame.

It's meant to help you make informed choices about your health and your baby's health.

The Bottom Line

Current research suggests cannabis use during pregnancy is associated with higher risks for certain complications.
Stopping or reducing use may lower these risks.

Your healthcare team is here to support you, not judge you.

Together, we'll create a care plan that keeps you and your baby as healthy as possible.

Questions to Ask Your Team

Getting Support

Talk to Your Healthcare Team About:

• Substance use support programs

• Mental health counseling

• Prenatal education classes

• Social work services

• Community support groups

Your honesty helps us give you the best care possible.

Remember

Every pregnancy is different. This research shows associations, not certainties.

Your healthcare team is your partner.

Together, you'll navigate your pregnancy with knowledge, support, and the best possible care.

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